36C26318R0595-001.pdf

PAGE 1 OF 103 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

36C26318R0595 08-03-2018

Andrew Schoenecker 651-293-3038 08-21-2018

5:00PM CST

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

Attention: Andrew J. Schoenecker 316 Robert Street N.

St. Paul MN 55101

X

621111

$11 Million

N/A

X

N/A

X

Department of Veterans Affairs VA Central Iowa Health Care System 3600 30th Street

Des Moines IA 50310

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

316 Robert Street N.

St. Paul MN 55101

Y

Department of Veterans Affairs Financial Services Center PO Box 149971

Austin TX 78714-9971

See CONTINUATION Page

Gastroenterology Services in accordance with 38 U.S.C. 8153, reference Schedule of Services on page 7.

See CONTINUATION Page

X

X ONE

Shea Colby Contracting Officer

36C26318R0595

Table of Contents

SECTION A

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

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION

B.2 SCHEDULE OF SERVICES

B.3 PERFORMANCE WORK STATEMENT

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (JAN

2017)

C.2 52.204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL

(JAN 2011)

C.3 52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION

SYSTEMS (JUN 2016)

C.4 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.5 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.6 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.7 52.219-4 NOTICE OF PRICE EVALUATION PREFERENCE FOR HUBZONE SMALL

BUSINESS CONCERNS (OCT 2014)

C.8 52.219-8 UTILIZATION OF SMALL BUSINESS CONCERNS (NOV 2016)

C.9 52.219-9 SMALL BUSINESS SUBCONTRACTING PLAN (JAN 2017)

C.10 52.219-16 LIQUIDATED DAMAGES—SUBCONTRACTING PLAN (JAN 1999)

C.11 52.224-3 PRIVACY TRAINING (JAN 2017)

C.12 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.13 52.232-18 AVAILABILITY OF FUNDS (APR 1984)

C.14 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.15 52.242-5 PAYMENTS TO SMALL BUSINESS SUBCONTRACTORS (JAN 2017)

C.16 VAAR 852.215-71 EVALUATION FACTOR COMMITMENTS (DEC 2009)

C.17 VAAR 852.219-9 VA SMALL BUSINESS SUBCONTRACTING PLAN MINIMUM

REQUIREMENTS (DEC 2009)

C.18 VAAR 852.219-71 VA MENTOR-PROTÉGÉ PROGRAM (DEC 2009)

C.19 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2012)

C.20 VAAR 852.237-7 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE

(JAN 2008)

C.21 VAAR 852.237-70 CONTRACTOR RESPONSIBILITIES (APR 1984)

C.22 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.23 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JAN 2018)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 PROPOSAL SUBMITTAL INSTRUCTIONS

E.2 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (JUL 2013)

E.3 52.216-1 TYPE OF CONTRACT (APR 1984)

E.4 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.5 VAAR 852.209-70 ORGANIZATIONAL CONFLICTS OF INTEREST (JAN 2008)

E.6 VAAR 852.215-70 SERVICE-DISABLED VETERAN-OWNED AND VETERAN-

OWNED SMALL BUSINESS EVALUATION FACTORS (JUL 2016)(DEVIATION)

E.7 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION

(JAN 2008)

E.8 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (JAN 1998)

E.9 VAAR 852.270-1 REPRESENTATIVES OF CONTRACTING OFFICERS (JAN 2008) .. 86

E.10 VAAR 852.273-74 AWARD WITHOUT EXCHANGES (JAN 2003)

E.11 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

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

ITEMS (NOV 2017)

E.13 VAAR 852.273-73 EVALUATION - HEALTH-CARE RESOURCES (JAN 2003)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION

1. CONTRACT ADMINISTRATION DATA

Contractor:

List below the responsible party that may be contacted during the term of this contract for matters pertaining to the contract:

Contractor Name:

Point of Contact:

Address:

Telephone:

Facsimile:

E-mail:

Federal Taxpayer ID Number

Dun and Bradstreet Number

Government: Contract Specialist – Andrew Schoenecker

Network Contracting Office 23 316 Robert Street N, Suite 506 Saint Paul, MN 55101 Phone (651) 293-3038 Fax (651) 293-3060 Andrew.Schoenecker@va.gov

Contracting Officer’s Representative – Joel Meredith 3600 30th Street Des Moines, IA 50310 Phone (515) 699-5999 x4420 Joel.Meredith@va.gov

2. INVOICES:

Invoices shall be submitted in arrears:

[ ] Other [X] Monthly mailto:Andrew.Schoenecker@va.gov mailto:Joel.Meredith@va.gov

3. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NUMBER DATE

4. AVAILABILITY OF FUNDS: The contract is subject to the availability of VA funds. The contractor shall perform no service after the end of the current exercised contract year until the Contracting Officer authorizes such services in writing.

