5. PROJECT NUMBER (if applicable)

CODE7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO. 1. CONTRACT ID CODE

FACILITY CODECODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER 16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30 PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243

(Type or print) (Type or print)

(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code)

(If other than Item 6)

(Specify type of modification and authority)

(such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer)

1 24

0002 03-19-2026

36C618

DEPARTMENT OF VETERANS AFFAIRS

Minneapolis VA HCS

1 Veterans Dr.

Minneapolis MN 55417

36C263

DEPARTMENT OF VETERANS AFFAIRS

NETWORK CONTRACTING OFFICE 23

316 ROBERT STREET N, SUITE 506

SAINT PAUL MN 55101

To all Offerors/Bidders

36C26326Q0270

03-10-2026

X

X X

** HOUR & DATE for Receipt of Offers is EXTENDED to: 03-24-2026 12:00pm CDT

X 1

The purpose of this amendment is to answer vendor questions and to make changes / clarifications to the SOW.

1.) The SOW has been updated in multiple areas, see below changes highlighted.

2.) See below for questions and answers posed by interested offerors.

3.) The due date for bids have been extended. Bids must now be received by 12:00pm on 03/24/2026.

Cameron Rick Contracting Officer

1. The PWS references construction of an enclosed shelter approximately 10’ × 20’ connecting the MRI coach to the existing MRI walkway. Could the Government clarify whether this structure is expected to be a temporary modular enclosure provided by the contractor, or if the Minneapolis VA Engineering Department will provide an existing connection point or structure for the MRI coach?

A: The temporary walkway will be the responsibility of the contractor to construct in accordance with the International Building Code (IBC) Chapter 31 for Temporary Structures (https://codes.iccsafe.org/content/IBC2021P1/chapter-31-special-construction#IBC2021P1_Ch31_Sec3103) and the State of Minnesota codes (https://www.revisor.mn.gov/index/rule/topic/state_building_code?year=null)

2. The PWS references a detachable MRI gantry table for safe transfer of non-ambulatory patients. Will the Government accept MRI systems that provide equivalent patient transfer capability (such as dockable patient tables or compatibility with standard patient transfer boards or stretchers)?

A: A detachable MRI gantry table (aka a dockable patient table) is a requirement for this solicitation. This is especially important in mobile unit as we are operating in a limited space and emergency code responses happen in Zone 2 of that area.

3. The PWS references specific coil configurations associated with Siemens RF Tim architecture.

For systems proposed under the “or equal” provision, will manufacturer-equivalent coil configurations that support the same clinical imaging applications be acceptable?

A: As long as the channel configuration (i.e. # of channels of coils) remains the same or similar then they will be acceptable.

4. The PWS references a service response call-back within 30 minutes. Could the Government confirm whether a 24/7 technical support center with remote diagnostics and rapid field service response would meet the intent of this requirement?

A: Yes, having a 24/7 technical support center meets this requirement.

5. We will provide a quotation based on MRI software with newest technology available at time of proposal submission,.. vs time of award. Is that acceptable?

A: Yes, this is acceptable.

6. What are the criteria for the connecting corridor?

A: The contractor shall be responsible for constructing in accordance with the International Building Code (IBC) Chapter 31 for Temporary Structures and the State of Minnesota codes.

a. Lighting: Will be installed by VA personnel.

b. HVAC/ventilation: No HVAC/ventilation is required to be installed.

c. Fire protection: Contractor is to construct the structure using fire retardant lumber.

Any other fire protection measures will be assessed by VA personnel.

d. Fire alarms-connected to the main hospital: Not required at this time, any other fire protection measures will be assessed by VA personnel.

e. What snow load, What wind speed: Contractor shall refer to MN building codes to determine snow load and wind speed standards.

f. Insulated walls to what ambient temperature: There is no specific ambient temperature that must be maintained in the structure. Contractor is to insulate the walkway using standard insulation with R60 rating.

g. Floor surface description: Concrete sidewalk with possibility of asphalt roadway in the event the trailer needs to extend onto roadway area.

h. Need the actual drawings for the "existing Mpls VA MRI walkway", especially floor height: Structure dimensions are approximately 10 ft (length) x 20 ft (width) x 15 ft (height), actual drawings unavailable.

i. Windows and or egress emergency exits: Due to the size of this structure no windows or additional egress exits are anticipated to be required. Emergency exits will be through the entrance from the Minneapolis VAMC and the emergency exit on the MRI trailer.

j. Electrical outlets or internal power distribution: No outlets or power distribution required.

7. What is the VA EE number?

A: This is an internal number assigned to VA property which is to be included on the Field Service Report (FSR) upon completion of any service. This code will be assigned the trailer upon delivery to the Minneapolis VAMC.

8. Are you going to exclude an offeror's company if it does not have specific past performance, in order to provide the letters?

