36C26319Q0479-001.docx

36C26319Q0479

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

DUNS:

DUNS+4:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. 2/2012)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

437-19-3-032-0017 36C26319Q0479 06-12-2019 David A. Raad 605-720-6851 06-21-2019 10:00 am MST 36C568 Department of Veterans Affairs Network 23 Contracting Office (NCO 23) 113 Comanche Rd.

Fort Meade

SD

57741 David A. Raad david.raad@va.gov X X Y 541690 $15 Million X N/A X 36C437 Department of Veterans Affairs

VAMC FARGO

2101 N Elm St Fargo

ND

58102 36C568 Department of Veterans Affairs Network 23 Contracting Office (NCO 23) 113 Comanche Rd.

Fort Meade

SD

57741

Department of Veterans Affairs

FMS-VA-2(101)

Financial Services Center PO Box 149971 Austin

TX

78714-9971 X See CONTINUATION Page This solicitation is to provide service to VAMC Fargo, Fargo, North Dakota See attached Statement of Work, Certified Medical Physicist base year plus 4 option years.

Note block 30 - this document must be signed and returned to the Contracting Officer by the Offer Due Date in order to be considered. Email ALL required and completed documents to: David Raad at david.raad@va.gov Solicitation will close at 10:00 AM MST on June 21, 2019 See CONTINUATION Page 437-3690160-032-822200 Diagnostic Radio 2580 Non-Medical Contract and-010022200 437-19-3-032-0017 X X X Pamela P. Phillips Contracting Officer Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

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

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C263 Pamela P. Phillips Department of Veterans Affairs Network 23 Contracting Office (NCO 23)

113 Comanche Rd.

Fort Meade SD 57741

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

3. INVOICES: Invoices shall be submitted in arrears:

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

Department of Veterans Affairs

FMS-VA-2(101)

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

Page 1 of Page 1 of Diagnostic Medical Physics Support or Services The Contractor shall furnish all labor, material, supplies, equipment, and qualified personnel to provide on-site diagnostic medical physics support or services for the Veterans Health Administration (VHA), under the terms and conditions stated herein and must adhere to VHA Handbook 1105.04, Fluoroscopy Safety, dated June 21,2018, 1105.02, 1105.

The Contractor shall comply with radiation protection standards in 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

1. Performance All work shall be performed by a qualified diagnostic medical physicist. A qualified diagnostic medical physicist is a person who is certified by the American Board of Radiology, American Board of Medical Physics, or the Canadian College of Physicists in Medicine.

The Contractor shall comply with radiation protection standards in 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)

Please See attached Directive 1105 .04

0. A graduate degree in physics, medical physics, biophysics, radiologic physicist, medical health physics, or a closely related science or engineering discipline from an accredited college or university. Vendor will provide documentation of credentials.

0. Formal graduate-level coursework in the biological sciences with at least one course in biology or radiation biology and one course in anatomy, physiology, or a similar topic related to the practice of medical physics.

0. Documented experience in a clinical CT testing and CT continuing education. 10 CT performance evaluations under the direct supervision of a board-certified medical physicist required.

0. Contractor staff performing inspection will be subject to a background investigation and must receive a favorable adjudication from the VA Security Investigations Center (07C). If security clearance is not completed prior to the start of the contract, the Contractor will be responsible for the actions of those individuals they provide to perform services for the VAHCS.

0. The position sensitivity has been designated as low sensitivity. The level of background investigation is a National Fargo Health Care System Check with Written Inquiries. The level of risk associated with the contracted employee position is equivalent to the level required of a VA Employee working in such a position. Note: Level of Risk must be determined by the Information Security Officer (ISO) prior to submitting required investigations.

0. Contractor staff performing inspection will complete and sign VA’s national Rules of Behavior and Privacy Policy training prior to performing inspection.

