36C26119Q0318-001.docx

36C26119Q0318

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

593-19-1-047-0004 36C26119Q0318 02-08-2019 Felicia A. DeMita 925-372-2038 02-13-2019 10:00am Pacific

612MCP

Department of Veterans Affairs VA Sierra Pacific Network (VISN 21) Network Contracting Office (NCO 21) 150 Muir Road Martinez

CA

94553 561320 $27.5 Million X N/A X VA Northern California Healthcare System 5342 Dudley Blvd., Bldg. 209 McClellan

CA

95652

612MCP

Department of Veterans Affairs Department of Veterans Affairs VA Northern California HealthCare System 3230 Peacekeeper Way, Bldg. 209 McClellan

CA

95652-1012

Department of Veterans Affairs FMS VA-9(101) Financial Services Center PO Box 149971 Austin

TX

78714-9971 This is a sole source acquisition as authorized by statute through the Veterans First Contracting Program pursuant to 38 U.S.C. Section 8127(c) and as implemented by VA Acquisition Regulation 819.7001(c). As required, a Justification and Approval has been executed by the Head of the Contracting Activity and will be posted within 15 days of award.

This RFQ is for radiology technologist services for VA Southern California Health Care System in Las Vegas, NV.

Email quote to felicia.demita@va.gov no later than the due date and time shown.

593-3690160-047-822200 2560 010022260 X X Felicia A. DeMita

VA-VHA-SAOW-2018-2D91603A

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

PRICE SCHEDULE

The guaranteed minimum award amount for this contract is $1,000. The maximum aggregate value of orders that can be placed under this contract is $1,400,000. The Government does not guarantee that it will place any orders under this contract in excess of the guaranteed minimum award amount.

Performance Period One: April 1, 2019 – March 31, 2020

The performance period is anticipated to begin April 1, 2019 after background checks and any credentialing have occurred. The date may be adjusted through a bi-lateral contract modification to reflect the actual start date with a period not to exceed twelve months.

B.2 STATEMENT OF WORK

FEBRUARY 7, 2019

The Department of Veterans Affairs (VA) intends to establish a contract(s) to provide Radiology services on an as needed basis to the VA Southern Nevada Healthcare System (VASNHS). The Contractor shall provide Radiology Services required for VA VASNHS, 6900 North Pecos Road, North Las Vegas, Nevada 89086.

The resulting contract will be established for one year. The contracted Radiology service provider shall include a Diagnostic Radiology Technologist for CT and MRI and may cover a range of services normally provided in a similar civilian healthcare facility in accordance with the specifications and requirements contained herein.

DESCRIPTIONS/SPECIFICATIONS/WORK STATEMENT

1. QUALIFICATIONS

Contractor Personnel assigned by the Contractor to perform services covered by this contract must have a valid license or Radiology Technology degree from an American Registered Radiology Technologist (ARRT) or American College of Radiology (ACR) accredited school. Possession of Basic Life Support (BLS) certification is required. Contractor Personnel must be familiar with all Radiology Imaging functions such as: develops, performs, evaluates, interprets, correlates, and validates the accuracy of Imaging procedures and results. Maintains specific knowledge of cross sectional human anatomy and its application in spiral, and/or, multi-slice computer tomography, inclusive of 3-D reconstruction scans, including drainages, biopsies, and peripheral vascular examinations.

Diagnostic Radiology Technologist (CT) position performance include: The incumbent will perform technical work in support of Diagnostic Radiology under the direction of a radiologist. Operates computerized radiology/imaging equipment as part of the diagnostic plan for patients. The incumbent will utilize digital computed tomography, general radiography, and imaging network (PACS) equipment to perform a variety of routine, as well as complex CT/MRI examinations. Supports radiologists or other medical officers to produce radiographic studies used to diagnose medical conditions. Completion of one year of experience directly related to the position being filled.