A: No, an offeror will not be excluded however, in accordance with FAR Clause 52.212- 2: Evaluation: The past performance evaluation will assess the relative risks associated with a quoter’s likelihood of success in fulfilling the solicitation’s requirements as indicated by the quoter’s record of past performance. Therefore, if an offeror does not provide information as requested it may result in the offeror being assigned additional risk.

9. ADA compliant dressing room specifies "hard walls and locking door", are those two a requirement?

A: It is our understanding that an ADA compliant dressing room does not require hard walls and a locking door. It does require a dressing area that accommodates a wheelchair with a curtain for patient privacy and therefore any trailer provided must meet these minimum requirements. If a trailer is provided that has hard walls and a locking door, that is acceptable, however this hard wall dressing room must accommodate a wheelchair if there is not another dressing area available that is ADA compliant.

10. Does the Architect need to be licensed in the state of Minnesota?

A: The Office of Healthcare Environment (OHE) within the VHA sets forth specific requirements for design and construction in healthcare environments, which include guidelines for the professional qualifications of architects. According to OHE policies, architects must be licensed in the jurisdiction where the project is located. This requirement ensures adherence to local building codes, regulations, and standards of professional practice.

11. Do the summited drawings need to be stamped by a certified Architect?

A: Yes, according to VHA policy and the guidelines set forth by the Office of Healthcare Environment (OHE), all drawings submitted for VHA projects typically need to be stamped and signed by a certified (licensed) architect. This ensures that the designs meet professional standards and comply with state and local regulations.

12. How much time will be needed for review by the VA hospital before approval will be given to proceed with bid process and construction of the walkway?

A: An expedited review by Facilities Engineering will be completed. We estimate that we can have prelim drawings reviewed for approval within 5 business days. The SOW will be adjusted to provide additional time for the walkway to be constructed.

13. How is the COR or designed representative qualified to know if an engineer is “Fully Qualified”?

A: Refer to page 9 of the solicitation for how a technician is determined to be Fully Qualified.

14. Do you require the name, location, and telephone number of the office where service calls are to be placed at time of bid submission?

A: Specific information is not required to be provided at the time of bid submission however, as found on page 65 of the solicitation, the offeror is to provide a preventative maintenance plan, to include emergency support, that will be used during the year.

15. Will the contractor or the VAMC be responsible for providing MRI technologist?

A: The VA will provide MRI Technologist support for the trailer.

16. Preventive maintenance for the HVAC & Chiller which is performed outside may be difficult to perform after hours, specifically in the winter. Can the HVAC & Chiller PM’s be performed during the day for technician safety?

A: Yes. Periodic maintenance can be scheduled in advance, and no MRI patients would be scheduled during the period of time to do the PM.

17. The SOW requests a Siemens product which is manufactured in Germany. Also, this is only a lease and not a purchase. How should we complete this certificate?

A: The solicitation requests a brand name or equal procurement. Leases of equipment are treated as supply purchases and therefore need to comply with the Buy American Act. This act does not preclude offering supplies of a foreign manufacturer but rather provides preference to US made products. An offeror may quote using whatever equipment they deem meets the requirements set within the solicitation. The offerors shall note that any foreign made equipment will be assessed in accordance with FAR 25.5: Evaluating Foreign Offers – Supply Contracts. Offerors are to fill out 52.225-2: Buy

American Certificate in accordance with the instructions found within the clause. It is requested that offerors providing equipment made in the US to also fill out the certificate to indicate the equipment being provided is US made.

18. Are the names and contact information for our FSE’s required with the proposal, or after award?

A: No, information regarding your FSE will only be required from the winning offeror prior to execution of any service or at the request of the COR.

19. When is the list of contractor employees expected to enter the building due? In proposal or after award?

A: List of contractor employees are only needed from the winning offeror after award in order to complete any credentialing requirements.

20. What are the working hours of the COR and assistant CORs and as well as the Bio- Med, so that the FSE can report before and after service?

A: This information will be provided to the winning offeror after contract award and upon request.

21. The contractor will provide a plan for repairs of the MRI trailer . Is that due with the proposal or after the award?

A: As found on page 65 of the solicitation, the offeror is to provide a preventative maintenance plan, to include emergency support, that will be used during the year with their offer.

22. It states in the solicitation that” All work shall be performed by "Fully Qualified" competent FSE's. The COR and/or designated representative specifically reserve the right to reject any of the Contractor's personnel and refuse them permission to work on the VAMC equipment”.

a) Under what circumstances would this be enforced?

A: There are multiple reasons why this may be enforced, the following are some examples, FSE not Fully Qualified, FSE behaving in a manner inconsistent with VA policies, etc.

b) What criteria is the COR using to evaluate the competence of the FSE?

A: See question 13.

c) Would this not hurt our ability to carry out the work that needs to be done in a timely manner?

