36C26119R0046-001.docx

Multi-Subspecialty Diagnostic Technicians

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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.

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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 ATTA

CHED

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. SIGNAT

URE 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

36C26119R0046 04-24-2020 Joleo Dianala, joleo.dianala@va.gov 916-923-4575 05-26-2020

12:00 PM PST

612MCP

Department of Veterans Affairs Network Contracting Office (NCO) 21 5342 Dudley Blvd., Bldg. 209 McClellan CA 95652-2609

X X 561320 $30 Million N/A X Department of Veteran Affairs

VA

Palo Alto Health Care System 3801 Miranda Avenue Palo Alto CA 94304-1207

612MCP

Department of Veterans Affairs Network Contracting Office (NCO) 21 5342 Dudley Blvd., Bldg. 209 McClellan CA 95652-2609

Department of Veterans Affairs FMS VA-9(101) Financial Services Center PO Box 149971 Austin TX 78714-9971 See CONTINUATION Page This is a Request for Proposal for radiologic technologists to result in an Indefinite Delivery Indefinite Quantity (IDIQ) contract(s) for five one-year ordering periods.

Please see the Performance Work Statement for details.

Please refer to the Addendum to the Instructions to Offerors for details on how to respond.

Please refer to the Evaluation Commercial Items for information on how proposals will be evaluated.

Point of Contact is Joleo Dianala Email questions to joleo.dianala@va.gov See CONTINUATION Page X X Gary T. Basile Contracting Officer 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: TBD

b. GOVERNMENT: Gary Basile, Contracting Officer Department of Veterans Affairs Network Contracting Office (NCO) 21 5342 Dudley Blvd., Bldg. 209 McClellan CA 95642-2609

c. ADMINISTRATION: Joleo B. Dianala, Contract Specialist Department of Veterans Affairs Network Contracting Office (NCO) 21 5342 Dudley Blvd., Bldg. 209 McClellan CA 95642-2609

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 [ ] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly [ ]

b. Semi-Annually [ ]

c. Other [X] Monthly

4. GOVERNMENT INVOICE ADDRESS: Invoices will be electronically submitted to the Tungsten website at http://www.tungstennetwork.com/uk/en/ Tungsten direct vendor support number is 877-489-6135 for VA contracts. The VA-FSC pays all associated transaction fees for VA orders. During Implementation (technical set-up) Tungsten will confirm your Tax Payer ID Number with the VA-FSC. This process can take up to 5 business days to complete to ensure your invoice is automatically routed to your Certifying Official for approval and payment. In order to successfully submit an invoice to VA-FSC please review “How to Create an Invoice” within the how to guides. All invoices submitted through Tungsten to the VA-FSC should mirror your current submission of Invoice, with the following items required. Clarification of additional requirements should be confirmed with your Certifying Official (your CO or buyer). The VA-FSC requires specific information in compliance with the Prompt Pay Act and Business Requirements. For additional information, please contact:

Tungsten Support Phone: 1-877-489-6135 Website: http://www.tungsten-network.com/uk/en/ Department of Veterans Affairs Financial Service Center Phone: 1-877-353-9791 Email: vafscched@va.gov ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

B.2 SCHEDULE OF SERVICES AND PRICE

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 $45,000,000.00. 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: September 1, 2020 – August 31, 2021

