AMEND 0002 75H70925R00008 Rev. SOW.pdf

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:

(a) By completing items 8 and 15, and returning 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 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.

E. IMPORTANT: Contractor is not is required to sign this document and return copies to the issuing office.

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)

7. ADMINISTERED BY (If other than Item 6) CODE

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended. is not extended.

12. ACCOUNTING AND APPROPRIATION DATA (If required) copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

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

IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER

NUMBER IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

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

D. OTHER (Specify type of modification and authority)

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.

15C. DATE SIGNED

15A. NAME AND TITLE OF SIGNER (Type or print)

16C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

PAGE OF PAGES

6. ISSUED BY CODE

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X)

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

Previous edition unusable

75H70925R00008 Radiology Mobile CT Scanner

Description of this Amendment begins on page 2.

Billings Area Indian Health Service 2900 4th Avenue North P.O. Box 36600 Billings MT 59101

75H70925R00008

1 6

06/26/2025

04/21/2025

75H70925R00008

AMENDMENT 0002

The purpose of this amendment is to:

1.) Remove: Section D – Contract Documents, Exhibits or Attachments, D-1 Statement of Work for the Radiology Mobile CT Scanner requirement for the Request for Proposal dtd April 26, 2025.

2.) Add: Section D – Contract Documents, Exhibits or Attachments, D-1 Statement of Work for the Radiology Mobile CT Scanner requirement for the Request for Proposal dtd (Rev. 1) June 26, 2025.

3.) Remove: Section D – Contract Documents, Exhibits or Attachments, D-2 Performance Work Statement.

4.) Remove: Section D – Contract Documents, Exhibits or Attachments, D-3 Quality Assurance Surveillance Plan.

5.) Remove: Section D – Contract Documents, Exhibits or Attachments, D-5 Wage Determination (SCA).

U.S. Department of Labor, Service Contract Act, Wage Decision No. 2015-5395, Revision No. 24 dated 12/23/2024.

6.) Remove: All reference to the Performance Work Statement (PWS), Quality Assurance Surveillance Plan (QASP), Medical Liability Insurance and Reporting Requirements from the Request for Proposal.

7.) Clarify: This is not a Non-Personal Services requirement. The Blackfeet Service Unit (BFSU) CT Technologist will staff and operate the unit. IHS requires only the lease of equipment with a minimum of two (2) day of clinical applications training.

All other paragraphs, provisions, and conditions to the solicitation remain unchanged.

The date and time for receipt of proposal is extended; (from) 12 May 2025 at 2:00 P.M., (PST) (to) 03 July 2025 at 2:00 P.M., (PST).

THE OFFEROR MUST ACKNOWLEDGE RECEIPT OF ALL AMENDMENTS ON THE OFFER SCHEDULE.

FAILURE TO ACKNOWLEDGE RECEIPT OF ALL AMENDMENTS MAY RESULT IN THE PROPOSAL BEING

REJECTED AS NON-RESPONSIVE.

Scope of Work (SOW)

1. PROJECT TITLE: Mobile CT Scanner Trailer Lease [1st Revision 6/26/2025]

2. BACKGROUND/PURPOSE: Through surveillance and inspection of the Joint Commission the Blackfeet Service Unit (BFSU) was found out of compliance of our current CT Scanner location not being adjacent to our Emergency Room, particularly for trauma and other time-critical emergencies. This proximity allows for faster diagnostic and treatment intervals, which can be crucial for patient outcomes. In unison with our Billings Area Office (BAO) of engineers, a re-construction of an area with close proximity to our Emergency Department, to conduct CT scans, has been approved and will require a Mobile CT scanner in the interim to conduct lifesaving and emergent findings through these scans; while the construction is being completed.

3. SCOPE: The Project consists of providing a fully operational, self-contained, ready to use, Mobile CT (Computed Tomography) unit/trailer with dual power injector for a six

(6) month deployment with an option to extend up to additional six (6) months, in thirty

(30) day increments to the Blackfeet Community Hospital located in Browning, Montana.

The Contractor shall be responsible for the set-up (mobilization), training of hospital staff, and removal (demobilization). The Contractor shall ensure access to the unit is handicap accessible and the unit can be securely locked when not in use. Contractor shall ensure the availability of training, minimum two days, of BFSU Technologist for the safe and proper operation of CT unit. The mobile CT scanner unit must be ACR accredited.

A minimum 64-slice Computer Tomography unit to be placed on-site and in a mobile trailer, with the most updated/current version hardware and software available from the manufacturer. System must include 3D reconstruction package and be capable of performing the highest quality CT scans possible. The system must include vascular scanning for CT angiography. Software and hardware shall be upgraded in concurrence with newest OEM factory releases post release from OEM.

4. APPLICABLE DOCUMENTS: Accreditation from the American College of Radiology (ACR). Certification from Federal Food and Drug Administration (FDA) / Mammography Quality Standards Act (MQSA). Annual Physicist Report. Registry from American Registry of Radiologic Technologists (ARRT) for technologist. Joint Commission on Accreditation of Healthcare Organizations (JCAHO) reporting requirements. Centers for Medicare & Medicaid Services (CMS) guidelines. Health Information Portability and Accountability Act (HIPAA).

