36C26126Q0797 Medical Physicist- Northern California.pdf

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9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

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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

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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.

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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)

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AUTHORIZED FOR LOCAL REPRODUCTION (REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

612-26-4-6152-0012

36C26126Q0797 06-18-2026

James Postell 702.791.9000 07-08-2026

10AM PDT

00261 Department of Veterans Affairs Network Contracting Office 21

X 100

X

541690

$19 Million

N/A

X

See Price/Cost Schedule

00261

Department of Veterans Affairs Network Contracting Office 21

Department of Veterans Affairs Financial Services Center P.O. Box 149971

Austin TX 78714-9971

See CONTINUATION Page

This requirement is for Medical Physicist support services at the VA Northern California Health Care System.

Quoters shall follow the submission instructions specified in FAR Provisions 52.212-1 and 52.212-2, and the addendums included in this solicitation.

Submit all questions and quotes electronically to:

james.postell@va.gov

Questions are due June 25, 2026, No Later Than 10AM PDT.

Quotes are due July 08, 2026, No Later Than 10AM PDT

Quoters are reminded their completed and signed VAAR Clause 852.219-75 must be included in submission or you will be considered non-responsive and will not be considered.

Applicable Wage Determination:

2015-5631 Rev 27 Dated 5/13/2026 2015-5631 Rev 29 Dated 5/12/2026

See CONTINUATION Page x X x 1

36C26126Q0797

Table of Contents

SECTION A

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

AND COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

B.3 PERFORMANCE WORK STATEMENT

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 Terms and Conditions—Commercial Products and Commercial Services.

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

C.3 52.209-6 Protecting the Government's Interest When Subcontracting With Contractors Debarred, Suspended, Proposed for Debarment, or Voluntarily Excluded. 38 C.4 52.222-35 Equal Opportunity for Veterans C.5 52.222-36 Equal Opportunity for Workers with Disabilities C.6 52.233-3 Protest after Award C.7 52.233-4 Applicable Law for Breach of Contract Claim

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

C.9 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.10 52.222-90 ADDRESSING DEI DISCRIMINATION BY FEDERAL CONTRACTORS

(DEVIATION APR 2026)

C.11 52.240-91 SECURITY PROHIBITIONS AND EXCLUSIONS (NOV 2025)

(DEVIATION)

C.12 52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (NOV 2020)

C.13 VAAR 852.204-72 PERSONNEL VETTING AND CREDENTIALING (DEVIATION)

(MAR 2026)

C.14 VAAR 852.211-72 TECHNICAL INDUSTRY STANDARDS (NOV 2018)

C.15 VAAR 852.219-73 VA NOTICE OF TOTAL SET-ASIDE FOR CERTIFIED

SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESSES (JAN 2023)

(DEVIATION)

C.16 VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—

CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (JAN 2023)

(DEVIATION)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 Instructions to Offerors—Commercial Products and Commercial Services.

E.2 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998) E.3 52.212-2 Evaluation—Commercial Products and Commercial Services

E.4 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

E.5 52.216-1 TYPE OF CONTRACT (NOV 2025) (DEVIATION)

E.6 52.240-90 SECURITY PROHIBITIONS AND EXCLUSIONS REPRESENTATIONS

AND CERTIFICATIONS (NOV 2025) (DEVIATION)

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

Network Contracting Office 21

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.

Tungsten e-Invoice Setup Information: 1-877-489-6135

Tungsten e-Invoice email: VA.Registration@Tungsten-Network.com

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

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

8.00 EA __________________ __________________

MRI Equipment Testing in accordance with the Statement of Work

Contract Period: Base POP Begin: 09-01-2026 POP End: 08-31-2027 PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical Consulting Services PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and Veterinary Equipment and Supplies

MANUFACTURER PART NUMBER (MPN): N/A

12.00 EA __________________ __________________

CT Equipment Testing in accordance with the Statement of Work

Contract Period: Base POP Begin: 09-01-2026 POP End: 08-31-2027 PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical Consulting Services PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

5.00 EA __________________ __________________

Mammography Equipment Testing in accordance with the

Statement of Work Contract Period: Base POP Begin: 09-01-2026 POP End: 08-31-2027 PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical Consulting Services PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

2.00 EA __________________ __________________

PET/CT Equipment Testing in accordance with the Statement of

Work Contract Period: Base POP Begin: 09-01-2026 POP End: 08-31-2027 PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical Consulting Services PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

4.00 EA __________________ __________________

SPECT/CT Equipment Testing in accordance with the Statement of Work Contract Period: Base POP Begin: 09-01-2026 POP End: 08-31-2027 PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical Consulting Services PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

16.00 EA __________________ __________________

Fluoroscopy Equipment Testing in accordance with the Statement of Work Contract Period: Base POP Begin: 09-01-2026 POP End: 08-31-2027 PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical Consulting Services PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

28.00 EA __________________ __________________

Digital Radiography (Dr & Portable) in accordance with the

Statement of Work Contract Period: Base POP Begin: 09-01-2026 POP End: 08-31-2027 PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical Consulting Services PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

