36C26121Q0716.pdf

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 97

593-22-1-470-0004

36C26121Q0716 06-11-2021

Emily Trinh 702-791-9000 x 13424 07-02-2021

4:30pm PDT

36C261

Department of Veterans Affairs

VA Sierra Pacific Network (VISN 21)

Network Contracting Office (NCO) 21

5342 Dudley Blvd, Bldg 209

McClellan CA 95652-2609

X 100

X

561320

$30 Million

N/A

X

See Performance Work Statement

36C261

Department of Veterans Affairs

VA Sierra Pacific Network (VISN 21)

Network Contracting Office (NCO) 21

3230 Peacekeeper Way, Bldg. 209

McClellan CA 95652-1012

FMS VA-9(101) Financial Services Center

PO Box 149971

Austin TX 78714-9971

See CONTINUATION Page

This is a Request for Proposal for Radiology Technologist

(MRI, CT, and Ultrasound) and Medical Support Assistant staffing services for VA Southern Nevada Healthcare System located in Las Vegas, NV.

The requirement is set-aside to SDVOSBs.

See CONTINUATION Page

X X

X 1

Joleo Dianala

36C26121Q0716

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

B.3 PERFORMANCE WORK STATEMENT (PWS)

B.4 IT CONTRACT SECURITY

SECTION C - CONTRACT CLAUSES

C.1 52.216-18 ORDERING (AUG 2020)

C.2 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.3 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.4 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.5 52.239-1 PRIVACY OR SECURITY SAFEGUARDS (AUG 1996)

C.6 52.242-5 PAYMENTS TO SMALL BUSINESS SUBCONTRACTORS (JAN 2017)

C.7 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.8 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.9 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

C.10 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND

COMPLIANCE (JUL 2018)

C.11 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

C.12 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JAN 2021)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (JUN 2020)

E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (OCT 2020)

E.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.4 52.209-13 VIOLATION OF ARMS CONTROL TREATIES OR AGREEMENTS—

CERTIFICATION (FEB 2021)

E.5 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.6 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.7 VAAR 852.215-72 NOTICE OF INTENT TO RE-SOLICIT (OCT 2019)

E.8 VAAR 852.223-70 INSTRUCTIONS TO OFFERORS—SUSTAINABLE ACQUISITION

PLAN (SEP 2019)

E.9 VAAR 852.252-70 SOLICITATION PROVISIONS OR CLAUSES INCORPORATED BY

REFERENCE (JAN 2008)

E.10 VAAR 852.273-73 EVALUATION - HEALTH-CARE RESOURCES (JAN 2003)

E.11 VAAR 852.273-74 AWARD WITHOUT EXCHANGES (JAN 2003)

E.12 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

ITEMS (FEB 2021)

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 36C261 Joleo Dianala

VA Sierra Pacific Network (VISN 21)

Network Contracting Office (NCO) 21

5342 Dudley Blvd, Bldg 209

McClellan CA 95652-2609

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, or

[ ] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] MONTHLY 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.

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the

Solicitation numbered and dated as follows:

AMENDMENT NO DATE

B.2 PRICE/COST 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 $7,000,000. The Government does not guarantee that it will place any orders under this contract in excess of the guaranteed minimum award amount.

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES

ESTIMATED

QUANTITY UNIT UNIT PRICE AMOUNT

0.00

Radiology Technologist for MRI

Ordering Period 1: 10/01/2021 - 09/30/2022

0001A

4,000.00 HR _____________ ______________

Regular Hours

0001B

60.00 HR _____________ ______________

Holiday Hours

0001C

100.00 HR _____________ ______________

Overtime Rate

0001D

Call Back (minimum 2 hours)