5. POINT OF CONTACT: The Contractor shall provide a point of contact (POC) who shall be responsible for the performance of the work under this contract. The POC shall have full authority to act for the Contractor on all matters relating to the daily operation of this contract. The POC may be a contract health care provider performing under this contract. An alternate may be designated, but the Contractor shall identify, in writing, those times when the alternate shall act as the POC. The Contractor shall identify the POC and alternate in writing to the Contracting Officer’s Representative (COR) and Contracting Officer (CO). The Contractor shall give written notification to the COR and CO of the time when the alternate will act as the POC. The POC shall be available by telephone Monday through Friday, 8:00 AM through 4:30 PM, excluding Federal holidays.

6. SECURE FAX: VA Handbook 6500 requires the following statement on all fax cover sheets be included: “This fax is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential, or protected by law. All others are hereby notified that the receipt of this fax does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribute on, or copying of this communication is prohibited.

If you have received this fax in error, please notify this office immediately at the telephone number listed above.”

7. LIMITATIONS ON SUBCONTRACTING-- MONITORING AND COMPLIANCE (JUN

2011): This solicitation includes FAR 52.219-4 Notice of Price Evaluation Preference for HubZone Small Business Concerns. Accordingly, any contract resulting from this solicitation will include this clause. The contractor is advised in performing contract administration functions, the CO may use the services of a support contractor(s) retained by VA to assist in assessing the contractor's compliance with the limitations on subcontracting or percentage of work performance requirements specified in the clause. To that end, the support contractor(s) may require access to contractor's offices where the contractor's business records or other proprietary data are retained and to review such business records regarding the contractor's compliance with this requirement. All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non- Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the contractor's business records or other proprietary data reviewed or obtained in the course of assisting the CO in assessing the contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the contractor to protect proprietary information as required by FAR 9.505-4, obtaining access to proprietary information, paragraph (b). The contractor is required to cooperate fully and make available any records as may be required to enable the CO to assess the contractor's compliance with the limitations on subcontracting or percentage of work performance requirement.

8. SUBCONTRACTING COMMITMENTS--MONITORING AND COMPLIANCE (JUN 2011):

This solicitation includes VAAR 852.215-70, Service-Disabled Veteran-Owned and Veteran-Owned Small Business Evaluation Factors, and VAAR 852.215-71, Evaluation Factor Commitments.

Accordingly, any contract resulting from this solicitation will include these clauses. The contractor is advised in performing contract administration functions, the CO may use the services of a support contractor(s) to assist in assessing contractor compliance with the subcontracting commitments incorporated into the contract. To that end, the support contractor(s) may require access to the contractor's business records or other proprietary data to review such business records regarding contract compliance with this requirement. All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the contractor's business records or other proprietary data reviewed or obtained in the course of assisting the CO in assessing the contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs.

Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the contractor to protect proprietary information as required by FAR 9.505-4, obtaining access to proprietary information, paragraph (b). The contractor is required to cooperate fully and make available any records as may be required to enable the CO to assess the contractor compliance with the subcontracting commitments.

B.2 SCHEDULE OF SERVICES

The Contractor shall furnish all personnel to provide services necessary to perform onsite Gastroenterology Physician Services to eligible beneficiaries of the Department of Veterans Affairs Medical Center, VA Central Iowa Health Care Systems (hereinafter referred to as VAMC). The Contractor’s physician (s)’ care shall cover the range of Gastroenterology services as would be provided in a state-of-the-art health care medical treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by the American College of Physicians- Internal Medicine http://www.acponline.org/clinical_information/guidelines/ and American College of Gastroenterology Guidelines: http://gi.org/clinical-guidelines/ .

