36C26121Q0810.docx

36C26121Q0810

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

36C261-21-AP-4025

593-21-4-083-0070

Krystal Reiter 916-923-4304 07-09-2021 17:00

PDT

612MCP

Department of Veterans Affairs VA Sierra Pacific Network (VISN 21) VA Northern California HealthCare System 5342 Dudley Blvd, Bldg 209 McClellan CA 95652-2609

X

541690 $16.5 Million

N/A

VA Southern Nevada Healthcare System 6900 North Pecos Rd

N. Las Vegas NV 89086

612MCP

Department of Veterans Affairs Department of Veterans Affairs VA Northern California HealthCare System 3230 Peacekeeper Way, Bldg. 209 McClellan CA 95652-1012

Department of Veterans Affairs FMS VA-9(101) Financial Services Center

PO Box 149971 Austin TX 78714-9971

See CONTINUATION Page

The purpose of this solicitation is to acquire diagnostic radiation physics services for the VA Southern Nevada HCS in accordance with the performance work statement.

See Section B.2 for the Performance Work Statement.

See Section B.3 for the Price/Cost Schedule.

Wage Determination 2015-5593 Rev. 15, Dated06/03/21, applies to this procurement and is attached. See Attachment 2.

See CONTINUATION Page

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C261 Department of Veterans Affairs VA Sierra Pacific Network (VISN 21) VA Northern California HealthCare System 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:

3. INVOICES: Invoices shall be submitted in arrears:

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

Department of Veterans Affairs FMS VA-9(101) Financial Services Center

PO Box 149971 Austin TX 78714-9971 ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

B.2 PERFORMANCE WORK STATEMENT (PWS)

Diagnostic Radiation Physics Services

Part 1

General Information

1. GENERAL: This is a personnel services contract to provide diagnostic radiation physics consulting to the radiology department in the VA Sierra Nevada Healthcare System (VASNHS). The services include weekly on-site visits for the support of all aspects of radiation safety, servicing of radiology equipment, licensing and meeting FDA standards, and serving as the Radiation Safety Officer.

1.1 Description of Services/Introduction: The contractor shall provide all personnel, supervision, and other items and non-personal services necessary to perform radiation physics 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.

1.3 Objectives:

· Weekly on-site visits

· Equipment servicing of all radiology equipment for all modalities. (i.e. Ultrasound, Nuclear Medicine, Magnetic Resonance Imaging, Computed Tomography, Fluoroscopic, etc.)

· Assisting to meet licensing requirements

· Radiation Safety Officer duties

1.4 Scope: The services to be provided to the Radiology department are to include servicing all radiology equipment currently listed within this document and future equipment acquired by the VASNHS for the radiology department, performing acceptance testing, preparing new, renewal, or amendment applications for state licensing, perform equipment testing and maintaining a radiologic health program and record system, among other radiation safety officer duties.

1.5 Period of Performance: The period of performance shall be for one year and includes four (4), one-year option periods that may be exercised by the VA. The periods of performance read as follows:

Base Period: 09/01/2021 – 08/31/2022 Option Period 1: 09/01/2022 – 08/31/2023 Option Period 2: 09/01/2023 – 08/31/2024 Option Period 3: 09/01/2024 – 08/31/2025 Option Period 4: 09/01/2025 – 08/31/2026

Qualifications and Responsibilities: The contractor shall furnish all labor, materials, travel, lodging and any other supplies or equipment necessary to perform Health Physics Services on all Diagnostic Imaging devices utilized within the Radiology Department at the VA Southern Nevada Healthcare System Hospital and all Primary Care Clinics (4) upon request from the Radiation Safety Officer or the Chief Director. All Health Physicists must be certified by the American Board of Health Physics (ABHP). The contractor will perform American College of Radiology (ACR) tests for all applicable equipment. In case of an emergent radiation situation or issue the contractor must be able to be onsite within 6 hours of being contacted. Perform initial acceptance testing is to verify new or moved radiology equipment meets all applicable NEMA, manufacturer, ACR and FDA standards. See below sections for a complete list of equipment that will need to have acceptance testing performed. 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.