A: It shouldn’t if the offeror provides Fully Qualified FSEs and instruct them to act in a manner consistent with VA policies.

d) If COR does make that determination, please notify the Contractor, so we can coordinate that action, and minimize impact on scanning.

A: We will notify the contract winner immediately upon any issue with offeror personnel.

23. Would the Minneapolis VA Health Care System consider an RF TIM configuration of [204×24] as an acceptable alternative?

A: No, we require to keep a 204 x 48 or 204 x 64 receiver channel number. This determines the number of partial images acquired affecting the scan via Signal to Noise.

We want to keep quality of images as close to our current output.

24. Will the VA accept an alternative platform (e.g., GE, Philips, Canon) provided it meets all magnet, bore, gradient, coil, and software specifications outlined in the SOW?

A: Yes, the Minneapolis VA will accept any equal manufacturer as long as it meets or exceeds the requirements in the SOW.

25. Can the VA confirm the exact dimensions and clearances available at the trailer parking location, including any overhead utility line restrictions, to ensure proper trailer delivery and placement?

A: Approximate dimensions are 14 ft. x 50 ft. but may be longer. A double wide trailer has been provided in the past and would fit in this area. It is recommended that offerors not provide a triple wide trailer due to possible impediments to the fire lane adjacent to the trailer location.

26. The SOW references electrical connection drawings as attachments ("Electrical Connection" and "Electrical Connection 2"), however these documents do not appear to be included in the posted RFQ package. Can these drawings be provided?

A: These photographs are available on the SAM.gov solicitation posting.

27. Will the VA provide an estimated timeline for completing the CAT 5/6a network drops, VPN configuration, and PACS/EHR connectivity setup on the Government's side prior to go-live, so the contractor can coordinate accordingly?

A: Much of the required connections are already in place from previous trailer usage.

Any additional connections, set-up will be coordinated upon contract award to ensure trailer is operational as soon as possible upon delivery. Coordination meetings will be held with the winning offeror after contract award to ensure trailer becomes fully operational with minimal delays, if any.

28. Can the Government provide the approximate percentage of patients requiring wide-bore accommodation (e.g., bariatric, limited mobility, or positioning constraints), as well as any data on incomplete scans related to patient size or comfort?

A: Current standard bore size is 70 cm- it is what the government currently has and is the size adequate to fit most patients. There is no data on bariatric patients as we attempt patient and if they fit comfortably exam will proceed and if not, most patient do not even start the exam. Limited mobility is a case by case- most veterans are of geriatric age and it can vary. 85-95% of incomplete scans attribute to pain, claustrophobia, or voluntary patient bail out, not from patient comfort of the physical bore itself.

29. Can the Government provide insight into the prevalence of patients with claustrophobia, anxiety, or PTSD, and whether scan duration or time in bore is a contributing factor to incomplete or terminated exams?

A: Government is at 2% or less on terminated exams due to claustrophobia, anxiety or PTSD. Physical spec of magnet does not contribute to incomplete scans/terminated exams. However, we would like to maintain this low number with the standard 70cm bore; as this can be a triggering factor.

30. Can the Government provide current MRI volume, any existing backlog, and desired throughput improvements for the mobile unit?

A: Current MR volume: In 2025, we had 11,921 orders (+ on average 200 monthly orders going straight to Care in Community directly), while only having capacity to complete 7,109. That’s roughly a 60+% difference as a backlog. This MRI is to supplement an MRI that will not be operational for 2-3 months due to construction in the main hospital. Therefore the backlog number is expected to increase while main hospital MRI is under construction. The desired output is to stay afloat current numbers during construction months and help decrease the 60+% gap after construction, if option years are exercised.

31. Can the Government provide the approximate percentage of advanced imaging studies (e.g., neuro, vascular, oncology, or metal artifact reduction cases) and confirm the importance of higher-performance gradient capabilities to support these exams?

A: 80% of imaging completed at this facility is advanced imaging. Neuro, Vascular, Oncology, Body, and MSK. Given that the patient population is geriatrics we scan a large number of patients that require metal reduction as many have joint replacement/ orthopedic hardware. This facility has an extensive HCC liver program that requires continuity of care and quality where our exams are utilized for provider conferences/boards.

32. Can the Government confirm that all MRI technologists and daily scanning operations will be performed by VA personnel, and that the contractor is not required to provide on-site clinical staff?

A: The VA will provide MRI technologists through internal or supplemental personnel support avenues, the contractor is not required to provide on-site clinical staff outside of initial training and maintenance services.

33. Is the contractor required to provide any on-site personnel beyond installation, training, and maintenance support?

A: No, see question 32.

34. Beyond the required initial training period, does the Government expect ongoing applications support (e.g., protocol optimization, clinical workflow support)?

A: No additional application support past the training period expected at this time.

35. Can the enclosure frame be directly connected to the existing concrete, with the contractor responsible for repair upon demobilization?