Place of Performance: Services shall be provided on site, VAMC 3600 30th Street, Des Moines IA 50310

Pricing Instructions: The offeror is instructed to edit the number of sub-CLINs to correspond with the number of key personnel submitted for the contract line item number (CLIN). Offerors shall identify by title/position or level of experience the key personnel submitted. Also, renumber SUB-CLINs if adding or removing Key Personnel.

The offeror is instructed to include all other than price and cost information supporting the proposed price as directed in Instructions to Offerors addendum to 52.212-1 and/or Section D- Contract Documents, Exhibits, or attachments, VA Directive 1663 Appendix B.

The Contractor shall propose __2.5__ key personnel to be credentialed and be available for scheduling to meet the requirements of the contract

One FTE is defined by VA as a minimum of 80 hours every two weeks and does not include holidays.

• CLIN 0001, 1001, 2001, 3001, 4001, Gastroenterology Clinic (Nurse Practitioner), Four Hour: Two eight-hour clinics per week, (Estimated 16 hours/ week, 64-80 hours/ month, 844* total hours/ year (12) months). Nurse Practitioner minimum. *10 Hours of VA Mandatory Training included in total.

• CLIN 0002, 1002, 2002, 3002, 4002, Hepatology Clinic (Gastroenterologist), Four Hour:

Two four-hour clinics per month, (estimated 8 hours/ month, 132* hours/ year (12) months). Board Certified Physician minimum. *30 Hours of VA Mandatory Training (Three Physicians at 10 hours each) included in total.

• CLIN 0003, 1003, 2003, 3002, 4003, Business Hours: Inpatient/Phone Consult/Question

Only: Inpatient/Phone Consult/Question Only consultation (estimated 15-20/ month, 200/ year

(12) months), with an estimated increase of 5 consults per year.

• CLIN 0004, 1004, 2004, 3004, 4004, After Hours: Unscheduled Direct Patient Evaluation

Consult, (after hours): Unscheduled consultation resulting in direct patient evaluation, one hour minimum for each consult, (estimated 2/ month, 24 / year (12) months). An estimated increase of 2 consults per subsequent option period.

• CLIN 0005, 1005, 2005, 3005, 4005, GI EGD Procedure: Esophagogastroduodenoscopy

(EGD) procedures (CPT codes: 43226-43259) performed on-site at VA-CIHCS. Estimated 50-55 procedures per month, 625 procedures per year, with an estimated increase of 10 procedures per year.

http://www.acponline.org/clinical_information/guidelines/ http://gi.org/clinical-guidelines/

• CLIN 0006, 1006, 2006, 3006, 4006, GI Colonoscopy Procedure: Colonoscopy procedures

(CPT codes: 45378-45398) performed on-site at VA-CIHCS. Estimated 30-35 procedures per month, 400 procedures per year, with an estimated increase of 10 procedures per subsequent option period.

• CLIN 0007, 1007, 2007, 3007, 4007, GI Sigmoidoscopy Procedure: Sigmoidoscopy procedures (CPT codes: 45330-45350) performed on-site at VA-CIHCS. Estimated 1-2 procedure every 3 months, 4 procedures per year, with an estimated increase of 1 procedure per subsequent option period.

The Government intends a single award Indefinite Delivery-Indefinite Quantity (IDIQ) contract.

Individual task orders will be issued via email by NCO 23 contracting personnel. In accordance with FAR 16.504, NCO 23 is the only contracting activity authorized to issue task orders against this contract.

The estimated minimum and maximum quantities for the base and all option years are listed below:

Item Number (All Years) Description Unit of

Measure Min

Quantity Max

Quantity

0001 Gastroenterology Clinic (Nurse Practitioner), Four Hour HR 400 6,300

0002 Hepatology Clinic (Gastroenterologist), Four Hour HR 100 950

0003 Business Hours: Inpatient/Phone Consult/Question Only HR 50 1,600

0004 After Hours: Unscheduled Direct Patient Evaluation Consult HR 10 200

0005 GI EGD procedures (CPT: 43226-43259) EA 200 4,900

0006 GI Colonoscopy procedures (CPT: 45378-45398) EA 100 3,200

0007 GI Sigmoidoscopy procedures (CPT: 45330-45350) EA 4 45

PERIOD OF PERFORMANCE

BASE YEAR: OCT 01, 2018 to SEP 30, 2019

CLIN

No.