Interventional Radiology (IR) Technologist

Magnetic Resonance Imaging (MRI) Technologist

Computed Tomography (CT) Technologist

Ultrasound (US) Technologist

Nuclear Medicine (NM) Technologist

Mammography Technologist

General Radiography Technologist

PERFORMANCE PERIOD TWO: September 1, 2021 – August 31, 2022

Interventional Radiology (IR) Technologist

Magnetic Resonance Imaging (MRI) Technologist

Computed Tomography (CT) Technologist

Ultrasound (US) Technologist

Nuclear Medicine (NM) Technologist

Mammography Technologist

General Radiography Technologist

PERFORMANCE PERIOD THREE: September 1, 2022 – August 31, 2023

Interventional Radiology (IR) Technologist

Magnetic Resonance Imaging (MRI) Technologist

Computed Tomography (CT) Technologist

Ultrasound (US) Technologist

Nuclear Medicine (NM) Technologist

Mammography Technologist

General Radiography Technologist

PERFORMANCE PERIOD FOUR: September 1, 2023 – August 31, 2024

Interventional Radiology (IR) Technologist

Magnetic Resonance Imaging (MRI) Technologist

Computed Tomography (CT) Technologist

Ultrasound (US) Technologist

Nuclear Medicine (NM) Technologist

Mammography Technologist

General Radiography Technologist

PERFORMANCE PERIOD FIVE: September 1, 2024 – August 31, 2025

Interventional Radiology (IR) Technologist

Magnetic Resonance Imaging (MRI) Technologist

Computed Tomography (CT) Technologist

Ultrasound (US) Technologist

Nuclear Medicine (NM) Technologist

Mammography Technologist (2.0 FTE)

General Radiography Technologist

TOTAL FOR PERFORMANCE PERIOD ONE:

TOTAL FOR PERFORMANCE PERIOD TWO:

TOTAL FOR PERFORMANCE PERIOD THREE:

TOTAL FOR PERFORMANCE PERIOD FOUR:

TOTAL FOR PERFORMANCE PERIOD FIVE:

TOTAL AMOUNT FOR ALL PERFORMANCE PERIODS:

36C26119R0046

B.3 PERFORMANCE WORK STATEMENT

1. GENERAL

1.1. Services Required: The Contractor shall provide approximately 31.0 FTE, which may change over time based on the health care facility’s needs of Diagnostic Radiology Technologist services on site in accordance with the specifications herein to beneficiaries of the Department of Veterans Affairs (VA) Palo Alto Health Care System. A contractor providing onsite diagnostic radiology technologist services shall provide that meet or exceed the American Registry of Radiologic Technologist (AART), Nuclear Medicine Technologist Certification Board (NMTCB), and American Registry of diagnostic Medical Sonographer (ARDMS) in Interventional Radiology (IR), Computed Tomography (CT), Nuclear Medicine (NM), Ultrasound US), Magnetic Resonance Imaging (MRI), Mammography (M), and General Radiography (GEN). Services include the full range of radiology imaging care for inpatient and outpatient VA patients to include Call shift coverage for afterhours emergent procedures.

1.2. Place of Performance: Contractor shall furnish services at the VA Palo Alto Health Care System, Radiology Service, 3801 Miranda Ave, Palo Alto, CA 94304, and the one other division at Livermore (LVD), and VAPAHCS Community Based Outpatient Clinics (CBOC) at San Jose, Modesto, Stockton, and Monterey.

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

1.3.1. Policy/Handbooks

1.3.1.1. VA Directive 1663: Health Care Resources Contracting - Buying http://www1.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2

1.3.1.2. VHA Directive 2010-018 “Facility Infrastructure” https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2227

1.3.1.3. VHA Directive 1192 “Seasonal Influenza Prevention Program” https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5472

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

1.3.1.5. VHA Handbook 1100.18 Reporting and Responding To State Licensing Boards – http://www1.gov/chapublications/ViewPublication.asp?pub_ID=1364

1.3.1.6. VHA Handbook 1100.19 Credentialing and Privileging - http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910

1.3.1.7. VHA Handbook 1907.01 Health Information Management and Health Records: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3088

1.3.1.8. 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: Terms used in this contract shall be interpreted as follows unless the context expressly requires a different construction and/or interpretation. In case of a conflict in language between the Definitions and other sections of this contract, the language in this section shall govern.

1.4.1. ACLS: Advanced Cardiac Life Support

1.4.2. ARDMS: American Registry of Diagnostic Medical Sonographers

1.4.3. ARRT: American Registry of Radiologic Technologist

1.4.4. ASRT: American Society of Radiologic Technologist

1.4.5. Beneficiary: An individual who is entitled to receive healthcare service provided under this contract, pursuant to VA eligibility requirements as determined by VA.