Diagnostic Radiology Technologist (MRI) positions performance include: This specialty modality requires additional knowledge of super conducting magnets, the physics of superconducting magnets, and how they relate to the human anatomy in medical imaging. The technologist must be educated in the safety factors governing a magnetic environment that patients, visitors, and equipment enter into. The practitioner must have specific specialized knowledge of cross sectional anatomy and how it relates to the soft tissues and vessels of the human body. The technologist must also have specialized knowledge in the radio-frequency surface coils required for each specific anatomical area to be imaged. The technologist requires knowledge of image acquisition in Computerized Radiography (CR) and Picture Archiving and Communication Systems (PACS).

2. GENERAL DUTIES AND RESPONSIBILITIES:

DIAGNOSTIC RADIOLOGY TECHNOLOGIST (MAGNETIC RESONANCE MR)

DIAGNOSTIC RADIOLOGIC TECHNOLOGIST (CT)

x rays to the surgeons and professional staff on patients that are unable to be x-rayed in the Radiology Service. Using portable x-ray units and or mobile intensifier to achieve these exams. Upon request, operates the fluoro unit for endoscopic and urology exams.

3. WORKLOAD:

DIAGNOSTIC RADIOLOGY TECHNOLOGIST (MAGNETIC RESONANCE MR)

DIAGNOSTIC RADIOLOGIC TECHNOLOGIST (CT)

• Incumbent will rotate to facility and/or work area assigned by the supervisor.

• Adheres to temporarily assignments from supervisor to other work areas or modalities while ensure that 25% of overall workload is achieved through primary discipline.

• Adheres to reassignment to other work areas or modalities as needed based on skill level and/or technical or administrative experience for mission or training purposes at the discretion of the Chief of Radiology. Period detailed is based on circumstances and limited by local policy.

• Incumbent will work overtime and on-call as assigned by the supervisor to cover day shift, swing shift, night shift, weekends, and holidays.

• Performs cleaning and documentation of appropriate equipment and patient care areas and orders necessary supplies to maintain necessary stock levels.

• Performs routine checks and recognizes and reports malfunctioning equipment to ensure repair.

• Performs administrative duties in order to accomplish the mission to include, but not limited to, scheduling, patient check-in/out, file room duties including mailing, printing film, and burning CD's.

• The incumbent must read and respond to all e-mail in a timely manner.

• Incumbent must perform all duties necessary to comply with regulatory agencies to include, but not limited to, ACR, FDA, MQSA, SOARS, NHPP, NRC, SNM.

• Participates in safety programs such as dosimetry as well as radiation and MRI safety training. The incumbent must also be aware of and practice the safety policies/procedures/memorandums of the medical center and participate in quality assurance activities, performance improvement projects, and drills as directed to ensure patient and employee safety.

• Must participate in assigned departmental committees and code teams as determined by the Chief of Radiology or designee.

• Must be proficient and demonstrate competency and the ability to either set up or reprocess Reusable Medical Equipment as applicable for all equipment for which you have been trained.

• Performs other related duties as assigned.

4. APPLICATION REQUIREMENTS:

The Contractor shall submit the documentation listed below for review by Radiology Leadership. The Government reserves the right to limit the number of application packages it will evaluate.

a) Application (OF 512)

b) Current resume

c) Copies of most recently held positions at other facilities

d) Copies of currently held licenses/registrations, including BLS certification

e) Evidence of completion accredited program

f) Three letters of reference addressing the status and clinical competence of the Technologist are recommended.

g) A summary of continuing medical education credits received over the last year

h) Declaration of Health Status.

5. DENIAL/TERMINATION OF PRIVILEGES:

If the VA finds a contracted worker objectionable, it will notify the Contractor and request a replacement. The replacement shall be provided by the Contractor within five (5) business days from the date of notification from the VA.