SUB-

CLIN Description Qty Unit Unit Cost Total

Annual Cost

0001 None Gastroenterology Clinic (Nurse Practitioner), Four Hour 842 Hours DO NOT PRICE DO NOT PRICE

0001a

Gastroenterology Nurse Practitioner

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

0001b

Gastroenterology Nurse Practitioner

0002 None Hepatology Clinic (Gastroenterologist), Four Hour 126 Hours DO NOT PRICE DO NOT PRICE

0002a

Board Certified Gastroenterology Physician

0002b

Board Certified Gastroenterology Physician

0003 None Business Hours: Inpatient/Phone Consult/Question Only 200 Hours DO NOT PRICE DO NOT PRICE

0003a

Board Certified Gastroenterology Physician

0003b

Board Certified Gastroenterology Physician

0004 None After Hours: Unscheduled Direct Patient Evaluation Consult 24 Hours DO NOT PRICE DO NOT PRICE

0004a

Board Certified Gastroenterology Physician

0004b

Board Certified Gastroenterology Physician

0005 None GI EGD procedures (CPT: 43226-43259) 625 Procedures $ $

0006 None GI Colonoscopy procedures (CPT: 45378-45398) 400 Procedures $ $

0007 None GI Sigmoidoscopy procedures (CPT: 45330-45350) 4 Procedures $ $

Total Base Year Pricing $

OPTION YEAR 1: OCT 01, 2019 to SEP 30, 2020

CLIN

No.

SUB-

CLIN Description Qty Unit Unit Cost Total

Annual Cost

1001 None Gastroenterology Clinic (Nurse Practitioner), Four Hour 842 Hours DO NOT PRICE DO NOT PRICE

1001a

Gastroenterology Nurse Practitioner

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

1001b

Gastroenterology Nurse Practitioner

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

1002 None Hepatology Clinic (Gastroenterologist), Four Hour 126 Hours DO NOT PRICE DO NOT PRICE

1002a

Board Certified Gastroenterology Physician

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

1002b

Board Certified Gastroenterology Physician

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

1003 None Business Hours: Inpatient/Phone Consult/Question Only 205 Hours DO NOT PRICE DO NOT PRICE

1003a

Board Certified Gastroenterology Physician

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

1003b

Board Certified Gastroenterology Physician

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

1004 None After Hours: Unscheduled Direct Patient Evaluation Consult 26 Hours DO NOT PRICE DO NOT PRICE

1004a

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

1004b

Board Certified Gastroenterology Physician

NAME: __________________________________

1005 None GI EGD procedures (CPT: 43226-43259) 635 Procedures $ $

1006 None GI Colonoscopy procedures (CPT: 45378-45398) 410 Procedures $ $

1007 None GI Sigmoidoscopy procedures (CPT: 45330-45350) 5 Procedures $ $

Total Option Year 1 Pricing $

OPTION YEAR 2: OCT 01, 2020 to SEP 30, 2021

No.

SUB-

CLIN Description Qty Unit Unit Cost Total

Annual Cost

2001 None Gastroenterology Clinic (Nurse Practitioner), Four Hour 842 Hours DO NOT PRICE DO NOT PRICE

2001a

Gastroenterology Nurse Practitioner

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

2001b

Gastroenterology Nurse Practitioner

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

2002 None Hepatology Clinic (Gastroenterologist), Four Hour

126 Hours DO NOT PRICE DO NOT PRICE

2002a

Board Certified Gastroenterology Physician

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

2002b

Board Certified Gastroenterology Physician

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

2003 None Business Hours: Inpatient/Phone Consult/Question Only

210 Hours DO NOT PRICE DO NOT PRICE

2003a

Board Certified Gastroenterology Physician

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

2003b

Board Certified Gastroenterology Physician

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

2004 None After Hours: Unscheduled Direct Patient Evaluation Consult

28 Hours DO NOT PRICE DO NOT PRICE

2004a

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

2004b

Board Certified Gastroenterology Physician

NAME: __________________________________

2005 None GI EGD procedures (CPT: 43226-43259) 645 Procedures $ $

2006 None GI Colonoscopy procedures (CPT: 45378-45398) 420 Procedures $ $

2007 None GI Sigmoidoscopy procedures (CPT: 45330-45350) 6 Procedures $ $

Total Option Year 2 Pricing $

OPTION YEAR 3: OCT 01, 2021 to SEP 30, 2022

No.