1.4.6. BLS: Basic Life Support

1.4.7. CDC: Centers for Disease Control and Prevention

1.4.8. CDR: Contract Discrepancy Report

1.4.9. CEU: Continuing Education Unit

1.4.10. CME: Continuing Medical Education

1.4.11. CMS: Centers for Medicare and Medicaid Services

1.4.12. Contracting Officer (CO): The person executing this contract on behalf of the Government with the authority to enter into and administer contracts and make related determinations and findings.

1.4.13. Contracting Officer’s Representative (COR): A person appointed by the CO to take necessary action to ensure the Contractor performs in accordance with and adheres to the specifications contained in the contract and to protect the interest of the Government. The COR shall report to the CO promptly any indication of non-compliance in order that appropriate action can be taken.

1.4.14. COS: Chief of Staff

1.4.15. CPARS: Contractor Performance Assessment Reporting System

1.4.16. CPRS: Computerized Patient Recordkeeping System

1.4.17. Credentialing: Credentialing is the systematic process of screening and evaluating qualification and other credentials, including licensure, required education, relevant training and experience and current competence and health status.

1.4.18. DEA: Drug Enforcement Agency

1.4.19. EHR: Electronic Health Record – electronic health record system used by the VA

1.4.20. ESWL: Extracorporeal shock wave lithotripsy (ESWL) uses shock waves to break a kidney stone into small pieces that can more easily travel through the urinary tract camera.gif and pass from the body.

1.4.21. FSMB: Federation of State Medical Boards

1.4.22. HHS: Department of Health and Human Services

1.4.23. 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 infection control, strategies for surveillance and prevention and control of health care associated infections in United States health care facilities.

1.4.24. HIPAA: Health Insurance Portability and Accountability Act

1.4.25. ISO: Information Security Officer

1.4.26. Medical Emergency: A sudden onset of a medical condition manifesting itself by acute symptoms of sufficient severity that the absence of immediate medical attention could reasonably result in: Permanently placing a patient's health in jeopardy, causing other serious medical consequences, causing impairments to body functions, or causing serious or permanent dysfunction of any body-organ or part.

1.4.27. National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers).

1.4.28. NMTCB: Nuclear Medicine Technologist Certification Board

1.4.29. Non-Contract Provider: Any person, organization, agency, or entity that is not directly or indirectly employed by the Contractor or any of its subcontractors

1.4.30. NPPES: National Plan and Provider Enumeration System

1.4.31. OR: Operating Room

1.4.32. PA: Technician Assistant

1.4.33. POP: Period of Performance

1.4.34. PPD: Purified Protein Derivative

1.4.35. PWS: Performance Work Statement

1.4.36. QA/QI: Quality Assurance/Quality Improvement

1.4.37. QM/PI: Quality Management/Performance Improvement

1.4.38. QASP: Quality Assurance Surveillance Plan

1.4.39. QMP: Quality Management Program

1.4.40. SPE: Senior Procurement Executive

1.4.41. Veterans Health Administration (VHA): The central office for administration of the VA medical centers throughout the United States. The VHA is located in Washington, D.C.

1.4.42. Veterans Integrated Services Network (VISN): The regional oversight for the VA medical centers in California.

1.4.43. VISTA (Veterans Integrated Systems Technology Architecture): A PC based system that will capture and store clinical imagery, scanned documents and other non-textual data files and integrates them into patient’s medical record and with the hospital information system.

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

1.4.45. Veterans Affairs Medical Center (VAMC): Unless identified with the name of a different VA medical Center, for purposes of this contract, this term shall mean the Palo Alto Veterans Affairs Medical Center.

2. ORDERING PROCEDURES

2.1. The Government may elect to award a single or multiple award contract under this solicitation. Work shall be defined in individual task orders and may consist of multiple sub-specialty categories and may change over time based on the health care facility’s needs of Diagnostic Radiology Technologist services on site in accordance with the specifications herein to beneficiaries of the Department of Veterans Affairs (VA) Palo Alto Health Care System.