A: Yes, the enclosure (aka. walkway) can be directly connected to the existing concrete.

As found on page 4 of the amendment to the solicitation the SOW has been adjusted to detail what is required of the contractor to the enclosure upon contract conclusion.

36. There appears to be existing damage to sidewalks and façade areas. Will these be repaired by the Government prior to contract start?

A: There are no plans currently to repair this area. If the damage impairs the ability of the contractor to construct the enclosure or emplace the trailer it will be addressed upon contract award.

37. Can the enclosure be attached to the building façade similar to the previous install?

A: Yes, it is preferred that the enclosure is installed in a similar fashion with the enclosure roof line attaching to the building façade above the vents (approximately 15 feet in height) on the side of the building (VA Engineering will cover these vents upon enclosure completion) and angled down to attach to the MRI trailer. This provides an added benefit of snow not being able to remain on the roof of the enclosure.

38. At the connection point between the enclosure and existing structure, should this be an open connection or include doors?

A: The enclosure shall be attached to the façade of the building with an open connection. At the point between the enclosure and the existing structure and trailer the contractor should install a non-permeable barrier to restrict water and wind from entering the enclosure.

39. Will the contractor be responsible for permitting and inspections related to enclosure construction, or will this be handled by the Government?

A: The contractor shall be responsible for permitting and inspections, if any, in accordance with the IBC and Minnesota Building Code.

40. Can the Government confirm that existing electrical infrastructure meets the full load requirements of a 1.5T mobile MRI system?

A: A 1.5 T double wide mobile MRI system was previously hooked into the electrical infrastructure at this location without issues. If an offeror provides a unit with a larger electrical draw than this the specifications for the electrical draw should be included in the bid documents in order for proper evaluation.

41. Can the Government provide electrical specifications at the site (available capacity, voltage, connection type)?

A: There is an existing shore power disconnect. This is served by our EDP 1L1, CKTs 1, 3, 5 panel. Served from a 250 Amp breaker (see image attached: Electrical Connection 3). The connection type is a cannon plug.

42. Will the MRI trailer require anchoring or strapping, and are there site-specific requirements for this?

A: There are no specific VA requirements, offerors should refer to manufacturer specifications and emplace trailer as required.

43. Will the MRI trailer require skirting on all sides, and if so, are there material or design requirements?

A: There are no specific material or design requirements but the VA would prefer insulated skirting to protect against weather infiltrating the enclosure.

44. Are there any site preparation responsibilities assigned to the contractor, such as grading, snow removal, or ongoing exterior maintenance?

A: Contractor will be responsible for proper blocking of the trailer to maintain a level operating conditions in the trailer and safety requirements. Contractor will not be responsible for snow removal. Contractor will be responsible for any exterior maintenance to ensure proper operation of the equipment and to maintain the aesthetic appearance of the trailer itself.

45. Does the Government require exterior lighting for the MRI trailer during nighttime operations?

A: No, exterior lighting is not required.

46. Does the facility require any branding or badging on the exterior of the MRI trailer?

A: No, branding or badging is not required.

47. Can the Government clarify how MRI system uptime will be measured and what remedies or penalties may apply if uptime thresholds are not met?

A: Uptime will be measured by proper operation of the system in accordance with manufacturer specifications with full access to all applications and system capabilities.

Repairs taking longer than 72 hours may result in negative performance evaluation, equitable price reduction, and possible termination of the contract.

48. In the event of extended system downtime, does the Government require the contractor to provide a replacement unit or alternative scanning solution?

A: In the event of extended system downtime, the contractor shall make all attempts to fix the issue quickly or replace the system at no additional cost to the Government.

Repairs taking longer than 72 hours may result in negative performance evaluation, equitable price reduction, and possible termination of the contract.

49. What are the expectations for ongoing remote support and troubleshooting beyond scheduled maintenance?

A: Refer to the SOW in the solicitation.

50. Are there any restrictions on delivery, installation, or construction hours that may impact scheduling?

A: The winning offeror shall coordinate delivery with the facility’s engineering department and VA Police through the contract COR. Delivery of the trailer shall occur during normal business hours (7:00 AM-4:00 PM, Mon-Fri). Enclosure construction can occur during normal business hours.

51. Can the Government clarify roles and responsibilities for PACS/EHR integration, including whether VA IT will manage interface configuration, cybersecurity approvals, and network validation?

A: Greater clarity will be provided the winning offeror, but the VA will assist with configuration, cybersecurity approvals, and network validation in order to get the trailer operational as soon as possible. Additionally, per the SOW, the contractor’s mobile scanner system must be able to connect to the VA commercial PACS system and Electronic Health Record network and must be able to transmit all images to both systems with HL7 and DICOM imaging standard compatibility. Minneapolis VA Health Care System will be responsible for providing electrical and network connections, network connection software, and hardware connections. The Government will provide the connection required for the transmission of images, data and voice. MVAHCS will provide cabling for three (3) voice and three (3) data connections to mobile MRI trailer with weatherproof RJ-45 connectors.