5. TASKS: Contactor to include all hardware and service requirements for a Temporary Mobile CT Unit/Trailer for a minimum 64 Slice Computer Tomography Scanner for the Blackfeet Service Unit, (BFSU). The System shall be Food and Drug Administration (FDA) approved and be on the VistA Imaging Approved Digital Imaging and Communications in Medicine (DICOM) Modality Interfaces list dated January 2025 (Attachment A - VistA Imaging DICOM Modality Interfaces Rev 3.0). It must interface with VistA Imaging and VistA Rad which is supported by the Veteran’s Administration.

Descriptions herein describe the minimum system requirements to be provided by the Contractor, which if properly configured and installed, shall utilize the source of ionized radiation to expose and process diagnostic images in the medical treatment of BFSU patients. The contractor shall provide connectivity with VistA Rad and VistA Imaging and the digital radiographic system. The contractor shall demonstrate with the Program Manager, BioMed, COR or those responsible and accountable for day-to-day operations of the Imaging Department, that the system has connectivity and is fully functioning.

System Minimum Requirements:

EQUIPMENT:

A. Computer Tomography Scanner

a. 64 Slice Computer Tomography Scanner

b. Communication: PA system (e.g., Integrated, wireless)

c. Dose Reduction software.

d. Metal Reduction software.

e. NEMA (National Electrical Manufactures Association’s) Medical

Imaging and Technology Alliance (MITA) standards XR 25, XR 26 and XR 29.

f. 450 lb. patient capacity table (minimum).

g. 47 cm table width (minimum).

h. Storage capacity of raw data 2 Terabytes (minimum).

i. X-ray tube heat capacity 7.0 MHU (minimum).

j. Ease of use automated features (Milli Amps MA and Multi Planner

Reconstructions (MPR’s))

k. Spatial resolution.

l. DICOM – VA Vista Rad and Vista Imaging compatible

m. Windows 7, Windows 10 or Unix

n. Hard copy and digital copy, if available, of the original OEM

System manuals, software CD/DVDs, schematic drawings, and any additional OEM documents for both Computer Tomography Scanner and Injector

INJECTOR

o. Contrast dual injector to remotely inject during contrast enhanced CT exams Dose Reduction software.

p. Hard copy and digital copy, if available, of the original OEM System manuals, software CD/DVDs, schematic drawings, and any additional OEM documents for both Computer Tomography Scanner and Injector;

q. Windows 7 or Unix; if applicable

r. DICOM – VA Vista Rad and Vista Imaging compatible; if applicable

5. DELIVERABLES AND DELIVERY SCHEDULE: Delivery, setup, staging and removal for a Mobile Computed Tomography (CT), which is a portable version of a regular CT scanner, to manufacturer's functionality and performance checks to operational standards.

Complete this task no later than 07/30/2025 or upon execution of order.

7. GOVERNMENT-FURNISHED EQUIPMENT AND INFORMATION: Site located at 760 Hospital Circle, Browning, MT 59417 and will be made available to the contractor for staging, drop-off and removal. The government will provide an adequate space/location, telephone line, utilities (power supply), internet connectivity and network connection.

8. CONTRACTOR-FURNISHED PROPERTY, FACILITIES AND SERVICES: Computed Tomography (CT) Unit with related equipment and accessories, stairs-ramp-lift, patient table, furniture and fixtures, workstation and software, power connection and cables, and maintenance and support. Provide minimum of two days of training for BFSU Technologist on safe and correct operating procedures and operator maintenance of CT unit.

9. PLACE OF PERFORMANCE: Radiology Department, Blackfeet Community Hospital, 760 Hospital Circle RD, Browning MT 59417

10. PERIOD OF PERFORMANCE: The period of performance is approximately six (6) months from the date of award with an option to extend up to additional six (6) months, in thirty (30) day increments

11. SECURITY: Contractor personnel will be required to contact the government designated point of contact upon arrival. The contractor shall be responsible for the security of all organizational information. Current rules and regulations applicable to the premises, where the work shall be performed shall apply to the contractor and its employees while working on the premises. These regulations include but are not limited to, escort by BFSU official, presenting valid identification, smoking restriction and all safety procedures.

11.1 In accordance with HHSAR 304.1300(b) non-routine contractor employees shall comply with OPDIV DHHS/Billings Area Region – Human Resources, Security Clearance Guidance – Visitors (3/29/12) policy for contract performance period.

Contractor employees will be required to obtain a visitor’s pass upon arrival for services from Facilities Management.

11.2 The USPHS Blackfeet Indian Health Center is a tobacco/smoke free environment (buildings and grounds). No tobacco/smoking use will be tolerated during service.

11.3 The contractor shall not disclose or cause to disseminate any information concerning operations of the Blackfeet Indian Health Center. Such action(s) could result in violation of the contract and possible legal actions.

11.4 All inquiries, comments, or complaints arising from any matter observed, experienced or learned of as a result of or in connection with the performance of the contract, the resolution of which may require the dissemination of official information, shall be directed to the government’s designated representative.

12. POINTS OF CONTACTS:

Program Manager: Dawn Austin 406-338-6353 Dawn.Austin@ihs.gov

Technical Point of Contact: Oral RunningCrane 406-338-6278 Oral.RunningCrane@ihs.gov

Project Officer: Jerry Smith 406-247-7091 Jerry.Smith@ihs.gov Contracting Officer’s Representative: Richard BullPlume 406-338-6205 richard.bullplume@ihs.gov