0001E

1,000.00 HR _____________ ______________

Call pager

Radiology Technologist for Computed Tomography

0002A

0002B

0002C

0002D

0002E

Ultrasound Technologist

0003A

0003B

0003C

0003D

0003E

Medical Support Assistant

0004A

0004B

0004C

Ordering Period 2: 10/01/2022 - 09/30/2023

1001A

1001B

1001C

1001D

1001E

1002A

1002B

1002C

1002D

1002E

1003A

1003B

1003C

1003D

1003E

1004A

1004B

1004C

Ordering Period 3: 10/01/2023 - 09/30/2024

2001A

4,000.00 HR _____________ _____________

2001B

2001C

2001D

2001E

2002A

2002B

2002C

2002D

2002E

2003A

2003B

2003C

2003D

2003E

2004A

2004B

2004C

Ordering Period 4: 10/01/2024 - 09/30/2025

3001A

3001B

3001C

3001D

3001E

3002A

3002B

3002C

3002D

3002E

3003A

3003B

3003C

3003D

60.00 HR _____________

3003E

3004A

3004B

3004C

Ordering Period 5: 10/01/2025 - 09/30/2026

4001A

4001B

4001C

4001D

4001E

4002A

4002B

4002C

4002D

4002E

4003A

4003B

4003C

4003D

4003E

4004A

4004B

4004C

GRAND

TOTAL

B.3 PERFORMANCE WORK STATEMENT (PWS)

PART 1

GENERAL INFORMATION

1. GENERAL: This is a non-personal services contract to provide Computed Tomography (CT), Magnetic Resonance Imaging (MRI), Ultrasound/Vascular (US), and Medical Support Assistant (MSA) staffing and may cover a range of services that are normally but not limited to services provided in a similar civilian healthcare facility in accordance with the specifications and requirements contained herein. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the

Contractor who, in turn is responsible to the Government.

1.1 Description of Services/Introduction: The contractor shall provide all personnel, supervision, and other items and non-personal services necessary to perform government staffing support as defined in this Performance Work Statement except for those items specified as government furnished property and services. The contractor shall perform to the standards in this contract.

1.2 Objectives: Staffing Coverage on varied hours for Computed Tomography (CT), Staffing Coverage on varied hours for Magnetic Resonance Imaging (MRI), Staffing Coverage on varied hours for

Ultrasound/Vascular (US), and Staffing Coverage on varied hours for Medical Support Assistant

(MSA)

1.3 Scope: Providing technological and administrative staffing support on a varied and sometimes immediate basis. Services include an intention to establish a contract to provide radiology services on an as needed basis to the VA Southern Nevada Healthcare System (VASNHS).

1.4 Period of Performance:

Ordering Period 1: 10/01/2021 – 09/30/2022

Ordering Period 2: 10/01/2022 – 09/30/2023

Ordering Period 3: 10/01/2023 – 09/30/2024

Ordering Period 4: 10/01/2024 – 09/30/2025

Ordering Period 5: 10/01/2025 – 09/30/2026

1.5 Qualifications and Responsibilities: The Contractor shall be entirely responsible for providing appropriate benefits, vacation time, sick days and federal and state requirements for all Contractor

Personnel performing under this contract such as, but not limited to; professional liability insurance, worker’s compensation, income tax withholding, social security payment, health examinations, availability of health insurance and payment of overtime. All Contractor Personnel providing direct care services must have appropriate identification and have evidence of any required certifications, license, health clearances, qualifications, and training prior to providing any services to veterans.

Must also speak, read, and write English fluently. Verification of current, appropriate, required qualifications (license, certifications, etc.) and competency files for all Contractor Personnel is the responsibility of the Contractor. The Contractor must be practicing in accordance with County, City, State and Federal laws where applicable. Any Contractor Personnel who require access to VA computer systems will be required to attend security and operations training and the Contractor will be required to provide security background checks for them. The need for access will be determined on a position and responsibility basis individually.

1.6 Quality Assurance: The government shall evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan. This plan is primarily focused on what the Government must do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s).

1.7 Recognized Holidays: The contracted personnel may be required to work on some, or all of the

Federal holidays depending on the given work schedule.