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.

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. 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.

1.8.01 Place of Performance: The work to be performed under this contract will be performed at VA Southern Nevada Healthcare System (VASNHS) in the Radiology department located at 6900 North Pecos Rd, N. Las Vegas, NV 89086 and the following four Primary Care Clinics (PCC):

North West PCC, 3968 North Rancho Dr., Las Vegas, NV 89130 South West PCC, 7235 South Buffalo Dr., Las Vegas, NV 89113 North East PCC, 4461 East Charleston Blvd, Las Vegas, NV 89104 South East PCC, 1020 South Boulder Highway, Henderson, NV 89015

1.9 Type of Contract: The Government will award a firm-fixed priced service contract.

1.10 Security Requirements: Contractors, contractor personnel, subcontractors, and subcontractor personnel shall be subject to the same Federal laws, regulations, standards, and VA Directives and Handbooks as VA and VA personnel regarding information and information system security.

1.10.01 Access to VA Information and VA Information Systems:

1.10.01.1 A contractor/subcontractor shall request logical (technical) or physical access to VA information and VA information systems for their employees, subcontractors, and affiliates only to the extend necessary to perform the services specified in the contract, agreement, or task order.

1.10.01.2 All contractors, subcontractors, and third-party servicers and associates working with VA information are subject to the same investigative requirements as those of VA appointees or employees who have access to the same types of information. The level and process of background security investigations for contractors must be in accordance with VA Directive and Handbook 0710, Personnel Suitability and Security Program. The Office for Operations, Security, and Preparedness is responsible for these policies and procedures.

1.10.01.3 Contract personnel who require access to national security programs must have a valid security clearance. National Industrial Security Program (NISP) was established by Executive Order 12829 to ensure that cleared U.S. defense industry contract personnel safeguard the classified information in their possession while performing work on contracts, programs, bids, or research and development efforts. The Department of Veterans Affairs does not have a Memorandum of Agreement with Defense Security Service (DSS). Verification of a Security Clearance must be processed through the Special Security Officer located in the Planning and National Security Service within the Office of Operations, Security, and Preparedness.

1.10.01.4 Custom software development and outsourced operations must be located in the U.S. to the maximum extent practical. If such service are proposed to be performed abroad and are not disallowed by other VA policy or mandates, the contractor/subcontractor must state where all non-U.S. services are provided and detail a security plan, deemed to be acceptable by VA, specifically to address mitigation of the resulting problems of communication, control, data protection, and so forth. Location within the U.S. may be an evaluation factor.

1.10.01.5 The contractor or subcontractor must notify the Contracting Officer immediately when an employee working on a VA system or with access to VA information is reassigned or leaves the contractor or subcontractor’s employ. The Contracting Officer must also be notified immediately by the contractor or subcontractor prior to an unfriendly termination.

1.10.02 Training:

1.10.02.1 All contractor employees and subcontractor employees requiring access to VA information and VA information systems shall complete the following before being granted access to VA information and its systems:

1.10.02.1.1 Sign and acknowledge (either manually or electronically) understanding of and responsibilities for compliance with the Contractor Rules of Behavior, Appendix E, relating to access to VA information and information systems;

1.10.02.1.2 Successfully complete the VA Cyber Security Awareness and Rules of Behavior training and annually complete required security training;

1.10.02.1.3 Successfully complete the appropriate VA privacy training and annual complete required privacy training; and

1.10.02.1.4 Successfully complete any additional cyber security or privacy training, as required for VA personnel with equivalent information system access

1.10.02.2 The contractor shall provide to the contracting officer and/or the COR a copy of the training certificates and certification of signing the Contractor Rules of Behavior for each applicable employee within 1 week of the initiation of the contract and annually thereafter, as required.

1.10.02.3 Failure to complete the mandatory annual training and sign the Rules of Behavior annually, within the timeframe required, is grounds for suspension or termination of all physical or electronic access privileges and removal from work on the contract until such time as the training and documents are complete.

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.

1.11.01 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.

1.11.01.1 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.

1.11.01.2 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 Contracting Officer.