3.00 EA __________________ __________________

Bone Density Equipment (DEXA) Testing in accordance with the

Statement of Work Contract Period: Base POP Begin: 09-01-2026 POP End: 08-31-2027 PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical Consulting Services PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

Monitor Equipment Testing in accordance with the Statement of Work Contract Period: Base POP Begin: 09-01-2026 POP End: 08-31-2027 PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical Consulting Services PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

48.00 EA __________________ __________________

Dental Equipment Testing in accordance with the Statement of

Work Contract Period: Base POP Begin: 09-01-2026 POP End: 08-31-2027 PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical Consulting Services PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

Shielding Design and Evaluation in accordance with the Statement of Work Contract Period: Base POP Begin: 09-01-2026 POP End: 08-31-2027 PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical Consulting Services PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

50.00 EA __________________ __________________

Consult and Rechecks , Acceptance Checking in accordance with the

Statement of Work Contract Period: Base POP Begin: 09-01-2026 POP End: 08-31-2027 PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical Consulting Services PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

8.00 EA __________________ __________________

MRI Equipment Testing in accordance with the Statement of Work

Contract Period: Option 1

POP Begin: 09-01-2027 POP End: 08-31-2028 PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical Consulting Services PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

12.00 EA __________________ __________________

CT Equipment Testing in accordance with the Statement of Work

Contract Period: Option 1 POP Begin: 09-01-2027 POP End: 08-31-2028 PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical Consulting Services PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

5.00 EA __________________ __________________

Mammography Equipment Testing in accordance with the

Statement of Work Contract Period: Option 1 POP Begin: 09-01-2027 POP End: 08-31-2028 PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical Consulting Services PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

PET/CT Equipment Testing in accordance with the Statement of

Work Contract Period: Option 1 POP Begin: 09-01-2027 POP End: 08-31-2028 PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical Consulting Services PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

SPECT/CT Equipment Testing in accordance with the Statement of

Work Contract Period: Option 1 POP Begin: 09-01-2027 POP End: 08-31-2028 PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical

Consulting Services PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

16.00 EA __________________ __________________

Fluoroscopy Equipment Testing in accordance with the Statement of Work Contract Period: Option 1 POP Begin: 09-01-2027 POP End: 08-31-2028 PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical Consulting Services PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

28.00 EA __________________ __________________

Digital Radiography (Dr & Portable) in accordance with the

Statement of Work Contract Period: Option 1 POP Begin: 09-01-2027 POP End: 08-31-2028 PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical Consulting Services PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

3.00 EA __________________ __________________

Bone Density Equipment (DEXA) Testing in accordance with the

Statement of Work Contract Period: Option 1 POP Begin: 09-01-2027 POP End: 08-31-2028 PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical Consulting Services PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

Monitor Equipment Testing in accordance with the Statement of

Work Contract Period: Option 1 POP Begin: 09-01-2027 POP End: 08-31-2028 PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical Consulting Services PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

48.00 EA __________________ __________________

Dental Equipment Testing in accordance with the Statement of

Work Contract Period: Option 1 POP Begin: 09-01-2027 POP End: 08-31-2028 PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical Consulting Services PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

Shielding Design and Evaluation in accordance with the Statement of Work Contract Period: Option 1 POP Begin: 09-01-2027 POP End: 08-31-2028 PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical Consulting Services PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

50.00 EA __________________ __________________

Consult and Rechecks , Acceptance Checking in accordance with the

Statement of Work Contract Period: Option 1 POP Begin: 09-01-2027 POP End: 08-31-2028 PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical Consulting Services PRODUCT/SERVICE CODE: H365 - Inspection - Medical, Dental, and

GRAND TOTAL __________________

B.3 PERFORMANCE WORK STATEMENT

Subject: Medical Physicist

Scope of Work

The Contractor shall provide all labor, material, supplies, equipment, transportation, software and qualified personnel, to provide medical physicist services in support of the Veterans Affairs Northern California Health Care System, (VA NCHCS) Radiation Safety Program, headquartered at the VA Medical Center Sacramento at Mather, California. Satellite offices are located at the VA Outpatient Clinic in Martinez, Redding, Stockton, Sonora, Modesto, Mare Island and McClellan California. All work is performed on site at the VA facilities listed in Appendix 2.

Qualifications

Prior to commencing work all contractor employees shall meet certain criteria to perform work under this contract as a Medical Physicist. Contractor employees must reside within 180 miles of all clinical sites. Qualification documents must be submitted to the RSO or his/her designee and be approved. All qualifications are subject to review by the VA NCHCS Chief of Staff and approval by the VA NCHCS Facility Director.

Medical Physicists shall meet the following education, certification, and qualification standards:

1. Hold a master’s degree in medical physics, Health Physics or a related field.

2. Hold current Board Certification in Diagnostic Radiological Physics by the

American Board of Radiology and or American Board of Medical Physics.

3. Meet ACR/FDA qualifications for mammography medical physicist.

4. Medical physicists should have experience in:

Decommissioning an NRC licensed medical facility

All current NRC regulations, VA NHPP Best Practices (1105.04 Fluoroscopy Safety Program), and the State of California Department of Health Services Radiological Health Branch Radioactive Materials license for sharing agreement.