2.2. If the Government elects to make multiple awards, the following ordering procedures will be utilized.

2.2.1. Those orders under micro-purchase threshold may be placed with any vendor that can fulfill the agency's need.

2.2.2. If the order does not exceed the simplified acquisition threshold, the contracting officer need not contact each of the multiple awardees under the contract before selecting an order awardee if the contracting officer has information available to ensure that each awardee is provided a fair opportunity to be considered for each order. The contracting officer may choose to review standing pricelists, qualifications of resumes on file, the geographic location of candidates, the size of the pool of available candidates, existing workload of awardees, past performance, past experience, geographic location of awardee etc. This review will constitute fair opportunity for those orders under the simplified acquisition threshold.

2.2.3. For those orders where the Government’s independent estimate is over the SAT, the order will be placed on a competitive basis and each awardee will be given an opportunity to propose on the task order unless the CO supports its decision to limit competition under one of the circumstances described in FAR 16.505(b)(2)(i).

3. QUALIFICATIONS

3.1. Staff/Facility: The contractor will be responsible for ensuring that each technologist providing services under this contract is fully trained and completely competent to perform the required services covered by this contract.

3.1.1. License: Contractor’s Radiology Technologist(s) assigned by the Contractor to perform the services covered by this contract shall have Certificate of Completion of Technologist training program accredited by an institution recognized by the Council for Higher Education Accreditation (CHEA), and Joint Review Committee on Education in Radiologic Technology (JCERT). Contractor’s technologist(s) must meet the minimum of two (2) years of proven clinical experience in their respective sub-specialties in a level 1 hospital setting, proven clinical work experience within the past 12 months. Prior VA experience is desirable.

3.1.2. Board Certification/Eligibility: Contractor’s Radiology Technologist(s) performing under this contract shall meet or exceed recognized national standards established by The Joint Commission (TJC) and have completed training from an accredited institution, and shall have received a certificate of completion of training in Radiologic Technology and have a current certification or registry in their respective sub-specialties by the American Registry of Radiologic Technologist (ARRT), Nuclear Medicine Technologist Certification Board (NMTCB), or the American Registry of Diagnostic Medical Sonographer (ARDMS).

3.1.3. Technical Proficiency: Contractor’s Radiology Technologist(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 shall provide verifiable evidence of all educational and training experience, including any gaps in educational history for all Contractor’s Technologist(s). Contractor Technologist(s) shall be responsible for abiding by the VA Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

3.1.4. Credentialing and Privileging: Credentialing and privileging will be done in accordance with the provisions of VHA Handbook 1100.19. This VHA Handbook provides updated VHA procedures regarding credentialing and privileging, to include incorporating: VHA policy concerning VetPro; credentialing during activation of the facility Disaster Plan; clarifications for the Summary Suspension of Privileges process in order to ensure both patient safety and practitioner rights, the credentialing requirements for other providers.

3.1.4.1. Initial applications for clinical privileges and applications for renewal of privileges must be submitted to the COR and/or designee, upon notice of contract award. Prior to providing services at VAPAHCS, all contractor personnel must be verified by the COR as having been credentialed (this must be documented by the COR). Additionally, if requested, the contractor shall make all proposed personnel available for interview prior to commencement of work and during the work and during the credential verification process.

3.1.4.2. Should the personnel proposed by the Contractor to provide services under this contract be denied privileges, or should the privileges of Contractor personnel be suspended, terminated, or revoked, the contractor, as well as the employee (s) in question, shall be notified of the basis for such actions.

3.1.4.3. Privilege renewal shall be in accordance with TJC requirements.

3.1.4.4. Contractor personnel who provide services under this contract will be required to report specific patient outcome information to the Chief, Radiology Service and the COR. Quality improvement data provided by the contractor personnel and/or collected by the VAPAHCS will be used to analyze individual practice patterns. This data may be used by VAPAHCS when renewal of contract is required of contractor personnel.