The VASNHS must receive regular reports reflecting the monitoring of quality of professional and administrative services provided, but the VA retains no control over the medical, professional aspects of services rendered by Contractor Personnel (e.g. professional judgments). The Government reserves the right, in its sole discretion, to refuse acceptance of Contract Personnel whose personal or professional conduct jeopardizes patient care or interferes with the regular or ordinary operation of the facility. Breaches of conduct include, but are not limited to intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other abuse, or other conduct resulting in formal complaints by patients or other staff members to government employees. Standards for conduct shall mirror those required for federal personnel as stated in federal law, state law, VA policies, handbooks, and directives. Complaints concerning contract Contractor Personnel’s conduct with Government employees or patients will be documented and reported to the Contractor, the Contracting Officer (CO) is final authority on validating complaints. Contractor Personnel must meet all medical and professional standards for their professions and that the VA, in its sole discretion, may notify the Contractor to remove from the VA contract anyone that it feels is objectionable. The final arbiter on questions of acceptability is the Contracting Officer.

6. CONTRACTOR LIAISON:

The Contractor shall designate one (1) employee who shall be responsible for the performance of the work under this contract. The liaison shall have full authority to act for the Contractor on all matters relating to the daily operation of this contract. The liaison may be a contract health care provider performing under this contract. An alternate may be designated, but the Contractor shall identify, in writing, those times when the alternate shall act as the liaison.

7. PATIENT SERVICES:

The Contractor shall provide Radiology Staffing Services. The services shall be performed at the VA as determined by patient needs, VA interest, and the availability of equipment and technical support.

8. ARRANGEMENT FOR REPLACEMENT STAFF:

The Contractor shall provide scheduled services throughout the contract period on an as-needed basis. In the event of the absence of Contractor Personnel for any reason, the Contractor shall bear the responsibility of providing replacement Technician(s) to provide the requested services. The Contractor Point of Contact (POC) shall arrange for pre-credentialed coverage when contract Radiology Staff will be unable to provide services for one (1) or more consecutive scheduled shifts.

9. ALTERNATE SOURCES:

a) If routine services are disrupted for more than two (2) consecutive scheduled shifts or emergency response requests cannot be accommodated by the Contractor, the Government reserves the right to procure such services from an alternate source, until routine services are restored by the Contractor. When the Government exercises its right to procure these services from an alternate source, the Contractor shall reimburse the Government for all charges in excess of the amount that would have normally been incurred by the contract.

b) A copy of the alternative source’s service ticket or other verifiable documentation shall be used as the basis for any reimbursement.

10. CONFLICT OF INTEREST:

The Contractor shall not employ any person who is an employee of the United States Government if the employment of that person would create a conflict of interest. The Contractor shall not employ any person who is an employee of the VA unless such person seeks and receives approval in accordance with VA Regulations and public law. Nor shall the Contractor employ any person who is a member of the immediate family of a VA employee employed at the VASNHS if the employment of that family member would create a conflict of interest or the appearance of a conflict of interest, particularly with regard to influencing the contract negotiations, terms of the contract or the work carried out under the contract. In any such case VA must review the matter and give its approval in accordance with agency ethics rules.

The Contractor is cautioned that off duty military Contractor Personnel hired under this contract may be subject to permanent change of station (PCS), change in duty hours or deployment. Military Reservists and National Guard members may be subject to recall to active duty. The abrupt absence of these contract technologists at any time shall not constitute an excuse for nonperformance under this contract.

11. GOVERNMENT TRAINING AND ORIENTATION:

The VA will provide a briefing to familiarize contract Contractor Personnel on the policies and procedures on the first scheduled duty day.

The Contractor shall ensure that all contracted personnel attend Health Insurance Portability and Accountability Act (HIPAA) Privacy Policy Training, and Information Security Awareness, as well as any other training that, from time to time the CO identifies as necessary under this contract.

12. IDENTIFICATION BADGE:

An identification (ID) badge will be issued by the VA to contracted Laboratory Staff rendering services at the VA. The appropriate ID badge shall be worn at all times while on Government facility grounds, clearly displayed on the outermost garment (i.e. coat, jacket, sweater, shirt, blouse, lab coat and etc.).