New Year’s Day January 1

Martin Luther King‘s Birthday Third Monday in January

President’s Day Third Monday in February

Memorial Day Last Monday in May

Independence Day July 4

Labor Day First Monday in September

Columbus Day Second Monday in October

Veterans Day November 11

Thanksgiving Day Fourth Thursday in November

Christmas Day December 25

1.8 Hours of Operation: The contractor is responsible for conducting business, during the 24hr time period Monday thru Sunday based upon the schedule assigned, except when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. The assigned shifts may consist of 4, 10, 12, hour shifts, not to exceed 40 hours per week for regular hours. For other than firm fixed price contracts, the contractor will not be reimbursed when the government facility is closed for the above reasons. The Contractor must at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce are essential.

Work schedules are based on the number of technologists needed per shift. Each position may require contracted personnel to work a total of 40 hours per week which include weekdays, weekends, days, swings, and graveyard shift. Actual workdays will be scheduled according to staffing needs and are subject to change at short notice, but advance notice will be given when possible. All on-call is scheduled by management. All contracted staff are entitled to Overtime. Scheduled overtime must be pre-approved by department management.

1.9 Place of Performance: The work to be performed under this contract will be performed at VA

Southern Nevada Healthcare System (VASNHS), 6900 North Pecos Road, North Las Vegas, Nevada

89086, in the Radiology department.

1.10 Type of Contract: The government will award a Firm Fixed Priced Indefinite Quantity Indefinity

Delivery (IDIQ) contract.

1.11 PHYSICAL Security: The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use. At the close of each work period, government facilities, equipment, and materials shall be secured.

1.12 Key Control: The Contractor shall establish and implement methods of making sure all keys/key cards issued to the Contractor by the Government are not lost or misplaced and are not used by unauthorized persons. NOTE: All references to keys include key cards. No keys issued to the

Contractor by the Government shall be duplicated. The Contractor shall develop procedures covering key control that shall be included in the Quality Control Plan. Such procedures shall include turn-in of any issued keys by personnel who no longer require access to locked areas.

The Contractor shall immediately report any occurrences of lost or duplicate keys/key cards to the

Contracting Officer.

1.12.1 In the event keys, other than master keys, are lost or duplicated, the Contractor shall, upon direction of the Contracting Officer, re-key or replace the affected lock or locks; however, the

Government, at its option, may replace the affected lock or locks or perform re-keying. When the replacement of locks or re-keying is performed by the Government, the total cost of re-keying or the replacement of the lock or locks shall be deducted from the monthly payment due the

Contractor. In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost deducted from the monthly payment due the

Contractor.

1.12.1.1 The Contractor shall prohibit the use of Government issued keys/key cards by any persons other than the Contractor’s employees. The Contractor shall prohibit the opening of locked areas by

Contractor employees to permit entrance of persons other than Contractor employees engaged in the performance of assigned work in those areas, or personnel authorized entrance by the

1.13 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.

1.14 Post Award Conference/Periodic Progress Meetings: The Contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation Subpart 42.5. The contracting officer, Contracting Officers Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contractor's performance. At these meetings, the contracting officer will apprise the contractor of how the government views the contractor's performance and the contractor will apprise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the Government.

1.15 Contracting Officer Representative (COR): The (COR) will be identified by separate letter. The

COR monitors all technical aspects of the contract and assists in contract administration The COR is authorized to perform the following functions: assure that the Contractor performs the technical requirements of the contract: perform inspections necessary in connection with contract performance: maintain written and oral communications with the Contractor concerning technical aspects of the contract: issue written interpretations of technical requirements, including

Government drawings, designs, specifications: monitor Contractor's performance and notifies both the Contracting Officer and Contractor of any deficiencies; coordinate availability of government furnished property, and provide site entry of Contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order.