MRI Mobile System Lease

Statement of Work

Overview Mobile MRI Scanner Lease General: This document highlights the technical specifications and services being requested by the Minneapolis VA Health Care System for consideration towards the lease of a 1.5 Tesla MRI Mobile unit with a high-quality scanner and full range of operational MRI coils.

Performance Period Contractor shall complete the work required under this SOW during base year of 12 months, and all renewed option years of 12 months lengths. Contractor shall work with Mpls. VA HCS Contracting Officer’s Representative (COR) or appointed point of contact (POC) to schedule work.

Contractor will provide a Point of Contact (POC) phone number to contact for all corrective repairs and return all support/ trouble shooting calls within 30 minutes. Contractor shall plan a minimum of 2 scheduled preventative maintenance visits per (12) month term. Scheduled preventative maintenance will be coordinated with Mpls. VA MRI POC and done outside of scanning hours whenever possible to avoid disruption of patient care.

NOTE: Hardware/software update/upgrade installations will be scheduled and performed at a mutually agreed upon time at no additional charge to the Government (unless it would be detrimental to equipment up-time; to be determined by the COR or Mpls. VA MRI POC.

Travel, labor, and replacement parts All Contractor transportation, lodging, and incidental expenses incurred by the Contractor shall be incorporated into the Contractor’s fees and are the sole responsibility of the Contractor.

Contractor is responsible for costs related to travel, labor, and replacement parts for corrective maintenance and repair services. There shall be no additional charge for time spent at the site during or after the normal hours of coverage awaiting the arrival of repair parts.

Training Provided / Training Materials: On-site train-the-trainer clinical applications training (up to 4 days depending on the system provided) for technologists during go-live. Vendor to provide all appropriate training materials and equipment manuals for proper end user training and reference Service Requirements. Contractor responsible for assisting with building imaging exam protocols during training / initial MRI start-up.

Place of Performance Tasks under this SOW shall be performed at the following location:

Minneapolis VA Health Care System 1 Veterans Drive Minneapolis, MN 55417

Changes to Statement of Work Any changes to this SOW shall be authorized and approved only through written correspondence from the CO. A copy of each change will be kept in a project folder along with all other products of the project. Costs incurred by the Contractor through the actions of parties other than the CO shall be borne by the Contractor.

Scope of Work The Contractor shall provide One (1) 1.5 Tesla MRI scanner and software with the newest technology available at time of contract award, offering a full range of clinical applications housed in a mobile trailer. Under this proposal, the Contractor shall provide all software, hardware, accessories, and coils for the MRI scanner to include, but not limited to:

Requirements for the Mobile MRI Unit:

1) 1.5 Tesla MRI scanner (Siemens Aera or equal) and software with the newest technology available at time of contract award offering a full range of clinical applications housed in a mobile trailer.

2) The Contractor will build an enclosed shelter (approximately 10w’ x 20l’x15h’) to connect the MRI coach to the existing Mpls. VA MRI walkway. This structure is to be completed in a week after plans have been approved by the Mpls. VA Engineering department the first week of the contract. Plans for the structure will be submitted within the first two weeks after contract award, prior to construction to show compliance with state building codes and undergo review by the Mpls. VA Engineering department. Plans for the structure are to be prepared and stamped by a certified Architect licensed in the state of Minnesota. The design should be constructed using low-maintenance materials and connect the existing walkway and MRI coach seamlessly. The structure shall be weatherproof, constructed using fire retardant lumber framing with aluminum siding, insulated walls and roofing, and designed to withstand snow loads and wind speeds.

Upon contract completion, the portion of the walkway connected to the trailer will be removed by the contractor. The walkway will remain on site with the possibility of enclosing the space. Any additional costs for this process will be discussed at a future date and executed through a modification to the contract. The walkway will be constructed in accordance with the International Building Code (IBC) Chapter 31 for Temporary Structures and the State of Minnesota codes.

3) The Contractor will perform all site planning and provide delivery and removal of MRI mobile coach.

4) Vendor will provide cryogens, service, and preventive maintenance of the MRI equipment.

5) MRI Magnet Specifications:

Field strength 1.5 Tesla Short Bore Design with a bore size of 70 cm Minimum room size 323 sq. ft. in Zone 4 where the MRI is located.

RF Tim [204x48] or [204x64] Gradient strength XJ Gradients (33 mT/m @ 125 T/m/s) or XQ Gradients (45 mT/m @ 200 T/m/s)

6) The mobile coach must be climate controlled and fitted with a safety lift gate which can accommodate patients in wheelchairs and gurneys.