Special Qualifications: Contractor Personnel assigned by the Contractor to perform services covered by this contract must be an All Health Physicists and must be certified by the American Board of Health Physics (ABHP). The contractor will perform American College of Radiology (ACR) tests for all applicable equipment.

1.6.01 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.

1.6.02 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.

1.6.03 Key Personnel: The follow personnel are considered key personnel by the government: Martina Harris, COR, Administrative officer of Radiology Service of VASNHS, Tammy Wray, Privacy Officer of the VASNHS, Freddie Cobb, 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:

1.6.04 All Health Physicist must be certified by the American Board of Health Physics (ABHP). The contractor will perform American College of Radiology (ACR) tests for all applicable equipment.

1.6.05 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 where it during the entirety of performing the services required of them.

1.7 Other Direct Costs 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 cost for such investigations shall be borne by the Contractor, either in advance or as reimbursement to the Government. The level of sensitivity shall be determined by the Government based on the type of access required. The level of sensitivity will determine the depth of the investigation and the cost thereof. At this time, the current estimated costs for such investigations are as follows:

LEVEL OF

SENSITIVITY

BACKGROUND

INVESTIGATION LEVEL

APPROXIMATE COST

1.8 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.

1.9 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.

1.10 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:

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 Secret Facility Clearance: The contractor shall possess and maintain a SECRET facility clearance from the Defense Security Service. The Contractor’s employees, performing work in support of this contract shall have been granted a SECRET security clearance from the Defense Industrial Security Clearance Office.

PART 5

SPECIFIC TASKS

5 Specific Tasks:

5.1 Basic Services: This is a personnel services contract to provide medical physics consulting services to the radiology department in the VA Sierra Nevada Healthcare System (VASNHS). The services include weekly on-site visits for the support of all aspects of radiation safety, servicing of radiology equipment, licensing and meeting FDA standards, and serving as the Radiation Safety Officer.

5.2 Scope

5.2.1 All Health Physicist must be certified by the American Board of Health Physics (ABHP). The contractor will perform American College of Radiology (ACR) tests for all applicable equipment.

5.2.2 In case of an emergent radiation situation or issue the contractor must be able to be onsite within 6 hours of being contacted.

5.2.3 Documentation of all tests and services will be readily available upon completion of services.

5.3 NEW START-UP ACCEPTANCE TESTING:

5.3.1 Perform initial acceptance testing is to verify new or moved radiology equipment meets all applicable NEMA, manufacturer, ACR and FDA standards. See below sections for a complete list of equipment that will need to have acceptance testing performed.

5.3.2 All tests should be performed in accordance with National Council on Radiation Protection and Measurements (NCRP).

5.4 NUCLEAR MEDICINE DEPARTMENT:

5.4.1 Maintains and updates in preparation of new, renewal, or amendment application(s) for NRC and/or State Radioactive Materials License VHA RAM permit to include any amendment requests. Be available for NHPP and NRC inspections of our RAM permit. Be available and prepare for NHPP radiation protection audit which occurs every 4 – 6 yrs. Update facility policies in accordance with National VHA regulations. The radiation safety officer shall assist the radiation safety committee for medical use at a medical institution. The RSO shall review, sign and date, at least every 3 months, the occupational radiation exposure records of all personnel working with radioactive material

5.4.2 Contractor shall perform PET Testing on (1 Unit), and Nuclear Medicine Testing on Scanner/Cameras (SPECT) of (3 Units).

5.4.3 Aid in keeping all pertinent Radioactive Materials License(s) current

5.4.4 Provide consulting and reference assistance for installation of a radioactive materials laboratory according to NRC and/or NHPP Regulations.

5.4.5 Assist in establishment of a radiological health program and record system in accordance with NRC and/or NHPP Regulations.

5.4.6 Assist in maintenance of current NRC and/or NHPP Regulations.

5.4.7 Advise in selection of equipment and supplies to achieve maximum economy and service.

5.4.8 Will perform Wipe/Leak Tests on sealed sources semi-annually.

5.4.9 Contractor will visit the Government facility weekly to:

5.4.9.1 Offer consultation on problems pertaining to your Radiation Safety Program.

5.4.9.2 Evaluate quality assurance on scintillation camera(s), uptake probe and well detector units, with routinely scheduled quarterly audits.