SUB-

CLIN Description Qty Unit Unit Cost Total

Annual Cost

3001 None Gastroenterology Clinic (Nurse Practitioner), Four Hour 842 Hours DO NOT PRICE DO NOT PRICE

3001a

Gastroenterology Nurse Practitioner

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

3001b

Gastroenterology Nurse Practitioner

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

3002 None Hepatology Clinic (Gastroenterologist), Four Hour

126 Hours DO NOT PRICE DO NOT PRICE

3002a

Board Certified Gastroenterology Physician

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

3002b

Board Certified Gastroenterology Physician

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

3003 None Business Hours: Inpatient/Phone Consult/Question Only

215 Hours DO NOT PRICE DO NOT PRICE

3003a

Board Certified Gastroenterology Physician

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

3003b

Board Certified Gastroenterology Physician

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

3004 None

30 Hours DO NOT PRICE DO NOT PRICE

3004a

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

3004b

Board Certified Gastroenterology Physician

NAME: __________________________________

3005 None GI EGD procedures (CPT: 43226-43259) 655 Procedures $ $

3006 None GI Colonoscopy procedures (CPT: 45378-45398) 430 Procedures $ $

3007 None GI Sigmoidoscopy procedures (CPT: 45330-45350) 7 Procedures $ $

Total Option Year 3 Pricing $

OPTION YEAR 4: OCT 01, 2022 to SEP 30, 2023

No.

SUB-

CLIN Description Qty Unit Unit Cost Total

Annual Cost

4001 None Gastroenterology Clinic (Nurse Practitioner), Four Hour 842 Hours DO NOT PRICE DO NOT PRICE

4001a

Gastroenterology Nurse Practitioner

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

4001b

Gastroenterology Nurse Practitioner

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

4002 None Hepatology Clinic (Gastroenterologist), Four Hour

126 Hours DO NOT PRICE DO NOT PRICE

4002a

Board Certified Gastroenterology Physician

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

4002b

Board Certified Gastroenterology Physician

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

4003 None Business Hours: Inpatient/Phone Consult/Question Only

220 Hours DO NOT PRICE DO NOT PRICE

4003a

Board Certified Gastroenterology Physician

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

4003b

Board Certified Gastroenterology Physician

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

4004 None

32 Hours DO NOT PRICE DO NOT PRICE

4004a

NAME: __________________________________

TITLE/LEVEL OF EXPERIENCE: ______________

Hours $ $

4004b

Board Certified Gastroenterology Physician

NAME: __________________________________

Total for base performance period and all option years: $_________________________

4005 None GI EGD procedures (CPT: 43226-43259) 675 Procedures $ $

4006 None GI Colonoscopy procedures (CPT: 45378-45398) 440 Procedures $ $

4007 None GI Sigmoidoscopy procedures (CPT: 45330-45350) 8 Procedures $ $

Total Option Year 4 Pricing $

B.3 PERFORMANCE WORK STATEMENT

1. GENERAL:

1.1. Services Provided: The Contractor shall provide Nurse Practitioner (minimum of 5 years Gastroenterology experience) and Board Certified Gastroenterology Physician Services on site in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the VAMC in Des Moines, Iowa.

1.2. Place of Performance - Contractor shall furnish services at VA Central Iowa Health Care

Systems, 3600 30th Street, Des Moines IA 50310.

1.3. Authority: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority. VAAR Part 873 Simplified Acquisition Procedures for Health-Care Resources will be utilized.