CT Optimization

Consulting in NRC license amendments related to the medical use of radiation.

Calibration and testing of diagnostic x-ray and Nuclear Medicine equipment.

As a consultant to a medical facility licensed by the NRC to perform nuclear medicine and biomedical research.

2. Medical Physicist duties shall not be reassigned to a Technologist or any other individual without written approval by the VA Radiation Safety Officer or his/her designee.

3. Medical Physicist must adhere to VHA Handbook 1105.04, Fluoroscopy Safety, dated July 6, 2012. Contractor shall comply with radiation protection standards 29 CFR 1910.1096 and immediately report any unsafe conditions with the potential to adversely impact the facility radiation workers or patients to the Radiation Safety Officer (RSO).

General Requirements

Contractor shall perform Quarterly, Semi-Annual and Annual QC Testing on existing Nuclear Medicine and Diagnostic x-ray equipment (Radiographic, Fluoroscopic, PET/CT cameras, Mammographic, CT, DR, CR reader(s), and MRI safety check) to meet the requirements of the VA NCHCS Radiation Safety Program.

Reference Appendix 4 for a list of equipment to be tested.

Additional testing is also required as follows:

Acceptance testing of new devices.

Full inspection of repaired or adjusted equipment that may affect the radiation output or image quality.

Testing of each replacement X-ray tube prior to patient use.

Testing of diagnostic monitors used by Radiologists and Technologists for patient imaging at external contract facility.

Contractor is to provide written reports of surveys and test results in a timely manner.

Contractor will respond promptly to any discrepancies found from external inspections. Provide written responses to outside agencies when applicable.

The qualified medical physicist shall provide consultation for additional services as needed, i.e., safety training, SNM annual phantoms and medical events involving radiation exposure.

The qualified medical physicists shall attend the Radiation Safety Meeting, reviewing minutes prior to the meeting and afterwards.

The qualified medical physicist shall review al Radiation Safety Policies and Procedures with attention to compliance with regulations, NHPP, JACHO and NRC.

Contractor is to submit a list of key personnel with the offer, define each individual’s education, certification, and licensure.

Pre-construction radiation protection shielding designs.

Post-construction shielding integrity evaluations.

Scheduling and Response Times

• All quarterly, semi-annual, and annual tests will be scheduled in advance.

• All testing on new devices or repaired or adjusted equipment requires a four (4) hour response time in order to maintain functionality and minimize the effect on patient care.

• A written report of the results shall be provided to the service supervisor or RSO within Thirty (30) working days after completion of the inspection.

Equipment Performance Evaluation and Quality Control Test

The Contractor shall conduct equipment inspections or quality control surveys of the imaging equipment listed below. The Contractor shall ensure the imaging equipment’s compliance with applicable federal regulations and ACR recommendations, and shall include, but not be limited to, monitoring the following basic performance characteristics:

1. Equipment Inspections

The Contractor shall conduct equipment inspections or quality control surveys of the imaging equipment listed below. The Contractor shall ensure the imaging equipment’s compliance with applicable Federal regulations and ACR recommendations, and shall include, but not be limited to, monitoring the following basic performance characteristics.

Estimated Quantities and Locations

Description # Advanced Imaging Devices / Equipment (CT, PET/CT, Mammography, MRI, Nuclear Medicine Audits)

Rad/Fluoro/Tomo Tubes (X-Ray, Digital, Fluoro, C-Arm)

Minor Radiographic Tubes (Dental, Ultrasound, DEXA)

Consultations 50

* Patient dose evaluation is included

1. VA Outpatient Clinic, 150 Muir Road, Martinez, CA

2. VA Medical Center Sacramento, 10535 Hospital Way, Mather, CA

3. Contra Costa Regional Medical Center (CCRMC), 2300 Alhambra Blvd, Martinez, CA

4. Redding Outpatient Clinic, 351 Hartnell Ave, Redding, CA

5. Chico Outpatient Clinic, 280 Cohasset Road, Chico, CA

6. Stockton Outpatient Clinic, 7777 Freedom Rd, French Camp, CA 95231

7. Mare Island Outpatient Clinic, Walnut Ave, Bldg. 201, Mare Island, Vallejo, CA

8. McClellan VA Outpatient Clinic, 5342 Dudley Blvd, McClellan Park, CA 95652

9. Sonora VA Outpatient Clinic, 13663 Mono Way, Sonora, CA 95370

10. Modesto VA Outpatient Clinic, 1225 Oakdale Rd, Modesto, CA 95355

A. Radiographic and Fluoroscopic Equipment

Physics inspections of radiographic and fluoroscopic equipment shall comply with the VA NCHCS Radiation Safety Program and the ACR Technical Standard for Diagnostic Medical Physics Performance monitoring of Radiographic and Fluoroscopic Equipment. The performance of each radiographic and fluoroscopic unit must be evaluated at least annually.

This evaluation should include, but not be limited to, the following tests (as applicable):

• Integrity of unit assembly.