0. Vendor will provide equipment calibration records for all equipment used to test equipment.

0. Vendor must have the ability to be at facility for emergency testing with physics equipment within several hours.

0. Vendor must have ability to test several rooms at a time if necessary.

2. Mandatory Services to be Performed

a. The qualified diagnostic medical physicist shall perform imaging equipment (x-ray equipment, nuclear medicine cameras/SPECT CT, ultrasound units, and MRIs) inspections to ensure compliance with the current American College of Radiology (ACR). Any deficiencies or non-conformances discovered during the inspection shall be verbally communicated to the service supervisor and RSO prior to the qualified diagnostic medical physicist leaving the facility. Deficiencies or non-conformances which represent unsafe conditions with the potential to adversely impact the facility radiation workers or patients shall be reported to the RSO immediately upon discovery. A written report of the results shall be provided to the service supervisor or RSO within 30 working days after completion of the inspection. All imaging equipment (except ultrasound nuclear medicine cameras which are quarterly) shall be inspected at least annually.

b. The qualified diagnostic medical physicist shall perform acceptance testing of all new or relocated imaging equipment prior to first clinical use. The acceptance testing shall comply with ACR or MQSA requirements. Any deficiencies or non-conformances discovered during the inspection shall be verbally communicated to the service supervisor or RSO prior to the qualified diagnostic medical physicist leaving the facility. Deficiencies or non-conformances which represent unsafe conditions with the potential to adversely impact the facility radiation workers or patients shall be reported to the RSO immediately upon discovery. A written report of the results shall be provided to the service supervisor or RSO within 30 working days after completion of the inspection.

c. The qualified diagnostic medical physicist shall perform a full inspection of imaging equipment after repairs or modifications that may affect the radiation output or image quality. The inspection shall be completed within 48 hours after the facility contacts the contractor. Any deficiencies or non-conformances discovered during the inspection shall be verbally communicated to the service supervisor or RSO prior to the qualified diagnostic medical physicist leaving the facility. Deficiencies or non-conformances which represent unsafe conditions with the potential to adversely impact the facility radiation workers or patients shall be reported to the RSO immediately upon discovery. A written report of the results shall be provided to the service supervisor or RSO within 30 working days after performing of the inspection.

d. The MRI equipment shall be tested by Physicist who has completed formal MRI Safety officer/Director training, (over 10 credits) and be facility MRSE.

e. The qualified diagnostic medical physicist shall review CT protocol optimization at least annually and sign protocols meet the required regulations.

f. The qualified diagnostic medical physicist shall provide shielding design calculations for each new, replaced, 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 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 30 workings days after the shielding survey has been completed.

g. The qualified diagnostic medical physicist shall assist in the development of a comprehensive technical quality assurance (QA) program (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 review at least annually the QA program. A written report of the results shall be provided to the service supervisor or RSO within 30 working days after performing of the inspection.

h. The qualified diagnostic medical physicist shall perform a follow-up inspection to verify compliance of any necessary corrective action performed to correct deficiencies found.

i.Performance Period:

i. Equipment will be inspected on an annual basis and as needed for repairs and replacement.

ii. Nuclear sources will be tested according to requirements

iii. Period of performance will be one-year post award with 1 option periods.

j. Services will be provided at the Fargo VA Health Care System (VAHCS), 2101 N Elm Street, Fargo, ND 58102, during the hours of 8:00AM-5:00PM, Monday through Friday excluding Federal Holidays. Inspection dates and times will be mutually agreed upon and established.

Policy reviews may be provided via electronic means and submitted for review.

k. Fargo VAHCS will provide a qualified person to operate the equipment and be present during the inspection.

l. VA may increase the number of equipment items or tests covered under this contract at no change to the applicable contract unit price in the price schedule. All additional equipment and tests will be added via contract modification issued by the Contracting Officer.

m. VA may, from time to time, make changes to the Scope of Work under this Contract, through a written modification. A modification shall not modify the overall purpose of this Contract.

n. At any time during the term of this Contract, VA may order Additional Services by a modification to be performed by the Contractor. Additional Services are defined as services which were not contained in this Contract; are determined by VA to be necessary; and bear a reasonable relation to the Services originally described in this Contract.

o. If any change under this Article causes an increase or decrease in the cost of, or the time required for the performance of any part of the Services, an equitable adjustment in the compensation and schedule will be made in the modification, which shall be incorporated into this Contract by written modification. The Contractor shall not be entitled to make any changes in the Services or perform any Additional Services unless authorized in advance by written modification. Upon receipt of a modification approved by VA, the Contractor shall continue performance of the Scope of Work as modified by the modification.