1.4. Policy/Handbooks: the contractor shall be subject to the following policies, including any subsequent updates during the period of performance:

1.4.1. VA Directive 1663: Health Care Resources Contracting - Buying http://www1.va.gov/vapubs/viewPublication.asp?Pub_ID=347

1.4.2. VHA Directive 2006-041 “Veterans’ Health Care Service Standards” (expired but still in effect pending revision) https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443

1.4.3. VHA Directive 2010-018 “Facility Infrastructure”

www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2227

1.4.4. VHA Directive 1192 “Seasonal Influenza Prevention Program” https://www.publichealth.va.gov/docs/flu/VHA_Directive_1192_Sep

1.4.5. VHA Handbook 1100.17: National Practitioner Data Bank Reports -http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135

1.4.6. VHA Handbook 1100.18 Reporting And Responding To State Licensing Boards -http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364

1.4.7. VHA Handbook 1100.19 Credentialing and Privileging -

http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910

1.4.8. VHA Handbook 1907.01 Health Information Management and Health Records:

http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791

1.4.9. Privacy Act of 1974 (5 U.S.C. 552a) as amended

http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

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

http://www1.va.gov/vapubs/viewPublication.asp?Pub_ID=347 http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2227 https://www.publichealth.va.gov/docs/flu/VHA_Directive_1192_Sep http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135 http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364 http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910 http://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=2791 http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.5.1. ABIM: American Board of Internal Medicine –Gastroenterology http://www.abim.org/specialty/gastroenterology.aspx

1.5.2. ACG: American College of Gastroenterology

1.5.3. ACP: American College of Physicians, Internal Medicine

1.5.4. ACGME: Accreditation Council for Graduate Medical Education

1.5.5. ACLS: Advanced Cardiac Life Support

1.5.6. AOD: Admitting Officer of the Day

1.5.7. BLS: Basic Life Support

1.5.8. CCNE: Commission on Collegiate Nursing Education: www.aacn.nche.edu/accreditation

1.5.9. CDC: Centers for Disease Control and Prevention

1.5.10. CR: Contract Discrepancy Report

1.5.11. CEU: Certified Education Unit

1.5.12. CME: Continuing Medical Education

1.5.13. CMS: Centers for Medicare and Medicaid Services

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

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

1.5.16. COS: Chief of Staff

1.5.17. CPARS: Contractor Performance Assessment Reporting System

1.5.18. CPRS: Computerized Patient Recordkeeping System- electronic health record system used by the VA.

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

1.5.20. DEA: Drug Enforcement Agency

1.5.21. ED: Emergency Department

1.5.22. FSMB: Federation of State Medical Boards

http://www.abim.org/specialty/gastroenterology.aspx http://www.aacn.nche.edu/accreditation

1.5.23. FPPE: Focused Professional Practice Evaluation

1.5.24. HHS: Department of Health and Human Services

1.5.25. HIPAA: Health Insurance Portability and Accountability Act

1.5.26. HR: Human Resources

1.5.27. ISO: Information Security Officer

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

1.5.29. MOD: Medical Officer of the Day

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

1.5.31. NLNAC: National League for Nursing Accrediting Commission. www.nlnac.org

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

1.5.33. NP: Nurse Practitioner

1.5.34. NPPES: National Plan and Provider Enumeration System

1.5.35. PA: Physician Assistant

1.5.36. PALS: Pediatric Advanced Life Support

1.5.37. POP: Period of Performance

1.5.38. PPD: Purified Protein Derivative

1.5.39. PWS: Performance Work Statement

1.5.40. Privileging (Clinical Privileging): Privileging is the process by which a practitioner, licensed for 8independent practice; e.g., without supervision, direction, required sponsor, preceptor, mandatory collaboration, etc.; is permitted by law and the facility to practice independently, to provide specific medical or other patient care services within the scope of the individual’s license, based upon the individual’s clinical competence as determined by peer references, professional experience, health status, education, training and licensure. Clinical privileges must be facility-specific and provider-specific.

http://www.nlnac.org/

1.5.41. QA/QI: Quality Assurance/Quality Improvement

1.5.42. QM/PI: Quality Management/Performance Improvement

1.5.43. QASP: Quality Assurance Surveillance Plan

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

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

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

1.5.47. Vet-Pro: a federal web-based credentialing program for healthcare providers.

1.5.48. Veterans Affairs Medical Center (VAMC): Unless identified with the name of a different

VA medical Center, for purposes of this contract, this term shall mean the VA Central Iowa Health Care System Medical Center.

2. QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. License – The Contractor’s physician (s) assigned by the Contractor to perform the services covered by this contract shall have a current license to practice medicine in any State, Territory, or Commonwealth of the United States or the District of Columbia when services are performed onsite on VA property.