3.1.4.5. Contractor personnel who were previously credentialed by VAPAHCS may be exempt from this contract requirement provided that they can provide documentation to support current and active privileges.

3.1.4.6. VAPAHCS reserves the right to refuse or dismiss contract personnel whose personal or professional conduct jeopardizes patient care or the regular and ordinary operation of the facility. Reasons for refusal or dismissal include, but are not limited to unsatisfactory performance prior to and/or during the term of the contract, failure to receive favorable adjudication during a VA background investigation, failure to satisfy the requirements of the contract, physical or verbal abuse to patients, staff, or visitors, intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, ethical misconduct, conduct resulting in formal complaints by patients or other staff members, and any other valid reason considered objectionable.

3.1.5. Continuing Education Unit (CEU) Requirements: Contractor will provide the COR copies of current CEUs as required or requested by the VAPAHCS. Contractors registered or certified by the American Registry of Radiologic Technologist (ARRT), Nuclear Medicine Technologist Certification Board NMTCB), and the American Registry of Diagnostic Medical Sonographer (ARDMS) shall continue to meet the minimum standards for CEU to remain current.

3.1.6. Training (BLS, CPRS, 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 Technologist(s) as required by the VA.

3.1.6.1. Complete annual mandatory training by using the mandatory packet, attending training in person, or by going-on-line to complete the training. Complete mandatory security training, sign computer security agreement, receive training on the mandatory privacy policy, and receive copy of the Privacy Directive, VA Directive 6504, Restrictions on Transmission, Transportation and use of, and access to VA Data Outside VA facilities. The compliance and Business Integrity Training & Education – Contract (Revenue Cycle) Employees include the following training:

3.1.6.1.1. Awareness Training: Contractor employees shall complete initial Compliance awareness training within 30 days of commencing work under this contract as well as complete annual compliance awareness refresher training. At a minimum, CBI awareness training will include the following topics: (a) the revenue cycle, (b) seven elements of an effective compliance program, (c) definition of high-risk areas, and (d) definition of any compliance concerns and how to address a compliance concern. This requirement can be fulfilled by completing the training module available via the following internet site: http://www.visn21.Med.Va.gov/CBI.asp

3.1.6.1.2. Remedial Training: When notified, contract employees must complete remedial training and education to address any detected compliance exceptions.

3.1.6.1.3. Proof of Training: Contract employees are responsible for submitting proof of awareness and remedial training completed to the Contracting Officer’s representative (COR) for this contract. The COR will retain proof of training in accordance with applicable Records Control Schedule.

3.1.6.1.4. Contractor must be certified in Basic Cardiac Life Support (BCLS).

3.1.7. Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for technicians within five calendar days after contract award and prior to the first duty shift to the COR and CO. Tests shall be current within the past year.

3.1.7.1. TUBERCULOSIS TESTING: Contractor shall provide proof of a negative Tuberculosis Skin Test (TST) or interferon-gamma release assays (IGRA) for all Contractor’s technologist(s) {This is applicable to all health care workers}. A negative chest radiographic report for active tuberculosis shall be provided in cases of positive TST or IGRA results. The TST or IGRA testing shall be repeated annually.

3.1.7.2. MEASLES, MUMPS, & RUBELLA TESTING: Contractors shall provide proof of immunity for all Contractor technologist(s). {This is applicable to all health care workers}.

3.1.7.3. VARICELLA: Contractors shall provide proof of immunity for all Contractor (s) technologist(s). {This is applicable to all health care workers}.

3.1.7.4. ACELLULAR PERTUSSIS: Contractors shall provide proof of 1 dose of Tdap vaccination for all Contractor technologist(s). {This is applicable to all health care workers}.

3.1.7.5. INFLUENZA: Contractors shall provide proof that all Contractor physicians have received the annual Influenza vaccine unless it is contraindicated. If the Contractor physician has a medical contraindication to the vaccine, they shall be required to wear a mask during the Influenza season. {This is applicable to all health care workers}.