• Collimation and radiation beam alignment.

• Fluoroscopic system resolution.

• Automatic exposure control system performance.

• Fluoroscopic automatic brightness control performance (high-dose-rate, pulsed modes, field-of-view [FOV] variation).

• Image artifacts.

• Fluoroscopic phantom image quality.

• kVp accuracy and reproducibility.

• Linearity of exposure versus mA or mAs.

• Exposure reproducibility.

• Timer accuracy.

• Beam quality assessment (half-value-layer).

• Fluoroscopic entrance exposure. Maximum output for all clinically used settings.

• Image receptor entrance exposure.

• Equipment radiation safety functions.

• Patient dose monitoring system calibration.

• Video and digital monitor performance.

• Digital image receptor performance.

• Grids used with portable x-ray units shall be imaged for uniformity.

B. Computed Radiography (CR) and Digital Radiography (DR)

Physics inspections of CR and DR equipment shall comply with American Association of Physicist in Medicine (AAPM) Report Number 93, Acceptance Testing and Quality Control of Photostimulable Storage Phosphor Imaging Systems. The performance of CR and DR must be evaluated at least annually. This evaluation should include, but not be limited to, the following tests (as applicable):

• Component and Imaging Plate Physical Inspection and Inventory

• Imaging Plate Dark Noise and Uniformity

• Exposure Indicator Calibration

• Linearity and Auto-ranging Response

• Laser Beam Function

• Limiting Resolution and Resolution Uniformity

• Noise and Low-Contrast Resolution

• Spatial accuracy

• Erasure Thoroughness

• Aliasing/ Grid Response

• IP Throughput

• Positioning and Collimation Errors

C. CT Scanners

The physics inspection shall conform to the 2012 ACR Computed Tomography Quality Control Manual. The performance of each CT scanner shall be evaluated at least annually. This evaluation should include, but not be limited to, the following tests (as applicable):

• Review of Clinical Protocols

• Review CT Optimization at least annually

• Scout Prescription and Alignment Light Accuracy

• Image thickness – Axial Mode

• Table Travel Accuracy

• Radiation Beam Width

• Low-Contrast Performance

• Spatial Resolution

• CT Number Accuracy

• Artifact Evaluation

• CT Uniformity

• Dosimetry (the scanner displayed CTDIvol values must be within +/-20% of the measured

CTDIvol values)

• Gray Level Performance of CT Acquisition Display Monitors

D. Dental

The physics inspection shall conform to the Conference of Radiation Control Program Directors (CRCPD), Quality Control Recommendations for Diagnostic Radiography Volume 1 Dental Facilities July 2001. The performance of each dental x-ray shall be annually or every 2 years.

This evaluation should include, but not be limited to, the following tests (as applicable):

• Collimation

• Beam quality (half value layer)

• Timer Accuracy and Reproducibility

• kVp Accuracy and Reproducibility

• mA or mAs Linearity

• Exposure Reproducibility

• Entrance Skin Exposure Evaluation

• Technique Chart Evaluation

• Image uniformity (artifact evaluation)

E. Mammography

The qualified diagnostic medical physicist inspection of mammography equipment must meet the qualifications outline in the Mammography Quality Standards Act (MQSA) and shall provide the facility with up-to-date documentation demonstration the qualified diagnostic medical physicist is MQSA qualified. Inspections of mammography equipment must comply with the latest requirements posted on the ACR website for the manufacturer of the digital mammography unit being inspected. Inspection items may include:

• Mammographic Unit Assembly Evaluation

• Collimation assessment

• Artifact evaluation

• kVp accuracy and reproducibility

• Beam quality assessment – HVL measurements

• Evaluation of system resolution

• Automatic Exposure Control (AEC) function performance

• Breast entrance exposure, AEC reproducibility and average glandular dose

• Radiation output rate

• Phantom image quality evaluation

• Signal-to-noise ratio and contrast – to noise ration measurements

• View box luminance and room luminance

• Review workstation (RWS) tests

F. MRI

The physics inspection shall conform to the 2004 ACR Magnetic Resonance Imaging Quality Control Manual. The performance of each MRI scanner shall be annually. This evaluation should include, but not be limited to, the following tests (as applicable):

• Magnetic field homogeneity

• Geometric accuracy

• Inter-slice RF interference

• Slice position accuracy

• High contrast resolution

• RF coil performance

• Volume coils’ signal to noise ratio

• Volume coils’ image uniformity

• Volume coils’ ghosting ratio

• Phased array coils’ signal to noise ratio

• Surface coils’ signal to noise ratio

• Slices thickness accuracy

• Low contrast detectability

• Soft copy displays

• Technologist’s QC program

• Site phantom inventory

• Site RF coil inventory

G. PET

The physics inspection shall conform to the ACR PET Phantom Instructions for Evaluation of PET Image, ACR Nuclear Medicine Accreditation Program PET Module. The Performance of each PET scanner shall be evaluated at least quarterly. For PET/CT units the CT must be inspected at least annually per item C above. This evaluation should include, but not be limited to, the following tests (as applicable):