All licenses held by the personnel working on this contract shall be full and unrestricted licenses. Contractor’s physician (s) who have current, full and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application will not be considered for the purposes of this contract.

2.1.2. Board Certification/Experience - Contractor’s physician (s) shall be Board Certified by the American Board of Internal Medicine (ABIM) in Internal Medicine and Gastroenterology, and be currently certified in Basic Life Support (BLS) Advanced Cardiac Life Support (ACLS) or equivalency. Contract physicians and nurse practitioners will have not less than 5 years experience in GI at the physician/NP level. All continuing education courses required for maintaining certification must be kept up to date (at all times). Documentation verifying current certification shall be provided by the Contractor to the VA COR on an annual basis for each year of contract performance.

2.1.3. Credentialing and Privileging –Credentialing and privileging is to be done in accordance with the provisions of VHA Handbook 1100.19 referenced above. The Contractor is responsible to ensure that proposed physician(s) possesses the requisite credentials enabling the granting of privileges. No services shall be provided by the Contractor’s physician (s) prior to obtaining approval by the VA Central Iowa Health Care System Professional Standards Board, Medical Executive Board and Medical Center Director.

2.1.3.1. If the Contractor’s physician (s) is not credentialed and privileged or has credentials/privileges suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government.

2.1.4. Technical Proficiency – The Contractor’s physician (s) shall be technically proficient in the skills necessary to fulfill the government’s requirements, including the ability to speak, understand, read and write English fluently. Contractor shall provide documents upon request of the CO/COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed. Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all Contractor’s physician (s) and the Contractor’s physician (s) shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

2.1.5. Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements:

Contractor shall provide the COR copies of current CMEs as required or requested by the VAMC. Contractor’s physician (s) registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current. Contractor shall report CME hours to the credentials office for tracking. These documents are required for both privileging and re-privileging. Failure to provide shall result in loss of privileges for Contractor’s physician (s).

2.1.6. Training (ACLS, BLS, CPRS and VA MANDATORY): Contractor’s physician (s) shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the Contractor’s physician (s) as required by the VA.

Training Frequency (once a year, etc.)

Annual Hours

BLS, ACLS Every two years 6 hours Moderate Sedation Annually 2 hours Privacy and HIPAA Reporting Curriculum

Annually 1 hours

VA Privacy Annually 1 hours FISMA Reporting Curriculum

Annually 0.5 hour

VA All Employee Mandatory Training

Annually 0.5 hour

VA Staff Mandatory Training

Annually 0.5 hour

VA Privacy and Information Awareness Prevention of Work Place Harassment/No Fear

Annually 1 hour

CPRS Once upon starting 4 hours

2.1.7. Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for physicians within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year.

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

2.1.7.2. MEASLES, MUMPS, & RUBELLA TESTING: Contractors shall provide proof of immunity for all Contractor physicians {This is applicable to all health care workers}.

2.1.7.3. VARICELLA: Contractors shall provide proof of immunity for all Contractor physicians {This is applicable to all health care workers}.

2.1.7.4. ACELLULAR PERTUSSIS: Contractors shall provide proof of 1 dose of Tdap vaccination for all Contractor physicians {This is applicable to all health care workers}.

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

2.1.7.6. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO

BLOODBORNE PATHOGENS: Contractor shall provide evidence of completing and passing generic self-study blood-borne pathogen training for all Contractor’s physician (s) {This is applicable to all health care workers}; provide their own Hepatitis B vaccination series and hepatitis B surface antigen test results following the hepatitis B vaccination series; maintain an exposure determination and control plan;

maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident.

2.1.7.7. The VAMC shall notify the Contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel (as published in American Journal for Infection Control- AJIC 1998; 26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control. Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.1.8. National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers). The Contractor shall have or obtain appropriate NPI and if pertinent the Taxonomy Code confirmation notice issued by the Centers for Medicare and Medicaid Services (CMS) National Plan and Provider Enumeration System (NPPES) be provided to the Contracting Officer with the proposal.

http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf

2.1.9. DEA - Contractor shall provide copy of current DEA certificate, and annually thereafter.

2.1.10. Conflict of Interest: The Contractor and all Contractor’s physician (s) are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract performance. At the time of proposal, the Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The Contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services. The Contractor must also provide relevant facts that show how it’s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest.