3.1.7.6. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS: Contractor shall provide evidence of completing and passing generic self-study blood-borne pathogen training for all Contractor’s technologist(s) {This is applicable to all health care workers}; provide their own Hepatitis B vaccination series and hepatitis B surface antigen test results 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.

3.1.7.7. The VAMC shall notify the Contractor of any significant communicable disease exposures as appropriate. Contractor 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. Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

3.1.8. National Provider Identification (NPI): Not required.

3.1.9. DEA: Not required for Contractor at VAPAHCS – Not applicable.

3.1.10. Conflict of Interest: The Contractor and all Contractor’s technologist(s) are responsible for identifying and communicating to the CO and COR any 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 that 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).

3.1.11. Citizenship related Requirements:

3.1.11.1. 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;

3.1.11.2. 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.

3.1.11.3. 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.

3.1.11.4. 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.

3.1.12. 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.

3.1.12.1. 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 contractor’s physician (s) are 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.

3.1.12.2. 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.

3.2. Technical/Professional Direction: The qualifications of Contractor’s personnel are subject to review by the Chief Radiology Administrator or his/her designee and the Chief of Radiology or his/her clinical designee. A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request during the administration of the resultant contract.

3.3. Non-Personal Healthcare Services: The parties agree that the Contractor and all Contractor’s technologist(s) shall not be considered VA employees for any purpose.

3.4. Indemnification: The Contractor shall be liable for, and shall indemnify and hold harmless the Government against, all actions or claims for loss of or damage to property or the injury or death of persons, arising out of or resulting from the fault, negligence, or act or omission of the Contractor, its agents, or employees.

3.5. Inherent Government Functions: Contractor and Contractor’s technologist(s) shall not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non-selection of individuals for Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance, and strategy.

3.6. No Employee status: The Contractor shall be responsible for protecting Contractor’s technologist(s) furnishing services. To carry out this responsibility, the Contractor shall provide or certify that the following is provided for all their staff providing services under the resultant contract:

3.6.1. Workers’ compensation

3.6.2. Professional liability insurance

3.6.3. Health examinations

3.6.4. Income tax withholding, and

3.6.5. Social security payments.

3.7. Tort Liability: The Federal Tort Claims Act does not cover Contractor or Contractor’s technologist(s) . When a Contractor or Contractor’s technologist(s) has been identified as a provider in a tort claim, the Contractor shall be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a Contractor’s (or contractor’s technologist(s)) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

3.8. Key Personnel: The Contractor shall assign to this contract the following key personnel: all personnel working on this contract must have Contracting Officer (CO) approval once a clearance submittal by a contract employee has been successfully accepted by and access granted by the (CO).

3.8.1. During the first ninety (90) days of performance, the Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death, or termination of employment The Contractor shall notify the Contracting Officer, in writing, within 15 calendar days after the occurrence of any of these events and provide the information required by paragraph (c) below. After the initial 90-day period of the contract, the Contractor shall submit the information required by paragraph (c) to the Contracting Officer at least 15 days prior to making any permanent substitutions.

3.8.2. The Contractor shall provide a detailed explanation of the circumstance’s necessity the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the CO. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The CO will notify the Contractor within 15 calendar days after receipt of all required information of the decision on the proposed substitutes. The contract will be modified to reflect any approved changes of key personnel.

3.8.3. For temporary substitutions where the key person will not be reporting to work for three (3) consecutive workdays or more, the Contractor will provide a qualified replacement for the key person. This substitute shall have comparable qualifications to the key person, any period exceeding two weeks will require the procedure as stated above. (Note: See clause VAAR 852.237-7, Indemnification and Medical Liability Insurance (JAN 2008))

3.8.4. The Government reserves the right to refuse acceptance of any Contractor personnel at any time after performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representatives. Standards for conduct shall mirror those prescribed by current federal personnel regulations. Should the VA COS or designee show documented clinical problems or continual unprofessional behavior/actions with any Contractor’s technologist(s), s/he may request, without cause, immediate replacement of said Contractor’s technologist(s). The CO and COR shall deal with issues raised concerning Contractor’s technologist(s) conduct. The final arbiter on questions of acceptability is the CO.