p. The Contracting Officer is the only person authorized to approve changes or modify any of the requirements of this contract. The Contractor shall communicate with the Contracting Officer on all matters pertaining to contract administration. Only the Contracting Officer is authorized to make commitments or issue changes that shall affect price, quantity or quality of performance of this contract.

q. In the event the Contractor Affects any such change at the direction of any person other than the Contracting Officer without authority, no adjustment shall be made in the contract price to cover an increase in costs incurred as a result thereof.

r. Fargo VA Health Care System is responsible for maintaining equipment and ensuring that tests are performed within required state and federal regulations.

s. Vendor will provide a report(s) of all physics testing in a format presentable to regulatory agencies and The Joint Commission. Per state regulations, it is the responsibility of Fargo VA Health Care System to keep a copy of the report(s) after completion of service(s) for use as a permanent record.

t. Testing and services not covered in this contract, including unforeseen issues with equipment testing, will be billed separately on a fee-for-service basis or at a rate of $195.00 per hour plus mileage and travel expenses.

3. 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, the Joint Commission, and ACR recommendations, and shall include, but not be limited to, monitoring the following basic performance characteristics.

A. Radiographic and Fluoroscopic Equipment

Physics inspections of radiographic and fluoroscopic equipment shall comply with 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).

(1) Integrity of unit assembly.

(2) Collimation and radiation beam alignment.

(3) Fluoroscopic system resolution.

(4) Automatic exposure control system performance.

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

(6) Image artifacts.

(7) Fluoroscopic phantom image quality.

(8) kVp accuracy and reproducibility.

(9) Linearity of exposure versus mA or mAs.

(10) Exposure reproducibility.

(11) Timer accuracy.

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

(13) Fluoroscopic entrance exposure. Maximum output for all clinically used settings.

(14) Image receptor entrance exposure.

(15) Equipment radiation safety functions.

(16) Patient dose monitoring system calibration.

(17) Video and digital monitor performance.

(18) Digital image receptor performance.

(19) 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 the 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).

Radiographic equipment:

1) X-ray generator analysis with respect to kVp and timer accuracy, mA linearity, exposure reproducibility and assessment of radiation, and kV waveforms (non-invasive testing)

2) Light field to x-ray field and beam alignment

3) Accuracy of manual and automatic collimator operation

4) Source-to-image (SID) accuracy

5) Beam quality (HVL) analysis

6) Evaluation of spatial resolution

7) Radiation output (mR/mAs) verses kVp and distance (typical patient exposures)

8) Photo timer operation analysis

9) Tomographic performance analysis with respect to beam path and exposure uniformity, depth indicator accuracy, cut thickness, and resolution

10) Mechanical performance and electrical cable integrity inspection

11) Proper operation of interlocks and exposure switches

12) DAP, if applicable

Digital Radiography equipment:

1) Uniformity and artifact evaluation

2) Signal response: linearity and slope; calibration and beam quality

3) High-contrast resolution

4) Noise/low-contrast response

5) Aspect ratio and accuracy of distance measurements (workstations, PACS, or printed films)

6) Anti-aliasing

7) Positioning and collimation errors

Computed Radiography equipment:

1) Physical inspection/inventory of cassettes

2) Imaging plate uniformity and dark noise

3) Signal response: linearity and slope; calibration and beam quality

4) Laser beam function

5) High-contrast resolution

6) Noise/low-contrast response

7) Aspect ratio and accuracy of distance measurements

8) Erasure thoroughness

9) Throughput

Fluoroscopic equipment:

1) Verify compliance with state and federal regulations for fluoroscopic exposure rate conditions

2) Proper operation of interlocks, exposure switches, timers, table side shields, and tower aprons

3) Fluoroscopic imaging system resolution and contrast analysis

4) Fluoroscopic kVp accuracy, radiation and kV waveforms assessment (non-invasive testing), and fluoroscopic beam quality

5) Verify air kerma and/or DAP indicator accuracy

6) Spot film x-ray generator analysis with respect to kVp and timer accuracy, mA linearity, exposure reproducibility and assessment of radiation and kV waveforms (non-invasive testing)