13. PERSONAL HYGIENE AND CLOTHING:

In performance of this contract, contract Laboratory staff shall be neat, clean, and well-groomed and shall otherwise exercise good personal hygiene. Appropriate and professional attire shall be worn at all times. No athletic clothing (sweat pants or sweat suits) or jeans are to be worn while on duty.

14. DRUG SCREENING:

The Contractor is required to randomly drug test its workers. In addition the VA reserves the right to drug test when there is a reasonable suspicion that they use or are impaired by illegal drugs while on duty. Reasonable suspicion of drug use or impairment includes, but is not limited, to the following:

a) Observable phenomena, such as direct observation of drug use, possession or the physical symptoms of being under the influence of a drug;

b) A pattern of abnormal conduct or erratic behavior;

c) Arrest or conviction for a drug-related offense or the identification of a Contracted Laboratory Staff as the focus of a criminal investigating into illegal drug possession, use or trafficking;

d) Information provided either by reliable and credible sources or independently corroborated; or

e) Newly discovered evidence that the contract health care provider has tampered with a previous drug test.

15. RELEASE OF MEDICAL INFORMATION:

The Contractor and contracted Laboratory Staff shall only release medical information obtained during the course of this contract to those VA staff members involved in the necessary care and treatment of that individual patient. Patient lists and names of patients are considered privileged information and shall not be disclosed or revealed in any way for use outside the VA without prior written permission from the Facility Director or his/her designee.

16. GOVERNMENT FURNISHED PROPERTY AND SERVICES:

The Government will be responsible for providing the appropriate facilities, property, equipment and supplies required for Contractor performance under the terms of this contract, as specified hereunder. Contractor shall use Government furnished items in conjunction with and exclusively for, performance under this contract. Use thereof for any other purpose will not be allowed.

17. APPLICABLE PUBLICATIONS:

The Contractor shall adhere to the publications list that follows. The publications are maintained by the Government and are available through the COR. At any time, these publications are subject to change, made in the form of supplements or amendments issued at any organizational level and may affect contract performance.

(1) VA STATION MEMORANDA:

(2) OTHER REFERENCES:

JCAHO Standards for: (i) Ambulatory Care (Current Year); and

(ii) Hospital (Current Year).

18. TECHNICAL DIRECTION / PERFORMANCE EVALUATION:

The services performed by contract Contractor Personnel will be under the direction of the VASNHS Chief of Pathology & Laboratory Medicine Services. The Government reserves the right to evaluate the quality of performance and administrative services provided by the contract Contractor Personnel, but retain no control over the medical, professional aspects of services rendered. (e.g., professional judgments). Contractor shall be responsible for determining patient acuity, condition, disposition and safety.

19. ADMINISTRATIVE FUNCTIONS AND ATTENDANCE AT MEETINGS:

If and as requested by the Government, contract Laboratory Staff shall perform services to include, but not limited to, attendance and participation in meetings, professional staff conferences, other appropriate professional activities, assist with Performance Improvement activities and interface with the VA COS or designee.

20. RECORD KEEPING SYSTEM:

The VA has established and will maintain a record keeping system for verification of actual hours worked by the Contractor’s employees. The Contractor’s employees will be required to sign the record, which will be used to audit/match the Contractor’s invoice. Records such as time and attendance logs, treatment room records and/or meeting minutes shall be used to verify Contractor’s performance.

21. CONTRACTOR PERSONNEL POLICY:

The Contractor shall assume full responsibility for the protection of its Contractor Personnel furnishing services under this contract, such as providing workers’ compensation, professional liability insurance, health examination and social security payments. Payment for any leave, including sick leave or vacation time is considered the responsibility of the Contractor. The Contractor shall follow all existing local, state, federal and/or union laws/regulations relevant to fringe benefits and premium pay for their employees. Such Contractor Personnel shall not be considered VA employees for any purpose.

22. SMOKING POLICY:

Smoking is not permitted within or around the VA, except in designated areas.

23.