3.8.5. The parties agree that the contractor, its employees, agents, and subcontractors shall not be considered VA employees for any purpose.

3.8.6. The VA will render emergency health services for an incapacitating injury or otherwise serious illness occurring while on duty. All services, to include wages earned during the period of initial medical evaluation provided by the VA, shall be reimbursed by the contractor. The contractor shall furnish the VA with the necessary injury/illness form (s) for reporting purposes. The VA for statistical and/or billing purposes will retain a copy of the completed form (s).

3.8.7. Contract costs is expected to include salaries, fringe benefits, vacation pay, holiday pay, academic support allowance and malpractice expenses. The government will reimburse the contractor for actual terminal vacation (accumulated annual leave) benefits paid to key personnel in the event they leave the contractors employment prior to the end of any contract period listed herein. However, the contractor is required to provide the services as required herein, per the contract, with a qualified employee. The government reserves the right to reject any contractor personnel and refuse them permission to provide services. The government, at its option, can reduce the contract price in the event services are not provided per in accordance with the contract clauses available herein.

3.9. Contingency Plan: Because continuity of care is an essential part of VAPAHCS’s medical services, the Contractor shall have a contingency plan in place to be utilized if the Contractor’s technologist(s) leaves Contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract.

4. HOURS OF OPERATION

4.1. Business Hours: Normal weekday work hours are typically Monday through Friday, 7:00 am to 7:30 pm in the operating room. Business Hours: Contractor shall provide Radiology Services during normal work hours: 7:00a.m. to 9:00 p.m., Monday through Friday, and 12:00a.m. to Midnight for the CT and General Radiography technologist(s). Work hours will normally but may be changed depending on the needs of the service, lunch is a 30-minute break. Work hours may vary depending on clinical responsibilities. Contractor shall be responsible for payment of any leave, including sick leave, vacation time or holiday pay.

4.2. Work Schedule: Contractor personnel shall be available to furnish required services 5 days per week 52 weeks per year including local, state and Federal holidays. This will include an "on call" requirement; a pager shall be carried at all times. Technologist must respond by phone or in person within 10 minutes of being signaled via pager. If responding by phone to a pager signal, they shall respond in person as dictated by the medical situation. The “on-call” technologist shall report and be onsite within 30 minutes of the paged to perform the required procedure. Contractor shall bill and be paid for actual services provided by Contractor personnel including "availability" or "on-call" services as provided herein.

4.3. Operation Hours: Subject to change based on the services needs of the Department and ensure prompt and reliable patient care.

(Primary Call)

3:30PM - MID

4:30PM - 12MID

(Backup Call)

(On-Call)

9AM - 5:30PM

9:30AM - 6PM

10:30AM - 7PM

1PM - 9:30PM

3:30PM - MID

4:30PM - 12MID

(On-Call)

Note: CT and General modalities are scheduled 24/7 and Contractor’s technologist(s) shall expect to rotate through all shifts included in table above, and alternative shifts needed shall the services need, and warrant an adjustment, if necessary.

4.4. Federal Holidays: The following holidays are observed by the Department of Veterans Affairs:

4.4.1. New Year’s Day

4.4.2. Presidents Day

4.4.3. Martin Luther King’s Birthday

4.4.4. Memorial Day

4.4.5. Independence Day

4.4.6. Labor Day

4.4.7. Columbus Day

4.4.8. Veterans Day

4.4.9. Thanksgiving

4.4.10. Christmas

4.4.11. Federal employee holidays established by the President, are not federal holidays and contractor employees will not be paid holiday rates for working on those days.

4.5. Cancellations: Requirements for cancellation (if any). Unless a state of emergency has been declared or the operating room schedule is otherwise cancelled by the VAMC, the Contractor shall be responsible for providing services.

4.5.1. If this contract is terminated for any reason, the Contractor will provide VA with all individually identifiable…