1.16 Key Personnel: The following personnel are considered key personnel by the government:

Contracting Officer Representative (COR), Administrative officer of Radiology Service of

VASNHS, Privacy Officer of the VASNHS, and Information Security Officer for the VASNHS.

The contractor shall provide a contract manager who shall be responsible for the performance of the work. The name of this person and an alternate who shall act for the contractor when the manager is absent shall be designated in writing to the contracting officer. The contract manager or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The contract manager or alternate shall be available between

07:30am – 4:30pm and any such last-minute days and time depending on the necessity and nature of an emergent issue, Monday thru Friday except Federal holidays or when the government facility is closed for administrative reasons. Qualifications for all key personnel are listed below:

1.16.1 Contractor Personnel assigned by the Contractor to perform Radiology services covered by this contract must have a valid American Registered Radiologic Technologist (ARRT)(R)(CT), (ARRT)(R)(MRI), or Registered Ultrasound (RDMS) or Vascular Technologist (RVT) where applicable. All contractor personnel must hold and self-maintain BLS Certification from the

American Heart Association. 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 and administrative duties to include understanding orders management, scheduling, and procedure prep if they are technologists and must be familiar with record keeping and check in/check out procedures within a government setting for medical support assistants. As a technologist, maintain specific knowledge of cross-sectional 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.

1.16.2 Any resultant Award, Task Orders issued, or Options Exercised shall ensure that any in-house personnel, subcontractors, and outside associates or consultants shall be limited to individuals or firms that were specifically identified in the Contractor's accepted offer / proposal. The

Contractor shall obtain the Contracting Officer's written approval before making any substitution for these designated in-house personnel, subcontractors, associates, or consultants. If the

Contractor proposes a substitution, it shall submit the same type of information that was submitted in the accepted offer / proposal to the Contracting Officer for evaluation and approval.

The level of qualifications and experience submitted in the accepted offer / proposal or that required by the Solicitation, whichever is greater, is the minimum standard for any substitution.

1.17 Identification of Contractor Employees: All contract personnel attending meetings, answering

Government telephones, and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression in the minds of members of the public that they are Government officials. They must also ensure that all documents or reports produced by contractors are suitably marked as contractor products or that contractor participation is appropriately disclosed. Contracting personnel will be required to obtain a PIV badge prior to gaining access to the Radiology department and will be required to wear it during the entirety of performing the services required of them.

1.18 Data Rights: The Government has unlimited rights to all documents/material produced under this contract. All documents and materials, to include the source codes of any software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government. These documents and materials may not be used or sold by the contractor without written permission from the Contracting Officer. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

1.19 Organizational Conflict of Interest: Contractor and subcontractor personnel performing work under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent Organizational Conflict of Interests (OCI) as defined in FAR Subpart 9.5. The

Contractor shall notify the Contracting Officer immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the Contracting Officer to avoid or mitigate any such OCI. The Contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the Contracting Officer and in the event the Contracting Officer unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the Contracting Officer may effect other remedies as he or she deems necessary, including prohibiting the Contractor from participation in subsequent contracted requirements which may be affected by the OCI.

1.20 Parking: Regular and Handicap parking for contract staff is limited to designated staff parking areas. Parking in patient parking and use of valet parking is not allowed.

1.21 Smoking Policy: Smoking is not permitted within or around the VASNHS facilities.

1.22 Phase In/Phase Out Period: To minimize any decreases in productivity and to prevent possible negative impacts on additional services, the Contractor shall have personnel on board, during the

30-day phase in/ phase out periods. During the phase in period, the Contractor shall become familiar with performance requirements in order to commence full performance of services on the contract start date.

PART 2

DEFINITIONS & ACRONYMS

2. DEFINITIONS AND ACRONYMS:

2.1 Definitions:

2.1.1 CONTRACTOR. A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime.

2.1.2 CONTRACTING OFFICER. A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

2.1.3 CONTRACTING OFFICER'S REPRESENTATIVE (COR). An employee of the U.S.

Government appointed by the contracting officer to administer the contract. Such appointment shall be in writing and shall state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.4 VA SOUTHERN NEVADA HEALTHCARE SYSTEM (VASNHS). The location in which the contracted staff will be located during their duty assignments.