• Uniformity

• Spatial resolution

• SUV analysis

H. Nuclear Medicine

The physics inspection shall conform to the ACR annual performance tests for nuclear medicine cameras. The qualified diagnostic medical physics shall also perform the quarter testing as outlined by the ACR. This evaluation should include, but not be limited to, the following tests (as applicable):

• Intrinsic Uniformity: fail criteria: > 5.0%

• System Uniformity: fail criteria: > 5.0%

• Intrinsic or System Spatial Resolution: fail criteria: > 3.5 mm bars

• Relative Sensitivity: fail criteria: COV> 2.5%

• Energy Resolution: fail criteria: > 12%

• Count Rate Parameters: fail criteria:

• Overall System Performance for SPECT

• System Interlocks

• Dose Calibrators (Geometry, Accuracy)

• Thyroid Uptake and Counting System

I. Ultrasound

Physics inspection shall conform to the ACR performance tests for ultrasound. On an ongoing basis (at least semiannually), the following tests should be done for each ultrasound unit.

Testing should be done using two transducers commonly used with any unit employing more than one transducer. Data should be taken from testing the transducers which are used for the most frequently occurring examination(s) at the site. It is recommended that these be of different scan formats such as one linear (or curvilinear array), and one sector (mechanical, phased, or vector).

System Sensitivity/Penetration

This test should be done with the following settings:

• maximums transmit power

• proper receiver gain and TGC that allows echo texture to be visible in the deep region

• transmit focus at the deepest depth

• The maximum depth of visualization is determined by comparing the gradually weakening echo texture to electronic noises near the bottom of the image.

Image Uniformity

Adjust the TGC controls and other sensitivity controls to obtain an image as uniform as possible.

• vertical or radially oriented streaks?

• dropouts?

• reduction of brightness near edges of the scan?

• brightness transitions between focal zones?

Electrical and Mechanical Safety and Cleanliness

• Are all cords and cables intact (no frays)?

• Are all transducers intact without cracks or delamination?

• Are the transducers cleaned after each use?

• Are the image monitors clean?

• Are the air filters clean?

• Are the wheel locks in working condition?

• Are the wheels fastened securely to the US unit and do the wheels rotate easily?

• Are all accessories (VCR, cameras, etc.) fastened securely to the US unit?

Gray Scale Photography (if applicable) – Do either (a), (b), or (c).

(a) For Scanners with a Discrete Bar Pattern

Count the number of distinct gray bar steps on the viewing monitor. Then count the number of steps visualized in the gray bar on the hard copy image.

(b) For Scanners with a Continuous Gray Bar Pattern

Use calipers to measure the length of the black-to-white transition of the gray wedge on the viewing monitor. If the relative length of the black-to-white transition on the hard copy image is less, document how much is missing.

(c) For Laser Imager (Hard Copy Device)

Prior to filming any images, an SMPTE test pattern created by the Society of Motion Picture and Television Engineers (SMPTE), should be printed using the appropriate window width (WW) and window level (WL). If you are unfamiliar with this procedure, you should review Gray et al., “Test pattern for video display and hard-copy camera,” Radiology 145:519-527 (1985), and then contact your local service engineer for assistance. When printed, the 95% density patch within the 100% square and the 5% density patch within the 0% square should be visible, and there should be no notable distortions or artifacts present. If these criteria are not met, contact your service engineer for laser camera calibration before proceeding with any filming.

Hard Copy Output Quality Test (Digital) (if applicable)

This test, or a similar test specifically recommended by the hard copy equipment manufacturer.

Required Test Equipment

• Densitometer

• SMPTE Test Pattern or another similar test pattern or phantom image having a wide range of gray scales.

The same test image should be used each time.

J. Display Monitors

The physics inspection shall conform to the AAPM On-line Report No. 03, Assessment of Display Perform for Medical Imaging Systems. The performance of each display monitor shall be evaluated initially, acceptance testing, and at least annually thereafter. This evaluation should include, but not be limited to, the following tests (as applicable):

Acceptance testing (Table 7 from AAPM On-line Report No. 03) and (Table 8c form AAPM On-line Report No. 03)

• Geometric distortions

• Reflection

• Luminance response

• Luminance dependencies

• Resolution

• Noise

• Veiling glare

• Chromaticity

Equipment

1. Government Furnished Equipment and Software:

The Government will provide the following

• Radiation detection devices, dose calibrators

• ACR mammography accreditation phantoms,

• CT image quality phantoms and ACNP-SNM Nuclear Medicine Accreditation phantoms.

• SNM Annual Nuclear Medicine Phantom

2. Contractor Furnished Equipment and Software:

The Contractor shall provide all other equipment and software not specifically cited above to perform the requirements of this contract. At a minimum:

• Testing all diagnostic x-ray equipment

• CT scanner

• Digital mammography

• Nuclear Medicine

• PET/CT

• All phantoms for CT (head and body), Radiography, Ultrasound, and Mammography

Miscellaneous Evaluations (Radiographic, Fluoroscopic, CT, PET/CT, Nuclear Medicine)

The qualified diagnostic medical physicist shall provide shielding design calculations for each new, replacement, or relocated x-ray imaging system. The calculations for each shall comply with the National Council for Radiation Protection and Measurements (NCRP) Report No 147 and, for dental units, NCRP Report No.145 and shall be documented in a written report, which includes a diagram showing adjacent areas. The qualified diagnostic medical physicist shall perform a shielding survey to verify the structural shielding that was installed per the shielding design report and complies with the design goals. A written report of the shielding survey shall be provided to the RSO within five (5) workings days after the shielding survey has been completed.