7) Mechanical performance and electrical cable integrity inspection

Specifics of the testing:

1. Regulatory Checklists

2. Mechanical Factors

3. Radiographic Generator/Tube Assessment

4. Radiographic Free-In-Air Exposures

5. Collimation Assessment

7. Focal Spot Size Measurement

8. Radiographic Automatic Exposure Control (AEC) System Performance

9. Radiographic Free-In-Air Exposures

10. Collimation Assessment

11. SID Accuracy Indicated SID is within 2% of the actual SID

12. Focal Spot Size Measurement

13. Radiographic Automatic Exposure Control (AEC) System Performance

AEC to CR Reader Calibration

C. CT Scanners

The physics inspection shall conform to the latest ACR Computed Tomography Quality Control Manual, and Joint Commission, OIG standards. 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).

(1) Review of Site’s Clinical protocols and sign off by physicist

(2) Image Plane, laser, Scout Table test for accuracy- beam alignment, beam artifacts

(3) Low contrast Detectability and CNR- low contrast resolution sensitivity system

(4) Table Travel Accuracy

(5) Distance Measurements

(6) Spatial Resolution.

(7) CT Number Accuracy and Image Thickness- measurement beam width and scan increment accuracy

(8) Artifact Evaluation.

(9) CT Number Uniformity- thru the image plane

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

a. Location in phantom

b. kVp

c. mA

d. Scan time; scan diameter

(11) Gray Level Performance of CT Acquisition Display Monitors.

(12) slice position accuracy

(13) Exposure Performance 16cm Phantom

(14) High Contrast resolution of the system

(15) Exposure Performance 32 cm Phantom

(16) Annual scatter radiation measurements

(17) Gantry Tilt Accuracy

(18) Adult Protocol Dosimetry

(19) Pediatric Protocol Dosimetry

(20) QC Review- Quality assurance testing

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 dental x-ray inspections shall be annually or every 2 years. This evaluation should include, but not be limited to, the following tests (as applicable).

(1) Collimation.

(2) Beam quality (half value layer).

(3) Timer Accuracy and Reproducibility.

(4) kVp Accuracy and Reproducibility.

(5) mA or mAs Linearity.

(6) Exposure Reproducibility.

(7) Entrance Skin Exposure Evaluation.

(8) Technique Chart Evaluation.

(9) Image uniformity (artifact evaluation).

E. MRI

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

SERVICES TO MRI SCANNERS

1. Evaluate the MRI scanner, including the following testing:

a. Set-up and table position accuracy

b. Center frequency

c. Transmitter gain or attenuation

d. Geometric accuracy measurements-distance

e. High contrast spatial resolution

f. Low contrast detectability

g. Artifact evaluation

h. Film printer quality control, if applicable

i. Visual checklist

j. Magnetic field homogeneity

k. Slice thickness accuracy

l. Slice position accuracy

m. Radiofrequency coil checks (SNR, Ghosting, and Image uniformity (for volume coils))

n. Soft-Copy (monitor) evaluation

o. RF shielding integrity

p. Scanner suite evaluation

q. Electrical cable integrity

r. Inter-slice RF interference.

s. RF coil performance

(a) Volume coils’ signal-to-noise ratio

(b) Volume coils’ image uniformity

(c) Volume coils’ ghosting ratio

(d) Phased array coils' signal-to-noise ratio

(e) Surface coils’ signal-to-noise ratio

t. Low-contrast resolution (contrast-to-noise ratio) detectability

u. Site phantom inventory

v. Site RF coil inventory

2. Assess the MR Safety Program and Quality program by certified MRI safety Physicist and make recommendations for improvements

G. Nuclear Medicine

The physics inspection shall conform to the ACR annual performance tests for nuclear medicine cameras, SPECT and SPECT/CT. The qualified diagnostic medical physics shall also perform the quarterly testing as outlined by the ACR. The performance of each nuclear medicine scanner shall be at least annually. This evaluation should include, but not be limited to, the following tests (as applicable).