These statements shall be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest (Jan 2008) and fully outlined in response to the subject attachment in Section D of the solicitation document.

2.1.11. Citizenship related Requirements:

2.1.11.1. The Contractor certifies that the Contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended;

its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or subcontract for the Contractor while providing services to Department of Veterans Affairs patient referrals;

2.1.11.2. While performing services for the Department of Veterans Affairs, the Contractor shall not knowingly employ, contract or subcontract with an illegal alien; foreign national non-immigrant who is in violation their status, as a result of their failure to maintain or comply with the terms and conditions of their admission into the United States. Additionally, the Contractor is required to comply with all “E-Verify” requirements consistent with “Executive Order 12989” and any related pertinent Amendments, as well as applicable Federal Acquisition Regulations.

2.1.11.3. If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor, shall be prohibited from working at the Contractor’s place of business that services Department of Veterans Affairs patient referrals; or other place where the Contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach.

2.1.11.4. This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001.

2.1.11.5. The Contractor agrees to obtain a similar certification from its subcontractors. The certification shall be made as part of the offerors response to the RFP using the subject attachment in Section D of the solicitation document.

2.1.12. Annual Office of Inspector General (OIG) Statement: In accordance with HIPAA and the Balanced Budget Act (BBA) of 1977, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) has established a list of parties and entities excluded from Federal health care programs. Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs.

2.1.12.1. Therefore, Contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed Contractor’s physician (s) are not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP’s may also be imposed against the Contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries.

2.1.12.2. By submitting their proposal, the Contractor certifies that the HHS OIG List of Excluded Individuals/Entities has been reviewed and that the Contractors are and/or firm is not listed as of the date the offer/bid was signed.

2.2. Clinical/Professional Performance: The qualifications of Contractor personnel are subject to review by VA Medical Center COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA Handbook 1100.19. Clinical/Professional performance monitoring and review of all clinical personnel covered by this contract for quality purposes will be provided by the VAMC COS and/or the Chief of the Service or his designee. A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request and/or make changes to the contract during the administration of the resultant contract.

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

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

2.5. Prohibition against Self-Referral: Contractor’s physicians are prohibited from referring VA patients to contractor’s or their own practice(s).

2.6. Inherent Government Functions: Contractor and Contractor’s physician (s) shall not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non-selection of individuals for http://oig.hhs.gov/exclusions/index.asp

Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance, and strategy.

2.7. No Employee status: The Contractor shall be responsible for protecting Contractor’s physician

(s) furnishing services. To carry out this responsibility, the Contractor shall provide or certify that the following is provided for all their staff providing services under the resultant contract:

2.7.1. Workers’ compensation

2.7.2. Professional liability insurance

2.7.3. Health examinations

2.7.4. Income tax withholding, and

2.7.5. Social security payments.

2.8. Tort Liability: The Federal Tort Claims Act does not cover Contractor or Contractor’s physician (s). When a Contractor or Contractor’s physician has been identified as a provider in a tort claim, the Contractor shall be responsible for notifying their legal counsel and/or insurance carrier.

Any settlement or judgment arising from a Contractor’s (Contractor’s physician (s)) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

2.9. Key Personnel:

2.9.1. The VA Full Time Equivalency (FTE) for the services required is 2.5 FTE. FTE is defined by VA as a minimum of 80 hours every two weeks and does not include holidays.

2.9.2. The number of key personnel required to be credentialed and available on site on a daily basis is _2.5_as defined in paragraph Hours of Operation in this section.

2.9.3. The Contractor shall be responsible for providing coverage to the VA during periods of vacancies of the Contractor’s personnel due to sick leave, personal leave, vacations and additional coverage as required. In the event a scheduled physician is unable to complete an assigned shift, the contractor shall provide replacement physician coverage within 2 hours and notify the Contracting Office Representative (COR) at the VA Central Iowa Health Care Systems immediately of the schedule change.

2.9.4. Personnel Substitutions: During the first ninety (90) calendar days of performance, the Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death or termination of employment. The Contractor shall notify the CO, in writing, within 15 calendar day (s) after the occurrence of any of these events and provide the information required below.