The qualified medical physicist shall assist in the development of a comprehensive technical quality assurance program (QA) (e.g., technique charts, repeat/reject analysis monitoring, monitoring of exposure indices to radiographic image receptors, QA program for display monitors, QA for CT, monitoring of dose metrics from fluoroscopy studies), which complies with ACR recommendations, for all modalities.

The qualified diagnostic medical physicist shall follow up on any discrepancies found on previous inspections including external i.e., ACR, JACHO, NRC, IOG, VORP or internal audits.

Travel/Transportation

1. The Contractor shall provide all transportation necessary to perform the requirements of this contract, if included in services.

2. The majority of the work will be accomplished at the Martinez and Mather however, due to the nature of the services required; the Contractor shall be required to travel to all of the sites of Northern California Health Care System.

3. All travel-related costs, including lodging or any other miscellaneous costs shall be the sole responsibility of the contractor and shall be included in the finished fixed unit price on the Price Schedule.

4. The Contractor shall not charge the hourly rate for services while in transit to any of the sites.

Regulations

1. The Contractor shall perform services in accordance with VA NHPP and NRC regulations at all locations with the exception of the CCRMC. The CCRMC is licensed by the State of California Department of Health Services Radiological Health Branch. At CCRMC the VA acts as Radiation Safety Consultant for the portion of the facility operated by the VA. Within VA NCHCS facilities, NRC regulations apply. The Contractor shall apply the appropriate procedures depending upon the location where the services are being provided.

2. The average frequency of utilization of the medical physicist will be one to two visits per month during time of major facility activation the frequency might increase to three visits per month by the Medical Physicist.

Evaluation Criteria

Technical Expertise: All offers must submit the following to be considered for award of this contract:

A list of key personnel, displaying the applicable certifications and licenses required to perform these services. The list should identify personnel that will be specifically dedicated to this contract.

Evidence of the necessary technical capabilities and adequate resources to successfully meet all of the VA requirements in the required time.

Past Performance: All offers must submit at least three (3) references from contracts with a similar scope of work. References should include the organization, point of contact, phone number, and e-mail address.

Records Management Language

Records Management Language for Contracts Required

The following standard items relate to records generated in executing the contract and should be included in a typical Electronic Information Systems (EIS) procurement contract:

Citations to pertinent laws, codes and regulations such as 44 U.S.C chapters 21, 29, 31 and 33; Freedom of Information Act (5 U.S.C. 552); Privacy Act (5 U.S.C. 552a); 36 CFR Part 1222 and Part 1228.

Contractor shall treat all deliverables under the contract as the property of the U.S. Government for which the Government Agency shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest.

Contractor shall not create or maintain any records that are not specifically tied to or authorized by the contract using Government IT equipment and/or Government records.

Contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected by the Freedom of Information Act.

Contractor shall not create or maintain any records containing any Government Agency records that are not specifically tied to or authorized by the contract.

The Government Agency owns the rights to all data/records produced as part of this contract.

The Government Agency owns the rights to all electronic information (electronic data, electronic information systems, electronic databases, etc.) and all supporting documentation created as part of this contract. Contractors must deliver sufficient technical documentation with all data deliverables to permit the agency to use the data.

Contractor agrees to comply with Federal and Agency records management policies, including those policies associated with the safeguarding of records covered by the Privacy Act of 1974. These policies include the preservation of all records created or received regardless of format [paper, electronic, etc.] or mode of transmission [e-mail, fax, etc.] or state of completion [draft, final, etc.].

No disposition of documents will be allowed without the prior written consent of the Contracting Officer.

The Agency and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701. Records may not be removed from the legal custody of the Agency or destroyed without regard to the provisions of the agency records schedules.

Contractor is required to obtain the Contracting Officer's approval prior to engaging in any contractual relationship (sub-contractor) in support of this contract requiring the disclosure of information, documentary material and/or records generated under, or relating to, this contract. The Contractor (and any sub-contractor) is required to abide by Government and Agency guidance for protecting sensitive and proprietary information.

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 Terms and Conditions—Commercial Products and Commercial Services.

As prescribed in 12.205(b)(3), inse rt the fo llowing clause :

TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (DEVIATION OCT 2025)

(a ) Definitions. The clause a t Federa l Acquisition Regula tion (FAR) 52.202-1, Defin itions, is incorpora ted by re fe rence .