(1) Intrinsic Uniformity: fail criteria: > 5.0%

(2) System Uniformity: fail criteria: > 5.0%

(3) Intrinsic or System Spatial Resolution: fail criteria: > 3.5 mm bars

(4) Relative Sensitivity: fail criteria: COV > 2.5%

(5) Energy Resolution: fail criteria: > 12%

(6) Count Rate Parameters: fail criteria

(7) Formatter/Video Display

(8) Overall System Performance for SPECT

(9) System Interlocks

(10) Dose Calibrators (Geometry, if applicable, Accuracy)

(11) Thyroid Uptake and Counting Systems

(12) Semiannual sealed source testing.

(13) Image Plane, Laser, Scout and Table Test CT

(14) Checklist

(15) CT number and Image Thickness

(16) Low Contrast Detectability and CNR

(17) Uniformity

(18) Distance Measurements

(19) High Contrast

(20) Exposure Performance 16cm Phantom

(21) Exposure Performance 32 cm Phantom

(22) Annual scatter radiation measurements

(23) Gantry Tilt Accuracy

(24) Adult Protocol Dosimetry

(25) Pediatric Protocol Dosimetry

(26) Monitor Evaluation-multiple window spatial registration

(27) Hard copy evaluation

(28) Site’s Clinical Protocols

(29) QC Review

Evaluate the nuclear medicine equipment, including the following testing (as appropriate):

h. Multiple-window spatial registration

H. Ultrasound

The physics inspection shall conform to the ACR performance tests for ultrasound. On an ongoing basis (at least annually), 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 of 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).

(1) System Sensitivity/Penetration This test should be done with the following settings:

· maximum 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.

(2) 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?

(3) 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?

(4) 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.

(5) 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.

I. 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)

(a) Geometric distortions

(b) Reflection

(c) Luminance response

(d) Luminance dependencies

(e) Resolution

(f) Noise

(g) Veiling glare

(h) Chromaticity

Annual testing (Table 8c from AAPM On-line Report No. 03)

(a) Geometric distortions

(b) Reflection

(c) Luminance response

(d) Luminance dependencies

(e) Resolution

(f) Noise

(g) Veiling glare

(h) Chromaticity

RECORDS MANAGEMENT OBLIGATIONS

A. Applicability

This clause applies to all Contractors whose employees create, work with, or otherwise handle Federal records, as defined in Section B, regardless of the medium in which the record exists.

B. Definitions

"Federal record" as defined in 44 U.S.C. § 3301, includes all recorded information, regardless of form or characteristics, made or received by a Federal Fargo Health Care System under Federal law or in connection with the transaction of public business and preserved or appropriate for preservation by that Fargo Health Care System or its legitimate successor as evidence of the organization, functions, policies, decisions, procedures, operations, or other activities of the United States Government or because of the informational value of data in them.

The term Federal record:

1. Includes Fargo VA Health Care System records.

2. Does not include personal materials.

3. Applies to records created, received, or maintained by Contractors pursuant to their Fargo Health Care System contract.

4. May include deliverables and documentation associated with deliverables.

C. Requirements

1. Contractor shall comply with all applicable records management laws and regulations, as well as National Archives and Records Administration (NARA) records policies, including but not limited to the Federal Records Act (44 U.S.C. chs. 21, 29, 31, 33), NARA regulations at 36 CFR Chapter XII Subchapter B, and those policies associated with the safeguarding of records covered by the Privacy Act of 1974 (5 U.S.C. 552a). These policies include the preservation of all records, regardless of form or characteristics, mode of transmission, or state of completion.

2. In accordance with 36 CFR 1222.32, all data created for Government use and delivered to, or falling under the legal control of, the Government are Federal records subject to the provisions of 44 U.S.C. chapters 21, 29, 31, and 33, the Freedom of Information Act (FOIA) (5 U.S.C. 552), as amended, and the Privacy Act of 1974 (5 U.S.C. 552a), as amended and must be managed and scheduled for disposition only as permitted by statute or regulation.

3. In accordance with 36 CFR 1222.32, Contractor shall maintain all records created for Government use or created in the course of performing the contract and/or delivered to, or under the legal control of the Government and must be managed in accordance with Federal law. Electronic records and associated metadata must be accompanied by sufficient technical documentation to permit understanding and use of the records and data.