2.1.5 DEFECTIVE SERVICE. A service output that does not meet the standard of performance associated with the Performance Work Statement.

2.1.6 DELIVERABLE. Anything that can be physically delivered but may include non-manufactured things such as meeting minutes or reports.

2.1.7 KEY PERSONNEL. Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the Key Personnel listed in the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

2.1.8 PHYSICAL SECURITY. Actions that prevent the loss or damage of Government property.

2.1.9 QUALITY ASSURANCE. The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.10 QUALITY ASSURANCE Surveillance Plan (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.11 QUALITY CONTROL. All necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements.

2.1.12 SUBCONTRACTOR. One that enters into a contract with a prime contractor. The

Government does not have privity of contract with the subcontractor.

2.1.13 WORKDAY. The number of hours per day the Contractor provides services in accordance with the contract.

2.1.14 WORK WEEK. Monday through Friday, unless specified otherwise.

2.2 Acronyms:

CFR Code of Federal Regulations

CONUS Continental United States (excludes Alaska and Hawaii)

COR Contracting Officer Representative

CT Computed Tomography

FAR Federal Acquisition Regulation

HIPAA Health Insurance Portability and Accountability Act of 1996

KO Contracting Officer

MRI Magnetic Resonance Imaging

MSA Medical Support Assistant

OCI Organizational Conflict of Interest

OCONUS Outside Continental United States (includes Alaska and Hawaii)

ODC Other Direct Costs

PIPO Phase In/Phase Out

POC Point of Contact

PRS Performance Requirements Summary

PWS Performance Work Statement

QA Quality Assurance

QAP Quality Assurance Program

QASP Quality Assurance Surveillance Plan

QC Quality Control

QCP Quality Control Program

TE Technical Exhibit

US Ultrasound/Vascular

PART 3

GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3 GOVERNMENT FURNISHED ITEMS AND SERVICES:

3.1 Services: The VA will provide a briefing to familiarize contract 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. An identification (ID) badge will be issued by the VA to contracted Imaging 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.).

3.2 Facilities: The Government will provide the necessary workspace, computer, desk, and exam areas in support of the contracting personnel’s duties.

3.3 Utilities: The Government will provide the necessary utilities in the facility for the performance of daily work tasks. The Contractor shall instruct employees in utilities conservation practices. The contractor shall be responsible for operating under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount to accomplish cleaning vehicles and equipment.

3.4 Equipment: The Government will provide the necessary equipment needed for the completion of daily work tasks. The contracted personnel will have access to scanners, fax machines, printers, and imaging equipment as it pertains to their duties.

3.5 Materials: The Government will provide the department level standard operating procedure and policies as well as training material for the required safety training as it pertains to their position.

PART 4

CONTRACTOR FURNISHED ITEMS AND SERVICES

4 CONTRACTOR FURNISHED ITEMS AND RESPONSIBILITIES:

4.1 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.

4.1.1 Application (OF 512)

4.1.2 Current resume to include most recently held positions at other facilities

4.1.3 Copies of current held licenses/registrations, including BLS certification

4.1.4 Evidence of completion accredited program

4.1.5 Three letters of references addressing the status and clinical competence of the Technologist are recommended

4.1.6 If requested, a summary of continuing medical education credits received over the last year

4.1.7 If requested, Declaration of Health Status

4.2 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

4.3 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

4.4 Alternate Sources: If routine services are disrupted for more than two (2) consecutive scheduled shifts or emergency response requests cannot be accommodated by the Contractor under this contract, 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. A copy of the alternative source’s service ticket or other verifiable documentation shall be used as the basis for any reimbursement.

4.5 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.