(b ) Inspection/Acceptance. The Contractor sha ll on ly tende r for acceptance those item s tha t conform to the requ irem ents of th is contract. The Governm ent rese rves the righ t to inspect or te st any supplies or se rvices tha t have been tendered for acceptance . The Governm ent m ay requ ire repa ir or rep lacem ent of nonconform ing supplies or reperform ance of nonconform ing se rvices a t no increase in contract p rice . If repa ir/rep lacem ent or repe rform ance will not correct the de fects or is not possib le , the Governm ent m ay seek an equitab le p rice reduction or adequate conside ra tion for acceptance of nonconform ing supplies or se rvices. The

Governm ent m ust exercise its post acceptance righ ts—

(1) With in a reasonable tim e afte r the de fect was d iscovered or should have been d iscovered ;

and

(2) Before any substan tia l change occurs in the condition of the item , un less the change is due to the de fect in the item .

(c) Assignment. The Contractor or its a ssignee m ay assign its righ ts to rece ive paym ent due as a resu lt of pe rform ance of th is contract to a bank, trust com pany, or o the r financing institu tion , including any Federa l lending agency in accordance with the Assignm ent of Cla im s Act

(31 U.S.C. 3727). However, when a th ird party m akes paym ent (e.g., use of the Governm entwide com m ercia l purchase ca rd), the Contractor m ay not assign its righ ts to rece ive paym ent under th is contract.

(d ) Changes. Changes in the te rm s and cond itions of th is contract m ay be m ade only by written agreem ent of the partie s.

(e ) Disputes. This contract is sub ject to 41 U.S.C. chapte r 71, Contract Disputes. Fa ilu re of the partie s to th is contract to reach agreem ent on any request for equ itab le ad justm ent, cla im , appea l, or action a rising under or re la ting to th is contract sha ll be a d ispu te to be resolved in accordance with the clause FAR 52.233-1, Dispu tes, which is incorpora ted in th is con tract by re fe rence . The Contractor sha ll p roceed d iligen tly with pe rform ance of th is contract, pending fina l re solu tion of any d ispute a rising under the contract.

(f) Excusable delays. The Contractor sha ll be liab le for de fau lt un less nonpe rform ance is caused by an occurrence beyond the reasonable control of the Contractor and without its fau lt or negligence . Exam ples of occurrences include acts of God or the public enem y, acts of the

Governm ent in e ithe r its sovere ign or contractua l capacity, fire s, floods, ep idem ics, quaran tine restrictions, strikes, unusua lly severe weathe r, and de lays of com m on ca rrie rs. When an excusable de lay occurs, the Contractor sha ll—

(1) Notify the Contracting Office r in writing as soon as possib le ;

(2) Rem edy the de lay as qu ickly as possib le ; and

(3) Notify the Contracting Office r when the occurrence is ove r.

(g) Invoice . The Governm ent will handle invoices accord ing to the Prom pt Paym ent Act (31

U.S.C. 3903) and 5 CFR part 1315. The Contractor sha ll subm it invoices to the address designa ted in the contract to rece ive invoices. An invoice m ust include the in form ation required by 5 CFR part 1315.9(b).

(h ) Patent indemnity. The Contractor sha ll indem nify the Governm ent and its office rs, em ployees, and agents aga inst liab ility, includ ing costs, for actua l or a lleged d irect or contribu tory in fringem ent of, or inducem ent to in fringe , any United Sta te s or fore ign pa ten t, tradem ark, or copyrigh t, a rising out of the pe rform ance of th is contract, p rovided the Contractor is reasonably notified of such cla im s and p roceed ings.

(i) Payment—

(1) Items accepted. Paym ent sha ll be m ade for item s accepted by the Governm ent tha t have been de live red to the de live ry destina tions se t forth in th is contract.

(2) Prompt payment. The Governm ent will m ake paym ent in accordance with the Prom pt

Paym ent Act ( 31 U.S.C. 3903) and prom pt paym ent regula tions a t 5 CFR part 1315.

(3) Discount. In connection with any d iscount offe red for early paym ent, tim e sha ll be com puted from the da te of the invoice . For the purpose of com puting the d iscount earned , paym ent sha ll be conside red to have been m ade on the da te tha t appears on the paym ent check or the specified paym ent da te if an e lectron ic funds transfe r paym ent is m ade .

(4) Overpayments. If the Contractor becom es aware of a duplica te contract financing or invoice paym ent or tha t the Governm ent has o the rwise overpa id on a contract financing or invoice paym ent, the Contractor sha ll— http://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title31-section3903&num=0&edition=prelim

(i) Rem it the overpaym ent am ount to the paym ent office cited in the contract a long with a descrip tion of the overpaym ent including the—

(A) Circum stances of the overpaym ent (e.g., duplica te paym ent, e rroneous paym ent, liqu ida tion e rrors, da te (s) of overpaym ent);

(B) Affected contract num ber and de live ry orde r num ber, if applicab le ;

(C) Affected line item or sub line item , if applicab le ;

(D) Contractor poin t of contact; and

(ii) Provide a copy of the rem ittance and supporting docum enta tion to the Contracting Office r.

(5) Interest.