7) In Zone 3, inside the mobile coach:

a) Two MRI staff workstations with seating

b) An ADA compliant dressing Room

c) Lockable storage area for the patient’s personal property

8) The Contractor shall provide all software, hardware, accessories, and a full set of functioning MRI coils, to include at a minimum:

a) 16 channel or greater RF head coil

b) 8 or 16 channel knee coil

c) 8 or 16 channel Neuro Vas coil

d) 16 channel spine coil

e) 8 or 16 channel shoulder coil (small and large)

f) 8 or 16 channel foot / ankle coil

g) 8 or 16 channel hand / wrist coil

h) 8 channel small body array coil or equivalent

i) 16 channel large/XL body array coil or equivalent

9) Tim 4G Application Suite or equivalent with compatible coil interface for multi-channel arrays that minimize cables and maintain high-resolution imaging.

a) Neuro Suite

b) Angio Suite

c) Body Suite

d) Onco Suite

e) Ortho Suite

Applications Software Included or manufacturer’s equivalent.

1. 1D/2D Pace

2. BLADE

3. iPAT2

4. Phoenix

5. WARP

6. MDDW

7. CISS

8. DESST

9. GSE

10. SWI #Tim

10) Detachable MRI Gantry table – safer access to patients in code situations – crucial for patient care of non-ambulatory patients that must be slid from hospital bed to MRI gantry table.

11) Wireless synchronization for physiology and fMRI signals to minimize artifacts.

12) The Contractor shall provide Medrad Spectris Solaris programmable MR injector system with pressure monitor, or equal, having the following capabilities: scan delay, Multiphase option, protocol storing, and pause hold functionality. *To include a single injector kit. (In order for the same kit to be ordered via inventory)

13) The Contractor shall provide an MRI compatible Pulse Oximeter with easy-to-read digital display.

14) The Contractor must maintain MRI equipment at an “up-time” of 90% or better

15) The Contractor will provide a plan for repairs of the MRI trailer to include:

a) A point of contact for reporting system issues, on-site response time for service call back within 30 minutes of notification.

b) If the event requires a Field Engineer (FE) the vendor will have the FE onsite within 24hrs after the vendor is notified and it is determined an FE is required.

c) Resolution for the event will be no greater than 72 hours from the issue being reported. Repairs taking longer than 72 hours may result in negative performance evaluation, equitable price reduction, and possible termination of the contract.

d) Once the repairs are completed a report needs to be generated to reflect what repairs were completed. This report needs to be presented to the VA POC or COR to keep for our records.

16) The mobile scanner system shall be equipped with an outlet connection capable of transmitting data and voice through a Government provided category (CAT 5 or 6a) cable to communicate with the VA’s system.

17) The Contractor’s mobile scanner system must be able to connect to the VA commercial PACS system and Electronic Health Record network and must be able to transmit all images to both systems with HL7 and DICOM imaging standard compatibility.

18) The Contractor’s MRI mobile scanner system Image Quality should be free of system artifacts, meet industry standards, and be of diagnostic quality comparable to MRI images performed in the Minneapolis VA hospital facility using a similar scanner/software combination.

Minneapolis VA Health Care System will be responsible for providing electrical and network connections, network connection software, and hardware connections :

The Government will provide the connection required for the transmission of images, data and voice.

MVAHCS will provide cabling for three (3) voice and three (3) data connections to mobile MRI trailer with weatherproof RJ-45 connectors

All services performed shall be in accordance with the original equipment manufacturer (OEM) specifications. Product delivery will be the responsibility of the vendor working with the VA MRI Biomed POC.

The vendor will be responsible for delivery and installation of the equipment. Summary of Service & Equipment Specifications: Equipment, Software, Hardware, Labor, Travel, Delivery & Installation of a Windows 10 compatible MRI console workstation will be provided by vendor.

VPN/Remote Access: The vendor shall provide any and all equipment service programs, such as remote diagnostics, during the lease period. The system shall provide vendor remote diagnostics via VPN. The vendor shall either utilize the VA national site-to-site VPN or work with the Office of Cyber and Information Security and the VAMC Information Systems Security Officer to establish a client-based VPN. Service and Operator Manuals The vendor shall provide the following documentation for the proposed systems: Two (2) copies of operator instruction manuals (one (1) electronic and one (1) physical copy) Two (2) copies of a service manuals (one (1) electronic and one (1) physical copy)

Minimum Warranty: The system and accessories shall be covered under the manufacturer’s warranty and shall include all parts and labor for the period of this lease This warranty must include PMs as required by the manufacturer. The manufacturer’s factory-trained field service representatives shall perform installation and maintenance during the lease period.

Conformance Standards: Contractor shall provide service and ensure that the equipment functions in accordance with the equipment manufacturer’s technical performance specifications. Contractor shall conform to all regulations to include but not be limited to federal, state, and local governing any chemicals, equipment or work which may be used or performed in the work under this contract.