4. Fargo Health Care System and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Records may not be removed from the legal custody of Fargo Health Care System or destroyed except for in accordance with the provisions of the Fargo Health Care System records schedules and with the written concurrence of the Head of the Contracting Activity. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701. In the event of any unlawful or accidental removal, defacing, alteration, or destruction of records, Contractor must report to Fargo Health Care System. The Fargo Health Care System must report promptly to NARA in accordance with 36 CFR 1230.

5. The Contractor shall immediately notify the appropriate Contracting Officer upon discovery of any inadvertent or unauthorized disclosures of information, data, documentary materials, records or equipment. Disclosure of non-public information is limited to authorized personnel with a need-to-know as described in the [contract vehicle]. The Contractor shall ensure that the appropriate personnel, administrative, technical, and physical safeguards are established to ensure the security and confidentiality of this information, data, documentary material, records and/or equipment is properly protected. The Contractor shall not remove material from Government facilities or systems, or facilities or systems operated or maintained on the Government's behalf, without the express written permission of the Head of the Contracting Activity. When information, data, documentary material, records and/or equipment is no longer required, it shall be returned to Fargo Health Care System control or the Contractor must hold it until otherwise directed. Items returned to the Government shall be hand-carried, mailed, emailed, or securely electronically transmitted to the Contracting Officer or address prescribed in the [contract vehicle]. Destruction of records is EXPRESSLY PROHIBITED unless in accordance with Paragraph (4)..

6. The 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, contracts. The Contractor (and any sub-contractor) is required to abide by Government and Fargo Health Care System guidance for protecting sensitive, proprietary information, classified, and controlled unclassified information.

7. The Contractor shall only use Government IT equipment for purposes specifically tied to or authorized by the contract and in accordance with Fargo Health Care System policy.

8. The Contractor shall not create or maintain any records containing any non-public information that are not specifically tied to or authorized by the contract.

9. The 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 from public disclosure by an exemption to the Freedom of Information Act

10. The Fargo Health Care System owns the rights to all data and records produced as part of this contract. All deliverables under the contract are the property of the U.S. Government for which Fargo Health Care System shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest. Any Contractor rights in the data or deliverables must be identified as required by FAR 52.227-11 through FAR 52.227-20.

11. Training. All Contractor employees assigned to this contract who create, work with or otherwise handle records are required to take VHA-provided records management training. The Contractor is responsible for confirming training has been completed according to Fargo Health Care System policies, including initial training and any annual or refresher training.

[Note: To the extent an Fargo Health Care System requires contractors to complete records management training, the Fargo Health Care System must provide the training to the contractor.]

D. Flowdown of Requirements to Subcontractors

1. The Contractor shall incorporate the substance of this clause, its terms, and requirements including this paragraph, in all subcontracts under this [contract vehicle], and require written subcontractor acknowledgment of same.

2. Violation by a subcontractor of any provision set forth in this clause will be attributed to the Contractor.

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

Radiation Physics testing Imaging Equipment Base contract Contract Period: Base POP Begin: 07-01-2019 POP End: 06-30-2020

LOCAL STOCK NUMBER: 1

Option Year Radiation Physics testing Imaging Equipment Contract Period: Option 1 POP Begin: 07-01-2020 POP End: 06-30-2021

Option Year Radiation Physics testing Imaging Equipment Contract Period: Option 2 POP Begin: 07-01-2021 POP End: 06-30-2022

Option Year Radiation Physics testing Imaging Equipment Contract Period: Option 3 POP Begin: 07-01-2022 POP End: 06-30-2023

Option Year Radiation Physics testing Imaging Equipment Contract Period: Option 4 POP Begin: 07-01-2023 POP End: 06-30-2024

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (OCT 2018)

(a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. If repair/replacement or reperformance will not correct the defects or is not possible, the Government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming supplies or services. The Government must exercise its post-acceptance rights—

(1) Within a reasonable time after the defect was discovered or should have been discovered; and

(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

(b) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims Act (31 U.S.C. 3727). However, when a third party makes payment (e.g., use of the Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.

(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.