4.6 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:

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

4.6.2 A pattern of abnormal conduct or erratic behavior;

4.6.3 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;

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

or

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

4.7 Release of Medical Information: The Contractor and contracted staff shall only release medical information obtained during 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.

4.8 Personal Hygiene and Clothing: In performance of this contract, contract personnel shall be neat, clean, and well-groomed and shall otherwise exercise good personal hygiene. Appropriate and professional attire shall always be worn. No athletic clothing (sweatpants or sweat suits) or jeans are to be worn while on duty.

4.9 Contractor Personnel Security Requirement:

4.9.1 Security: The Office of Security and Law Enforcement provides Department-wide policy on the assignment of appropriate position sensitivity designations associated with VA positions involving national security and public trust responsibilities, and on the level of background investigations required for applicants for, and incumbents of, those positions. In addition to

VA employees, the policy and investigative requirements are applicable to Contractor

Personnel who require access to VA computer systems designated as sensitive.

Contractor and Sub-Contractor Personnel who require access to VA computer systems shall be subject to all necessary background investigations and receive a favorable adjudication from the VA Office of Security and Law Enforcement to ensure compliance with such policy.

If such investigation has not been completed prior to contract commencement, the Contractor shall be responsible for the actions of those individuals performing under the contract.

Should the contract require Contractor Personnel to maintain U.S. citizenship, the Contractor shall be responsible for compliance. Regardless of U.S. citizenship requirements, Contractor

Personnel are required to read, write, speak, and understand the English language, unless otherwise specified in this contract or agreed to by the Government.

The Contractor shall be required to furnish all applicable employee information required to conduct the investigation, such as, but not limited to, the name, address, and social security number of Contractor Personnel. The VA will provide all the necessary instructions and guidance for submission of the documents required to conduct the background investigation.

Background investigations shall not be required for Contractor Personnel who will not be required to access VA computer systems nor gain access to sensitive materials

4.10 Security Clearance: The contractor shall possess and maintain a security clearance with the VA.

The contractor’s employees will receive the security clearance upon a completed background check and credentials

PART 5

SPECIFIC TASKS

5 Specific Tasks:

5.1 Basic Services: The services to be provided to the Radiology Service are to include intermittent staffing support for CT, MRI, US, and Administrative MSA. Each modality listed have differing requirements and may need to be filled on an immediate basis. The contractor shall provide services for.

5.2 Diagnostic Radiology Technologist (MRI)

5.2.1 Balances the needs of the patients and staff while still performing complex scans and procedures.

5.2.2 Demonstrates appropriate techniques to gather relevant information from the medical record, significant others, and health care providers.

5.2.3 Access factors that may contraindicate the procedure.

5.2.4 Maintains knowledge of physical assessment, aseptic techniques, intravenous skills, and universal precautions.

5.2.5 Knowledgeable in pre-procedural, procedural, and post-procedural care of patients.

5.2.6 The technologist enforces MRI policy and procedures.

5.2.7 The technologist must meet the criteria for ARRT registration or be ARRT registered, and/or meet the standards to comply with the established HRMS requirements for the position.

5.2.8 Receives patients and ensures proper identification. Provides patient education. Continually assesses the condition and needs of patients to ensure patient safety, comfort and privacy before placing the patient in the MRI scanner.

5.2.9 Interviews each patient before the examination to determine if the patient has a contraindication for MRI.

5.2.10 The MRI Technologist functions as an expert, regarding software and hardware capability and performance of the MRI unit.

5.2.11 Ability to balance the needs of the patients and staff while still performing complex scans and

5.2.12 Skill to demonstrate appropriate techniques to gather relevant information from the medical record, significant others if applicable, and health care providers.