(i) All am ounts tha t becom e payable by the Contractor to the Governm ent unde r th is contract sha ll bear sim ple in te rest from the da te due until pa id un less pa id with in 30 days of becom ing due . The in te rest ra te sha ll be the in te rest ra te e stab lished by the Secre ta ry of the Treasury as provided in 41 U.S.C. 7109, which is applicab le to the pe riod in which the am ount becom es due , as provided in (i)(6)(v) of th is clause , and then a t the ra te app licab le for each six-m onth pe riod as fixed by the Secre ta ry un til the am ount is pa id .

(ii) The Governm ent m ay issue a dem and for paym ent to the Contractor upon find ing a debt is due unde r the contract.

(iii) Final decisions. The Contracting Office r will issue a fina l decision as required by FAR part 33 if–

(A) The Contracting Office r and the Contractor a re unable to reach agreem ent on the existence or am ount of a debt with in 30 days;

(B) The Contractor fa ils to liqu ida te a debt p reviously dem anded by the Contracting Office r with in the tim e line specified in the dem and for paym ent un le ss the am ounts were not repa id because the Contractor has requested an insta llm ent paym ent agreem ent; or

(C) The Contractor requests a de fe rm ent of collection on a debt p reviously dem anded by the

Contracting Office r (see FAR part 32).

(iv) If a dem and for paym ent was p reviously issued for the debt, the dem and for paym ent included in the fina l decision sha ll iden tify the sam e due da te as the origina l dem and for paym ent.

(v) Am ounts sha ll be due a t the ea rlie st of the fo llowing da tes:

(A) The da te fixed unde r th is contract.

(B) The da te of the first written dem and for paym ent, includ ing any dem and for paym ent resu lting from a te rm ina tion for cause .

(vi) The in te rest charge sha ll be com puted for the actua l num ber of ca lendar days involved beginn ing on the due da te and ending on-

(A) The da te on which the designa ted office rece ives paym ent from the Contractor;

(B) The da te of issuance of a Governm ent check to the Contractor from which an am ount o the rwise payable has been withhe ld as a cred it aga inst the contract deb t; or

(C) The da te on which an am ount withhe ld and applied to the contract deb t would o the rwise have becom e payable to the Contractor.

(vii) The in te rest cha rge m ade unde r th is clause m ay be reduced under the procedures for in te rest cred its p rescribed in FAR part 32 in e ffect on the da te of th is con tract.

(j) Risk of loss. Unless the contract specifica lly p rovides o the rwise , risk of loss or dam age to the supplies p rovided unde r th is contract sha ll rem ain with the Contractor un til, and sha ll pass to the Governm ent upon—

(1) De live ry of the supplies to a ca rrie r, if transporta tion is f.o .b . origin ; or

(2) De live ry of the supplies to the Governm ent a t the destina tion specified in the contract, if transporta tion is f.o .b . destina tion .

(k) Taxes. The contract p rice includes a ll applicab le Federa l, Sta te , and loca l taxes and duties.

(l) Termination for the Government’s convenience. The Governm ent rese rves the righ t to te rm ina te th is contract, or any part he reof, for its so le convenience . In the event of such te rm ina tion , the

Contractor sha ll im m edia te ly stop a ll work and sha ll im m edia te ly cause any and a ll of its supplie rs and subcontractors to cease work. Subject to the te rm s of th is contract, the

Contractor sha ll be pa id a pe rcentage of the con tract p rice re flecting the pe rcentage of the work pe rform ed prior to the notice of te rm ina tion , p lus reasonable charges the Contractor can dem onstra te to the sa tisfaction of the Governm ent using its standard record keeping system , have resu lted from the te rm ina tion . The Contractor sha ll not be required to com ply with the cost accoun ting standards or contract cost p rincip les for th is purpose . This paragraph does not give the Governm ent any righ t to audit the Contractor’s records. The Contractor sha ll not be pa id for any work pe rform ed or costs incurred which reasonably could have been avoided .

(m ) Termination for cause. The Governm ent m ay te rm ina te th is contract, o r any part he reof, fo r cause in the event of any de fau lt by the Contractor, or if the Contractor fa ils to com ply with any contract te rm s and conditions, or fa ils to provide the Governm ent, upon request, with adequate assurances of fu ture pe rform ance . The Governm ent will send a cure notice to the

Contractor, un less the reason for the te rm ina tion is la te de live ry. In the event of te rm ina tion for cause , the Governm ent sha ll not be liab le to the Contractor for any am ount for supp lies or se rvices not accepted , and the Contractor sha ll be liab le to the Governm ent for any and a ll righ ts and rem edies provided by law. If it is de te rm ined tha t the Governm ent im prope rly te rm ina ted th is contract for de fau lt, such te rm ina tion sha ll be deem ed a te rm ina tion for convenience .

(n ) Title. Unless specified e lsewhere in th is contract, title to item s furn ished unde r th is contract sha ll pass to the Governm ent upon acceptance , regard less of when or where the Governm ent takes physica l possession .

(o) Warranty. The Contractor warran ts and im plie s tha t the item s de live red under th is contract a re m erchantab le and fit for use for the pa rticu la r purpose described in th is contract.

(p ) Limitation of liability. Except as o the rwise provided by an express warran ty, the Contractor will not be liab le to the Governm ent for consequentia l dam ages resu lting from any de fect or de ficiencies in accepted item s.

(q )…