5.4.9.3 Manages the geometry, accuracy, constancy and activity of all linearity checks on dose calibrators, as required by License condition or applicable regulations with routinely scheduled quarterly audits

5.4.9.4 Manages record system (e.g., radioactive materials shipment, receipt, use and disposal) for NRC and/or NHPP License or Regulatory compliance, counting and handling procedures for proper techniques, and health physics program to assure continued safe management of radioactive materials with routinely scheduled quarterly audits. Establishes, maintains and updates various facility MCM’s and department SOP’s for Radiology and the radiation safety officer shall implement written policies and procedures for the following: Authorize the purchase of radioactive material; Take emergency action if control of radioactive material is lost and Dispose of radioactive material.

5.4.9.5 Establishes, maintains and monitors the entire Radiology dosimetry program including but not limited to:

5.4.9.5.1 Identifying employees who exceed Level I and Level II Alara limits and Notifying all Level I exposures and investigate Level II exposures.

5.4.9.5.2 Lost Badge Calculations include calculating the exposure from the previous lost badge on to the new and current badge.

5.4.9.5.3 Handle issues with lost badges. Re-issuance, Documenting and Registering new badges, especially those monitoring all pregnancy declarations.

5.4.9.6 Monitor Quality Control (QC) program to include: Nuclear medicine survey meters and Nuclear medicine spill procedures.

5.4.9.7 If required, perform exposure calculations.

5.4.9.8 Survey facilities for possible contamination or excessive radiation exposure levels.

5.4.9.9 Lecture on radiation safety and health physics, once a month/12 times per fiscal year.

5.4.9.10 Attend at least 3 out 4 annual Radiation Safety Committee meetings. Contractor should arrange with Authorized User to have quarterly audit visit to coincide with routinely scheduled Radiation Safety Committee meetings.

5.4.9.11 Inventory sealed sources as required by License condition or Regulations. All items listed above will be completed as UCR (usual, customary and reasonable) time permits. Those items receiving priority status will always be those of a regulatory nature (NRC and/or NHPP) and license conditions.

5.4.9.12 Available during normal business hours for consultation by telephone or letter, unless other coverage arrangements have been made.

5.4.10 All data and reports from VASNHS must be retained by the contractor for 5 years and upon request either via voice, written or other electronic means the contractor must forward the requested information within 24 hours.

5.4.11 Provide a formal typewritten report and electronic copy (PDF format) of the routinely scheduled, on-site audit, or special visit consultation within 48 hours of the visit.

5.4.12 All reports will be for services provided will be in a timely manner. Digital copies of these reports will be accessible to the Government upon immediate request.

5.5 GENERAL RADIOLOGY:

5.5.1 Perform an annual survey of the diagnostic X-ray equipment and Radiology Fluoroscopy (locations will be provided) in accordance with the requirements of the Joint Commission (JC), American College of Radiology (ACR) or various regulatory agencies. This survey is to include the following performance evaluations, safety evaluations, and output measurements:

5.5.1.1 Contractor shall provide Radiation Safety Training consisting of (12 Units) per year to VA Staff.

5.5.1.2 Light beam to X-ray beam alignment; Accuracy of beam size indicators; Overall performance of radiographic and fluoroscopic collimators; Output versus kVp, mAs, and distance; Proper function of interlocks, timers, and exposure switches; Itemized check list of equipment standards of various agencies.

5.5.1.3 Radiographic timer accuracy; kVp accuracy; Reproducibility of kVp, time and output; mA linearity; Accuracy of distance indicators; Half-value layer determination/appropriateness of total filtration.

5.5.1.4 Perform tube performance criteria of each fluoroscopic unit which includes a survey as outlined in A, plus:

5.5.1.4.1 kVp accuracy; Exposure rate vs. kVp, mA set; Exposure rate in Automatic Brightness mode through use of appropriate phantoms; Low contrast resolution of the imaging system; High contrast resolution of the imaging system; Half-value layer determination and appropriateness of total filtration; Evaluation of output in other imaging modes.