5.2.13 Ability to assess factors that may contraindicate the procedure.

5.2.14 Knowledge of basic first aid and basic life support practices related to patient care.

5.2.15 Knowledge of physical assessment, aseptic techniques, intravenous skills, and universal precautions.

5.2.16 Assists with setup for MRI-based procedures including Breast imaging and MR guided biopsies.

5.2.17 The technologist selects the proper pulse sequences to best demonstrate the patients' pathology. The technologist optimizes each system parameter to obtain optimal images.

5.2.18 Maintains protocol exam booklet, which includes, positioning, acquisition parameters and orientation of slices.

5.2.19 The technologist makes recommendations to improve, maintain, and to update the MRI protocols for the radiologist.

5.2.20 The technologist effectively coordinates with physicians, nurses, patients and other medical personnel of the Veterans Administration Hospital, to assure that the service is carried out in a prompt and effective manner.

5.2.21 Maintains highest quality patient supervision, monitoring patients' condition with specialized equipment keeping constant check on vital signs and the patient’s comfort.

5.2.22 The MRI technologist resolves individual problems and refers unsolved problems to the chief radiology technologist or designee for solutions.

5.2.23 Employee maintains the cleanliness of the MRI suite and other assigned work areas ensuring cleanliness, proper mechanical operation, and execution of infection control policy and maintenance of supply levels for each exam.

5.2.24 The MRI technologists keep abreast of newly developed MRI accessories, exams, protocols and systems.

5.2.25 The MRI technologist is the liaison between the MRI department, engineering, and MRI equipment manufacturer.

5.2.26 Facilitates the implementation of software updates, hardware updates, and services calls for repair, calibration, and maintenance of cryogens.

5.2.27 The technologist performs daily quality control on the MRI system, and Monitors all MRI equipment and techniques for optimum performance.

5.2.28 Maintains quality assurance programs for the laser imager and patient monitoring equipment.

5.2.29 The technologist monitors the PACS system to ensure images are archiving and transferring properly.

5.2.30 The MRI technologist performs all major duties including coordinating the schedule for MRI patient examinations.

5.2.31 Prioritizes and evaluates the nature/need of critical or emergency procedures.

5.2.32 The technologist confers with other technologists on new developments and examination protocol changes.

5.2.33 The MRI technologist performs venipuncture and injects contrast material for MRI exams as necessary.

5.2.34 The MRI technologist serves as a liaison with all levels of management pertaining to the MRI section.

5.2.35 The technologist executes actions which will guarantee quality image results, to assure that the highest quality of diagnostic imaging is generated, formulates training in MRI techniques for the radiologic technologist and medical students.

5.2.36 The MRI technologist is responsible for cross training radiologic technologist in MRI physics, positioning, coil selection, and MRI safety.

5.2.37 The technologist is responsible for advising on the updating of the MR technical policy and procedures manual.

5.2.38 The underlying principle of MRI imaging is used to advise on the detailing of examinations to obtain optimum imaging with regards to patients' pathology.

5.2.39 Images anatomic detail of the human body.

5.2.40 Images in three cross-sectional anatomical planes, axial, coronal, and sagittal.

5.3 Diagnostic Radiology Technologist (CT)

5.3.1 Balances the needs of the patients and staff while still performing complex scans and

5.3.2 Demonstrates appropriate techniques to gather relevant information from the medical record,

5.3.3 Access factors that may contraindicate the procedure.

5.3.4 Maintains knowledge of physical assessment, aseptic techniques, intravenous skills, and

5.3.5 Knowledgeable in pre-procedural, procedural, and post-procedural care of patients.

5.3.6 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.

5.3.7 Maintains specific knowledge and training in the location, appearance, and function of the various major and minor systems susceptible to radiological illumination.

5.3.8 Interprets the examination request accurately and understands the functioning and inter relationship of the various organs.

5.3.9 Uses methods and techniques which will identify organs appearing on the digital display monitor, or on film, and the various stages of the examination to judge the acceptability of the image and/or scan for diagnostic use and emphasizes the aspects of particular interest to the physician.

