Attachment 1 - Solicitation 36C24721Q0136.pdf

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 81

508-21-2041-0006

36C24721Q0136

Chaz Bowling (615) 440-3018 01-15-2021

11:00 AM EST

Department of Veterans Affairs VISN 7 Network Contracting Activity 501 Greene Street Hatcher Building - Suite 2 Augusta GA 30901

X 100

X

621512

$16.5 Million

N/A

X

See Section 2.1 of the PWS

VISN 7 Network Contracting Activity 501 Greene Street Hatcher Building - Suite 2 Augusta GA 30901

FMS-VA-2 (101)

Financial Services Center P.O. Box 149971 Austin TX 78714-9971

See CONTINUATION Page

The purpose of this requirement is to procure CT Scan Services for the Pike and Cobb CBOC's which fall under the Atlanta VA Medical Center.

See 52.212-1 Instructions to Offerors

SDVOSB Set-Aside

All questions should be emailed to chaz.bowling@va.gov by b 28 2020 b 9 30 i12/28/2020 9:30 AM ET

See CONTINUATION Page

508-3610160-2041-822200-2579 0100L00H1

X X

James E. Boles Jr.

Contracting Officer

Table of Contents

SECTION A

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

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

B.3 PERFORMANCE WORK STATEMENT

SECTION C - CONTRACT CLAUSES

C.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.2 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.3 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.4 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.5 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

C.6 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND

COMPLIANCE (JUL 2018)

C.7 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

C.8 VAAR 852.204-70 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR

PERSONNEL (MAY 2020)

C.9 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

C.10 IT CONTRACT SECURITY

C.11 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (OCT 2020)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 SERVICE CONTRACT ACT WAGE DETERMINATION

D.2 BUSINESS ASSOCIATE AGREEMENT

SECTION E - SOLICITATION PROVISIONS

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

1998)

E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (OCT 2020)

E.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.4 52.216-1 TYPE OF CONTRACT (APR 1984)

E.5 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.6 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

E.7 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

ITEMS (OCT 2020)

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 36C247

VISN 7 Network Contracting Activity

501 Greene Street

Hatcher Building - Suite 2

Augusta GA 30901

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

[X] 52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or [] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Monthly

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

P.O. Box 149971

Austin TX 78714-9971

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

AMENDMENT NO DATE

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0.00

Pike CBOC Computed Tomography Imaging

Contract Period: Base POP Begin: 05-01-2021 POP End: 04-30-2022 PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging Centers PRODUCT/SERVICE CODE: Q522 - Medical - Radiology

0001AA

10.00 MO __________________ __________________

Equipment - See Section 5.

Contract Period: Base POP Begin: 05-01-2021 POP End: 04-30-2022

0001AB

2.00 MO __________________ __________________

Service Providers - See Section 6.16.

Contract Period: Base POP Begin: 05-01-2021 POP End: 04-30-2022

Cobb CBOC Computed Tomography Imaging

Contract Period: Base POP Begin: 05-01-2021 POP End: 04-30-2022

0002AA

5.00 MO __________________ __________________

Contract Period: Base

0002AB

Service Providers - No Anticipated Services Provided During Base Year

Contract Period: Base

Pike CBOC Computed Tomography Imaging

Contract Period: Option 1 POP Begin: 05-01-2022 POP End: 04-30-2023

1001AA

12.00 MO __________________ __________________

Contract Period: Option 1 POP Begin: 05-01-2022 POP End: 04-30-2023

1001AB

Contract Period: Option 1 POP Begin: 05-01-2022 POP End: 04-30-2023

Cobb CBOC Computed Tomography Imaging

Contract Period: Option 1 POP Begin: 05-01-2022 POP End: 04-30-2023

1002AA

Contract Period: Option 1

1002AB

11.00 MO __________________ __________________

Contract Period: Option 1

Pike CBOC Computed Tomography Imaging Services & Equipment

Contract Period: Option 2 POP Begin: 05-01-2023 POP End: 04-30-2024

Cobb CBOC Computed Tomography Imaging Services & Equipment

Contract Period: Option 2 POP Begin: 05-01-2023 POP End: 04-30-2024

Contract Period: Option 3 POP Begin: 05-01-2024 POP End: 04-30-2025

Contract Period: Option 3 POP Begin: 05-01-2024 POP End: 04-30-2025

Contract Period: Option 4 POP Begin: 05-01-2025 POP End: 04-30-2026

Contract Period: Option 4 POP Begin: 05-01-2025 POP End: 04-30-2026

GRAND TOTAL __________________

B.3 PERFORMANCE WORK STATEMENT

Performance Work Statement

Computed Tomography Services Atlanta Veterans Health Care System

1. GENERAL INFORMATION

1.1. Purpose: The Atlanta Veterans Affairs (VA) requires Computed Tomography (CT) imaging services at its off-site Community Based Outpatient Clinics (CBOC’s).