5.5.1.4.2 Monitor patient exposures for techniques and equipment. Contractor shall provide a summary of measured exposures with comparable national standards in accordance with applicable State regulations and Joint Commission standard DR.2.2.4.2.

5.5.1.4.3 All data and reports from VASNHS must be retained by the contractor for 5 years and upon request either via voice, written or other electronic means the contractor must forward the requested information within 24 hours.

5.5.1.4.4 Provide a formal typewritten report and electronic copy (PDF format) of the routinely scheduled, on-site audit, or special visit consultation within 48 hours of the visit.

5.5.1.4.5 List of equipment that will be serviced under this contract.

5.6 MAMMOGRAPHY:

5.6.1 Perform an annual survey of the mammographic equipment in accordance with the requirements of the American College of Radiology (ACR), Mammography testing to MQSA Standards, the Mammography Quality Standards Act of 1992, and NHPP laws. This survey is to include the following performance evaluations, safety evaluations, and output measurements:

5.6.1.1 Light beam to X-ray beam alignment, X-ray beam to image receptor alignment, Compression paddle to image receptor alignment; Proper function of interlocks, vertical, rotational, compression movement, and the image receptors; Itemized check list of equipment standards per ACR, MQSA, and NHPP requirements; kVp and timer accuracy; kVp, timer, and output reproducibility; mA or mAs linearity; Accuracy of distance indicators; Half-value layer determination at four different clinical kVp's; Mean glandular dose to an average patient at four different clinical kVp's; Skin-entrance exposure for a craniocaudal view at four different clinical kVp's; Performance of AEC system, to include reproducibility, thickness and kVp compensation, fine density setting accuracy, and back-up timer function; Focal spot resolution measurement; Assessment of operator barrier adequacy; Evaluation for presence of artifacts; Uniformity of screen speed of all mammographic cassettes; Phantom image analysis.

5.6.2 All data and reports from VASNHS must be retained by the contractor for 5 years and upon request either via voice, written or other electronic means the contractor must forward the requested information within 24 hours.

5.6.3 Provide a formal typewritten report and electronic copy (PDF format) of the routinely scheduled, on-site audit, or special visit consultation within 48 hours of the visit.

5.7 COMPUTED TOMOGRAPHY:

5.7.1 Perform annual performance evaluation and compliance testing of C.T. Scanners. (locations will be provided) In accordance with the requirements of the Joint Commission (JC), American College of Radiology (ACR) or various regulatory agencies, to include:

5.7.1.1 Accuracy of positioning lasers/lights; Slice thickness accuracy; Table-incrementing accuracy; Noise levels of the system in the Head and Body modes, and at various slice thicknesses; Image uniformity of the system in the Head and Body modes; High contrast resolution in the Head and Body modes, and at various slice thicknesses; Low contrast resolution in the Head and Body modes, and at various slice thicknesses; Determination of contrast scale (i.e., change in linear attenuation coefficient with C.T. number); Determination of C.T. number linearity (i.e., establish constancy of contrast scale over the range of C.T. numbers of clinical interest); Verify relative independence of absolute C.T. number of water with respect to subject size and kVp; General image quality with regard to imaging artifacts; General safety of the unit.

5.7.1.2 Perform dosimetry measurements of each C.T. unit with respect to the following:

5.7.1.2.1 Physical location in an acrylic phantom (32cm Body or 16cm Head); kVp; mA; Scan time; Scan diameter; Slice width.

5.7.2 All data and reports from VASNHS must be retained by the contractor for 5 years and upon request either via voice, written or other electronic means the contractor must forward the requested information within 24 hours.

5.7.3 Provide a formal typewritten report and electronic copy (PDF format) of the routinely scheduled, on-site audit, or special visit consultation within 48 hours of the visit.