(d) Disputes. This contract is subject to 41 U.S.C. chapter 71, Contract Disputes. Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause at FAR 52.233-1, Disputes, which is incorporated herein by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

(e) Definitions. The clause at FAR 52.202-1, Definitions, is incorporated herein by reference.

(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence such as, acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The Contractor shall notify the Contracting Officer in writing as soon as it is reasonably possible after the commencement of any excusable delay, setting forth the full particulars in connection therewith, shall remedy such occurrence with all reasonable dispatch, and shall promptly give written notice to the Contracting Officer of the cessation of such occurrence.

(g) Invoice.

(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include—

(i) Name and address of the Contractor;

(ii) Invoice date and number;

(iii) Contract number, line item number and, if applicable, the order number;

(iv) Description, quantity, unit of measure, unit price and extended price of the items delivered;

(v) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;

(vi) Terms of any discount for prompt payment offered;

(vii) Name and address of official to whom payment is to be sent;

(viii) Name, title, and phone number of person to notify in event of defective invoice; and

(ix) Taxpayer Identification Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this contract.

(x) Electronic funds transfer (EFT) banking information.

(A) The Contractor shall include EFT banking information on the invoice only if required elsewhere in this contract.

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer—System for Award Management, or 52.232-34, Payment by Electronic Funds Transfer—Other Than System for Award Management), or applicable agency procedures.

(C) EFT banking information is not required if the Government waived the requirement to pay by EFT.

(2) Invoices will be handled in accordance with the Prompt Payment Act (31 U.S.C. 3903) and Office of Management and Budget (OMB) prompt payment regulations at 5 CFR part 1315.

(h) Patent indemnity. The Contractor shall indemnify the Government and its officers, employees and agents against liability, including costs, for actual or alleged direct or contributory infringement of, or inducement to infringe, any United States or foreign patent, trademark or copyright, arising out of the performance of this contract, provided the Contractor is reasonably notified of such claims and proceedings.

(i) Payment.—

(1) Items accepted. Payment shall be made for items accepted by the Government that have been delivered to the delivery destinations set forth in this contract.

(2) Prompt payment. The Government will make payment in accordance with the Prompt Payment Act (31 U.S.C. 3903) and prompt payment regulations at 5 CFR part 1315.

(3) Electronic Funds Transfer (EFT). If the Government makes payment by EFT, see 52.212-5(b) for the appropriate EFT clause.

(4) Discount. In connection with any discount offered for early payment, time shall be computed from the date of the invoice. For the purpose of computing the discount earned, payment shall be considered to have been made on the date which appears on the payment check or the specified payment date if an electronic funds transfer payment is made.

(5) Overpayments. If the Contractor becomes aware of a duplicate contract financing or invoice payment or that the Government has otherwise overpaid on a contract financing or invoice payment, the Contractor shall—

(i) Remit the overpayment amount to the payment office cited in the contract along with a description of the overpayment including the—

(A) Circumstances of the overpayment (e.g., duplicate payment, erroneous payment, liquidation errors, date(s) of overpayment);

(B) Affected contract number and delivery order number, if applicable;

(C) Affected line item or subline item, if applicable; and

(D) Contractor point of contact.

(ii) Provide a copy of the remittance and supporting documentation to the Contracting Officer.

(6) Interest.

(i) All amounts that become payable by the Contractor to the Government under this contract shall bear simple interest from the date due until paid unless paid within 30 days of becoming due. The interest rate shall be the interest rate established by the Secretary of the Treasury as provided in 41 U.S.C. 7109, which is applicable to the period in which the amount becomes due, as provided in (i)(6)(v) of this clause, and then at the rate applicable for each six-month period as fixed by the Secretary until the amount is paid.

(ii) The Government may issue a demand for payment to the Contractor upon finding a debt is due under the contract.

(iii) Final decisions. The Contracting Officer will issue a final decision as required by 33.211 if—

(A) The Contracting Officer and the Contractor are unable to reach agreement on the existence or amount of a debt within 30 days;

(B) The Contractor fails to liquidate a debt previously demanded by the Contracting Officer within the timeline specified in the demand for payment unless the amounts were not repaid because the Contractor has requested an installment payment agreement; or

(C) The Contractor requests a deferment of collection on a debt previously demanded by the…