36C25919Q0321-0001003.docx

Statement of Work Dosimetry Safety Program Oklahoma City VA Medical Center

It is expected that the contractor shall provide occupational radiation monitoring including dose reports for the Oklahoma City Veterans Affairs Medical Center.

The contractor shall be accredited by NVLAP (National Voluntary Laboratory Accreditation Program) and DOELAP (Department of Energy Laboratory Accreditation Program). The contractor shall provide full-service technical support, analytical, and client support for occupational dose monitoring. The dosimetry service shall provide the Oklahoma City VAMC with diagnostic evaluation and reporting, including direct computer access via the internet to the database for exposure reports, shipment tracking and account maintenance transactions. The contractor shall provide notification of radiation overexposure within 24 hours of findings. The contractor shall keep complete historical records for all dosimeters processed; this includes comprehensive radiation exposure reports, including NRC Form 5, ALARA, and fetal dose reports. All reports shall be provided as a hardcopy and/or electronically to the Oklahoma City VAMC.

1. Dosimeter: The contractor shall provide the Oklahoma City VA Medical Center with TLD (thermo luminescent dosimeter) dosimeters or equivalent, control dosimeters, and TLD rings for personnel monitoring. The dosimeters shall be provided to the Oklahoma City VA Medical Center monthly. The Oklahoma City VA Medical Center will return the dosimeters to the contractor for analysis.

a. TLD Dosimeters or equivalent

i. The TLD dosimeter or equivalent shall measure x, gamma and beta radiation for the whole body and extremities.

ii. The TLD dosimeter or equivalent shall be sealed inside a tamperproof plastic blister pack to eliminate possible mishandling, light leakage or lost detection elements.

iii. The TDL dosimeter or equivalent shall be unaffected by heat moisture and pressure.

iv. The TDL dosimeter or equivalent shall come in individually wrapped pouches with a card containing worker information.

v. The dosimeters shall be divided into department groupings with series name and or code indicated on each dosimeter.

vi. The wear period for a dosimeter is one month.

b. Ring Dosimeters (TLD)

i. The ring dosimeter shall measure exposure due to x, beta and gamma radiation with TL (thermoluminescent) technology.

ii. The TLD shall be encapsulated inside an identification cover, so the identity of the chip and the wearer is always maintained.

iii. The rings shall be able to be worn in dry or wet working conditions and cold sterilized without compromising the integrity of the dosimeter.

iv. The rings shall come in 3 or more sizes; small, medium and large.

v. The edges of the ring shall be smooth so they are able to be worn inside surgical gloves.

vi. The dosimeters shall be divided into department groupings with series name and/or code indicated on each dosimeter.

vii. The wear period for a dosimeter is one month.

c. Instadose, Real Time Dosimeter Badge or equivalent

i. Real time on demand dosimeter shall provide immediate visibility of dose data.

ii. The real time dosimeter shall be an NVLAP accredited USB compatible dosimeter.

iii. View stored measurements such as Dosimeter ID number battery status, accumulated dose, dose rate, and time period.

iv. The real-time dosimeter shall immediately alert when user/wearer exceeds dose level specified.

v. Real time dosimeter dose users shall have access to view their current and historical radiation dose information at any time, from any computer or mobile device with internet access.

vi. The TLD dosimeter or equivalent shall measure x, gamma and beta radiation for the whole body and extremities.

vii. The TLD dosimeter or equivalent shall be sealed inside a tamperproof plastic blister pack to eliminate possible mishandling, light leakage or lost detection elements.

viii. The TDL dosimeter or equivalent shall be unaffected by heat moisture and pressure.

ix. The TDL dosimeter or equivalent shall come in individually wrapped pouches with a card containing worker information.

x. The dosimeters shall be divided into department groupings with series name and or code indicated on each dosimeter.

d. Control Dosimeters

i. Control dosimeters shall be included in each shipment at no additional cost to record in-transit and storage exposure.

2. NRC Form 5:

a. The contractor shall provide a detailed dose history for the year at the Oklahoma City VAMC. This report shall satisfy the requirements by NRC (Nuclear Regulatory Commission). This report shall include all the information as required by the NRC. Reports shall be generated annually after close of a calendar year or quarterly with current data up to the last wear period (month) reported.

3. Fetal Monitoring

a. The contractor shall be responsible for fetal dose monitoring. The contractor shall supply the Oklahoma City VA Medical center with a whole-body dosimeter and a fetal dosimeter for the expectant mother. The monthly dose report shall list the estimated dose from conception to declaration, rolling exposure history by month for both mother and child, and accumulated fetal totals for the gestation period.

4. ALARA Notification:

a. The contractor shall notify the Oklahoma City VAMC by phone and/or fax within 24 hours of findings when an individual’s dose exceeds:

i. 20% of the regulatory limits (e.g. deep, lens of eye, shallow, etc.) for any given wear period

ii. 50% of regulatory limits year to date

iii. Levels set by the Oklahoma City VAMC.

5. Dose Exposure Reports:

a. Reports shall cover each wear period (monthly) and include cumulative totals. The reports shall comply with NRC (Nuclear Regulatory Commission), OSHA (Occupational Safety and Health Administration), and DOE (Department of Energy) regulations. Dose equivalents arising from exposure to photons (x or gamma rays) shall have deep, lens of the eye and shallow value reported. Beta exposures shall be reported as a shallow dose equivalent. Dose reports shall be given to the VAMC on a monthly and yearly basis. The reports shall include the following: participant number, name, ID number, dosimeter, use, rad type, rad quality, inception date, serial number, dose equivalent (mrem) for: monthly wear period, quarter to date, year to date, lifetime to date. Each period shall have the following categories; DDE (deep dose equivalent), LDE (lens dose equivalent), and SDE (shallow dose equivalent). The reports shall also include VA facility information, account number, received date, and reported date.

6. METER (Multiple Employer Total Exposure Report)

a. The contractor shall supply a monthly report that list individuals who have activity in other dose monitoring accounts during the calendar year. Each individual exposure shall be summed up across all facilities to help compare totals with regulatory limits. This report shall satisfy the information required for the NCR’s requirement that occupational exposures be controlled within limits for all sources of on the job exposure.

7. Analysis

a. The contractor shall perform a full regulatory compliant analysis of all dosimeters and rings. TDL dosimeters, the detector shall have the ability to be re-stimulated numerous times to confirm the accuracy of a radiation does measurement. A full reanalysis shall be performed for every dose in excess of 500 mrem. Imaging to identify static, dynamic or contaminated conditions shall be automatically performed for all beta and low-energy photon measurements yielding a dose in excess of 500 mrem. Reanalysis of doses at less than 500 mrem shall be performed if requested by the OKC VAMC. The contractor shall have the ability to differentiate between static and dynamic exposure. TLD Ring dosimeters, shall measure x, beta and gamma radiation with a lithium fluoride chip. Accurate determination of exposure shall be supported by calibrations using a phantom. Rings shall be scanned to identify and track each ring from receipt to report. The process shall be overseen by knowledgeable technicians. The glow curve of the readout that permits a more conclusive evaluation of radiation exposure shall be retrieved and analyzed before the exposure report is generated if any anomaly appears.

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) None 36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village

CO

80111 36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village

CO

80111 To all Offerors/Bidders

36C25919Q0321

X

The purpose of this amendment

a. Update the Statement of Work

b. Add CLINs for Real Time Dosimeter Badge 10 EA 0005, 1005,2005, 3005 and 4005

c. Solicitation to be extended till May 21 2019 2:00pm MST