5.7.4 List of equipment that will be serviced under this contract.

5.8 MRI:

5.8.1 Complete annual performance evaluation and compliance testing of each MRI as recommended by the Manufacture and American College of Radiology (ACR):

5.8.1.1 Geometric Accuracy; High Contrast Spatial Resolution; Slice Thickness Accuracy; Slice Position Accuracy; Image Intensity Uniformity; Percent Signal Ghosting; Low Contrast Object Detectability; Mechanical Inspection; Inter-slice RF Interference; Monitor (soft copy display); Mechanical Inspection; All RF coils for SNR and Image Uniformity.

5.8.2 All procedures will be performed using the ACR phantom as supplied by the contractor.

5.8.3 Contractors shall provide Level I and II MRI training to VA Staff. Training Units are covered under Radiation Safety Training.

5.8.4 Contractor will assist in developing technologist QC program and in developing policies, as recommended by the ACR.

5.8.5 Contractor will review policies, credentials and technologist QC program for ACR compliance on an annual basis.

5.8.6 All procedures will be performed using the ACR phantom as supplied by the contractor.

5.8.7 All data and reports from VASNHS must be retained by the contractor for 5 years and upon request either via voice, written or other electronic means the contractor must forward the requested information within 24 hours.

5.8.8 Provide a formal typewritten report and electronic copy (PDF format) of the routinely scheduled, on-site audit, or special visit consultation within 48 hours of the visit.

5.8.9 List of equipment that will be serviced under this contract.

5.9 DENTAL:

5.9.1 Perform an annual survey of the dental X-ray equipment (locations will be provided) in accordance with the requirements of the Joint Commission (JC), National Health Physics program or various regulatory agencies. This survey is to include the following performance evaluations, safety evaluations, and output measurements:

5.9.1.1 Output versus kVp, mAs, and distance; Proper function of interlocks, timers, and exposure switches.

5.9.1.2 Radiographic timer accuracy; kVp accuracy; Reproducibility of kVp, time and output; mA linearity Half-value layer determination/appropriateness of total filtration.

5.9.2 All new dental x-ray installations and existing installations not previously surveyed shall have a radiation protection survey performed by, or under the direction of, a qualified expert. Resurveys shall be performed at regular intervals thereafter. The National Council on Radiation Protection and Measurements (NCRP) Report No. 145, Radiation Protection in Dentistry, national standard of practice, resurvey testing of all dental x-ray equipment every 2 years. In addition, a resurvey shall be made after any change in the installation, workload, or operating conditions that might significantly increase occupational or public exposure (including x-ray machine service or repair that could affect the x-ray machine output or performance).

5.9.3 Perform an annual survey of the (Qty. 15) dental equipment listed par.1.9.7 in accordance with the requirements of the American Board of Radiology, the American Board of Medical Physics, American Board of Health Physics, National Council on Radiation Protection and Measurements (NCRP) Report No. 145, Radiation Protection in Dentistry and NHPP laws. This survey is to include the following performance evaluations, safety evaluations, and output measurements:

5.9.3.1 All data and reports from VASNHS must be retained by the contractor for 5 years and upon request either via voice, written or other electronic means the contractor must forward the requested information within 24 hours.

5.9.3.2 Provide a formal typewritten report and electronic copy (PDF format) of the routinely scheduled, on-site audit, or special visit consultation within 48 hours of the visit. Utilizing NHPP Radiation Audit Form

5.10 LEAD SHIELD TESTING:

5.10.1 Lead shielding integrity testing is needed prior during the initial start-up phase in the DR, CT, Fluoroscopy rooms. The testing will encompass the existing shielding that is currently in place. This is added an optional service.

5.11 SERVICE SPECIFICATIONS:

5.11.1 The services will be provided according to intervals applicable to equipment quality assurance. Reports will be provided within a timely manner after the completion of the services rendered.

5.11.2 Failure to do may result in lack of payment and termination of contract if services are not satisfactory. Refer to above services for frequency.

5.11.3 Periodic surveillances will be conducted on a random basis based on quality trends. Any unsatisfactory surveillance (defect) result shall be recorded, and the Contractor shall re-perform the service after notification by the Contracting Officer.

5.11.4 Continued receipt of unsatisfactory surveillances during the contract period shall constitute a negative trend and the Contracting Officer may take any appropriate action in accordance with the FAR 52.212-4 (a), Contract…