Preventative Maintenance: Perform system scheduled maintenance inspections as outlined in the user’s manual developed by the manufacturer for the main devices and any peripheral devices of the system. Parts & Software Exchange: All parts and software required for the installation of the system (excludes instruments and accessories) are covered. Part Protection:

Preferred pricing on repairs or replacement due to accidental damage.

Maintenance and repairs to be performed by Certified Trained Technicians: Technicians shall include fully qualified Facility Service Engineers (FSE) and a fully qualified FSE who will serve as the backup and show proof of competency, as shown by training conducted on said system.

"Fully Qualified" is based upon training and on experience in the field. For training, the FSE(s) has successfully completed a formalized training program, for the equipment identified in this statement of work. For field experience, the FSE(s) has a minimum of two years of experience (except for equipment newly on the market) with respect to scheduled and unscheduled preventive and remedial maintenance. Proof of training shall be provided upon demand and be immediately sent via fax, upon demand to the COR. All FSE s and technicians shall be authorized by the Contractor to perform the maintenance services. All work shall be performed by "Fully Qualified" competent FSE's. The COR and/or designated representative specifically reserve the right to reject any of the Contractor's personnel and refuse them permission to work on the VAMC equipment. It is anticipated that any hospital regulatory inspections (TJC, etc.) will have the vendor providing proof that they meet industry standards of quality, and traceable standards, as used to calibrate this device- system, at the time of the maintenance event.

Service Manuals/Tools/Equipment: All required service manuals, tools, and equipment are to be provided by the vendor.

FSE Check in Requirements: The Contractor’s Field Service Engineer must report to the Biomedical Engineering Department to obtain a badge and sign in with the Biomedical Engineering Service before work begins. Submit any mobile media devices that would be used on the system to a virus scan. Upon completion of work, the Field Service Engineer must report to the Biomedical Engineering Service to sign out and brief Biomedical Staff or Supervisor if Biomedical Staff is unavailable concerning completion of service. At the end of briefing Field Service Engineer will return the badge and sign out in the Biomedical Engineering Department.

Documentation: Contractor shall furnish a detailed field service report upon completion of work to Biomedical Staff in the Biomed Department. Payment will not be processed until a properly completed service report is received. The service report shall contain, at a minimum, the following information:

Identification of equipment to be serviced:

VA EE Number Vendor Inventory ID number Manufacturer Name, Device Name, Model Number, Serial Number / System ID Name of contractor and contract number Name of FSE who performed services Contractor service ESR number/log number Date, time (starting and ending), equipment downtime and hours on-site for service call VA purchase order number(s) covering the call if outside normal working hours Total time spent performing maintenance.

Detailed narrative and itemized description of the services required and performed including: Labor and travel Parts (with part numbers) Materials Location, Corrective Action, Copies of all test reports, Complete list of parts replaced (when applicable)

Date and time the repair/support was completed Total Cost to be billed (if applicable i.e., part(s) not covered, or service rendered after normal hours of coverage).

Signatures: FSE performing services described Authorized VA employee who witnessed service described

NOTE: - Any additional charges claimed must be approved by the COR or designated representative before service is completed!

The service report shall itemize every item in the specification. Each item shall state the "as found" condition or values, the "calibrated to" or "adjusted to" values, the factory design tolerances, and a complete description of all work performed concerning the items. Included will be a list of new parts used and recommended future repairs.

FSE Reporting Requirements: When the service is completed, the FSE shall document services rendered on a legible ESR(s). The FSE shall be required to log out with Biomedical Engineering and submit the ESR(s) to the COR or designated representative. ALL ESRs shall be submitted to the equipment user for an "acceptance signature" and to the COR or designated representative for an "authorization signature". If COR or designated representative is unavailable, a signed, authorized copy of the ESR will be left with the MRI POC.

Contracting Officer Representatives: Prior to contract award, the Contracting Officer shall designate a VA Health Care System employee as the COR. The Contractor shall be provided a copy of the letter of delegation authorizing the COR at the commencement of the term of the contract. No other person shall be authorized to act in such capacity unless appointed in writing by the Contracting Officer.

Information Technology Security Requirements: The contractor, their personnel, and their subcontractors shall be subject to the Federal laws, regulations, standards, and VA Directives and Handbooks regarding information and information system security as delineated in this contract. The contractor shall comply with all Federal laws and regulations the VA has developed when VA sensitive information is accessed, used, stored, generated, transmitted, or exchanged by and between VA and a contractor. The information made available to the contractor by VA for the performance of this contract will be used only for the purposes of performance under this contract. The certification and accreditation requirements do not apply to this requirement and a security accreditation package is not required.