5.3.10 Performs 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.

5.3.11 Receives requests or instructions for procedures. Interprets requests or instructions from radiologist. Employee understands and carries out the requests made by physicians or seeks assistance of the supervisor or a higher graded technologist when an uncommon, unique or new procedure is required. Independently interprets and carries out the requests made by physicians. As Diagnostic Radiology technologist (CT), interprets and directs the accomplishment of the most difficult requests. Carries out and oversees the work of lower grade technologists to accommodate requests.

5.3.12 Performs computed axial tomography (CT) scanning of head and/or body, to perform a variety of complex diagnostic examinations. Performs a variety of specialized CT examinations through experience obtained from in-house training and additional outside training should the individual require said training. Familiarity with CT cross-sectional anatomy and computerized technical factors as well as the ability to recognize abnormalities and masses in CT studies, as well as, the ability to determine their consistency (region of interest - ROI) and their relationship to adjacent structures is basic. The acquisition of CT images requires that the Medical Instrument technologist continues her maintenance of up-dating new technological advances, for this technology is constantly evolving, thus the complexity is always changing

5.3.13 Performs all aspects of CT-Scan. Function as expert regarding software and hardware capabilities in the performance of the instrument and advices the radiologist on which pulse sequence are available and which selection of acquisitions parameters are necessary to produce optimum images and generate efficiency in data collection.

5.3.14 Image and assist with invasive studies to include needle localizations, biopsy procedures, and, CT angiography studies. Monitor and maintain an emergency crash cart, oxygen, and suction apparatus and assist emergency teams with utilization in clinical and emergency settings.

Monitor and safeguard sedation and emergency drugs.

5.3.15 Selects and sets technical factors for very difficult examinations. Sets up and adjusts accessory equipment required and makes exposures necessary for requested procedures.

5.3.16 Sets up the CT room. Assures that contrast material or other required equipment and supplies are present. Obtains and monitors vital signs and notifies radiologist of significant changes.

5.3.17 Responsible for furthering the goals of equal opportunity (EEO) by taking positive steps to assure the accomplishment of affirmative action objectives and by adhering to nondiscriminatory employment practices regarding race, color, religion, sex, national origin, age, or handicap.

5.3.18 Plans and carries out the procedures necessary to complete the work assignment and handles problems and corrects errors in accordance with established protocols or accepted Imaging

Service practices.

5.3.19 Performs technical work in support of general diagnostic radiology under the direction of a

Radiologist. Operates computerized radiology/imaging equipment as part of the diagnostic plan for patients.

5.3.20 The incumbent utilizes computed and/or Digital and/or Direct Radiography and imaging network (PACS) equipment to perform a variety of routine, as well as complex X-ray examinations.

5.3.21 The technologist must meet and maintain the criteria for American Registry of Radiology

Technologists (ARRT) registration or be ARRT registered, and/or meet the standards to comply with the established HRMS requirements for the position.

5.3.22 Supports radiologist or other medical officers to produce general radiographic studies used to diagnose medical conditions.

5.3.23 Employee understands and carries out the requests made by physicians or seeks assistance of the supervisor or a higher graded technologist when an uncommon, unique or new procedure is required.

5.3.24 Independently interprets and carries out the requests made by physicians. As higher skilled radiologic technologist, interprets and directs the accomplishment of the most difficult requests. Confers with radiologist or a more senior technologist to establish requirements of non-standard examinations.

5.3.25 Employee understands, carries out or oversees the work of lower-grade employees to accommodate departmental goals.

5.3.26 Secures the confidence and cooperation of patients during procedures. Explains procedures, positions patients for desired results, and cushions and shields patients as appropriate. Varies procedures or positions to adjust for patients' medical conditions.

5.3.27 Properly identifies the patient, and the images. This is essential so that mistaken identity of images to patients does not occur. The technologist must be certain that patient identification and the requests are identical.

5.3.28 Reviews radiology requests for technical soundness, accuracy, and conformity to policy and established requirements.