Security Statement: Sensitive VA information is contained within the systems covered by this contract. Biomedical Engineering shall perform virus scans on all removable media prior to use on VA medical equipment. This includes all types of removable media, including media (e.g., USB devices, CDs, dongles, etc.) that has been issued by VA, media not issued by VA, and media brought in by vendors or independent service organizations. Within accordance of VA Directive 6500, Information Security Program, September 2007 the Vendor will not transfer any VA information to a location outside the VA and only to VA locations determined by the VA System Administrator. The information in these systems may be covered by the Privacy Act 1974 which contains criminal penalties of abuse of information. During onsite service, the Vendor shall be chaperoned by VA Personnel. However, the vendor shall not be issued a User ID/Password. Non-volatile memory devices, working or non-working, shall NOT be removed from the Mpls. VA HCS until the ISO has certified that the data has been destroyed. For magnetic devices and media, the data destruction will be by degaussing. Other forms of cleansing will be used for non-magnetic media. The vendor will not have remote access to complete the repair(s) and preventive maintenance. GENERAL Contractors, contractor personnel, subcontractors, and subcontractor personnel shall be subject to the same Federal laws, regulations, standards, and VA Directives and Handbooks as VA and VA personnel regarding information and information system security.

Terms of Agreement

1. Replacement Parts and Additional Charges. Contractor shall supply necessary parts, provided replacement of the parts is required because of normal wear and tear or otherwise deemed necessary by Contractor and Mpls. VA HCS All parts will be new, standard parts, or used, reworked or refurbished parts that comply with applicable performance and reliability specifications.

2. Inspection. An initial inspection will be conducted to ensure the equipment is in working order prior to any work being performed. Any deficiencies discovered, or conditions listed in the specified exclusions will not be covered under the Service Warranty Policy.

3. Access to Equipment. Contractor’s authorized representatives shall coordinate with the VA POC or COR to schedule any routine service or maintenance. The Contractor’s Service Representative may charge for time waiting for equipment availability after a sixty (60) minute wait beyond the scheduled time.

General Requirements

1. The Contractor shall provide the COR with a list of contractor employees expected to enter building. While on VA premises, all contractor personnel shall comply with the rules, regulations, and procedures governing the conduct of personnel and the operation of the facility.

2. An access badge will be given to the contractor’s employee upon entrance into VA buildings. The contractor employee must safeguard the access badge and immediately report any lost, stolen, or destroyed badges to the COR. All contract personnel must properly display their access badges. Access badges must always be worn at or above the waist (facing forward) in the facility. The contractor’s employees must return the access badge(s) to the COR or designee when the work is complete.

3. It is the responsibility of the contractor’s personnel to park in the appropriate designated parking areas. Parking information shall be coordinated with each facility COR.

4. Mpls. VA HCS does not validate or make reimbursement for parking violations of the contractor’s personnel under any circumstance.

GOVERNMENT RESPONSIBILITIES:

The Government shall be responsible for making the equipment available to the Contractor during normal business hours. If there is a need for work to be done after hours, the Government will make arrangements for the Contractor to have access to the equipment.

CONTRACTOR PERSONNEL SECURITY REQUIREMENTS:

The contractor shall be required to comply with all security policies/requirements. All security policies/requirements must be met, and employees cleared prior to the contractor performing work under this contract. Employees that cannot meet the security and clearance requirements shall not be allowed to perform work under this contract.

INTERFERENCE TO NORMAL FUNCTION:

Contractor may be required to interrupt their work at any time so as not to interfere with the normal functioning of the facility, including utility services, fire protection systems, and passage of facility patients, personnel, equipment, and carts.

1. In the event of an emergency, contractor services may be stopped and rescheduled at no additional cost to the government.

2. Contractor personnel shall inform the COR or the designee of the need to gain access to secured areas. If access is required to secure areas, prearranged scheduling will be made with COR or designee.

Contracting Requirements

REMOTE ACCESS:

If required, Contractor must comply with all VA Office of Information and Technology security requirements. Contractor must contact Mpls. VA HCS before accessing the system remotely.

REPORTING:

For repairs or services that will be performed during normal working hours, the Contractor’s repairman must report to the Biomedical Engineering Section by telephone at 612-467-2012, and while on station an identification badge shall always be worn. During the repair process, once the problem is identified, the Contractor shall notify VA Biomedical Engineering before replacement parts are installed. After all work is completed, the Contractor’s repairman must again report to the Biomedical Engineering Section and provide a complete report of services or repairs performed for each item of equipment and must also include a listing of replacement parts, when applicable.

NOTE: Payment of invoices may be delayed if the appropriate reports are not properly completed and submitted to the Biomedical Engineering Section as required above.

HOURS OF WORK:

If it is deemed necessary that work be done outside of normal business hours due to clinic schedule, the contract will be flexible and decide – with Mpls. VA HCS staff – on a time that does not impact patient care.

ADDITIONAL SERVICES:

The Contractor guarantees all equipment covered…