1.2. Background: At the Atlanta VA Healthcare System imaging services have been utilized in past performance/currently existing contracts. Past practice was to procure through High Cost High Tech Programs, however due to staffing shortages, equipment procurement and implementation delays and the lack of active service agreements, a diminished and possible lack of the expected 10-year life cycle is not feasible for return. The inclination to improve upon these types of barriers and challenges establishes a best practice through contract services.

1.3. Scope of Work: CT Scan scanner services are required by the Atlanta VA Health Care System (ATLVAHCS). Contractor shall furnish all personnel, materials, supplies, supervision and equipment necessary to provide CT Scan services as detailed in the schedule of supplies/services and Price/cost, all in accordance with the performance work statement (PWS). CT Scan scanners shall be located at ATL VA HCS CBOC’s on-site.

1.4. Contract Type: Firm-Fixed Price (FFP)

2. PERFORMANCE

2.1. Place of Performance:

PIKE CBOC COBB CBOC

Department of VA Pike CBOC US Highway 19 North Zebulon, GA 30295

Department of VA Cobb CBOC 1263 Cobb Parkway NW Marietta, GA 30066

2.1.1. The Pike CBOC is currently under construction and the official address has not been finalized.

2.2. Period of Performance: This contract is for a one (1) base year and four (4) one (1) year options.

In accordance with Federal Acquisition Regulations (FAR) 52.217-9 – Option to Extend the Term of the Contract. An option does not obligate the VA to exercise an option. The VA has the discretion to unilaterally exercise, or not exercise the option period. The period of performance dates are as follows:

PERIOD DATES

Base Year May 1, 2021 – April 30, 2022 Option One (1) May 1, 2022 – April 30, 2023 Option Two (2) May 1, 2023 – April 30, 2024 Option Three (3) May 1, 2024 – April 30, 2025 Option Four (4) May 1, 2025 – April 30, 2026

2.3. Hours of Performance: The contractor will provide the service during the hours of operation Monday – Friday, 8:00 AM – 7:00 PM Eastern Time (ET) and is subject to change depending on the Governments need. Weekends may be added through contract modification if funds permit.

Unless otherwise specified the Government observes the following holidays:

New Year’s Day January 1 Martin Luther King’s Birthday Third Monday in February President’s Day Third Monday in February Memorial Day Last Monday in May Independence Day July 4 Labor Day First Monday in September Columbus Day Second Monday in October Veterans Day November 11 Thanksgiving Day Fourth Thursday in November Christmas Day December 25

2.3.1. Any other date specifically declared by the President of The United States to be a national holiday will also be observed.

3. TASKS

3.1. Contractor will provide CT Scan services utilizing equipment meeting the minimum specifications listed in section 4.2;

3.2. Contractor shall successfully implement all services at al facilities covered under this contract in accordance with the time frames/dates stated in section 4.1;

3.3. CT Scans:

3.3.1. Contractor will available and provide patient exams five (5) days per week, excluding Federal Holidays listed in section 2.3;

3.3.2. Contractor will perform an estimated minimum fifteen to sixteen (15-16) CT studies per day, types of scans to be included are listed in section 4.1;

3.3.3. Contractor will provide an accurate screening VA form for each patient;

3.3.4. Contractor will provide an “Average” patient scan time of thirty (30) minutes;

3.4. Contractor will perform arrival and departure such that the CT Scan operates the hours of performance listed in section 2.3;

3.5. Contractor shall provide excellent customer service to all veterans who are being treated;

3.6. Contractor shall provide all preventative maintenance services on all furnished equipment. All equipment will be operational during service hours.

4. IMPLEMENTATION

4.1. Implementation will follow the dates below unless otherwise modified:

FACILITY DELIVERY/INSTALLATION

START

INSTALLATION SERVICE

START DATE

Pike CBOC 07/19/2021 4 Weeks 03/01/2022 Cobb CBOC 12/05/2021 4 Weeks 06/01/2022

4.1.1. On-Site By: The CT machines along with any other equipment needed to provide the services must by on site on the date in section 4.1. The CT machines along with any other equipment needed to provide the services SHALL NOT be delivered prior to the date in section 4.1.

Delivery prior to this date will be rejected. Delivery and installation shall be approved by the COR prior to delivery.

4.1.1.1. All equipment will be delivered to the addresses listed in section 2.1.

4.1.2. Installation Duration: The anticipated installation time as stated om section 4.1

4.1.3. Service Start Date: All service providers are to be on-site and start CT services on the date in section 4.1.

5. SPECIFICATIONS CT SCANNER

5.1. The Contractor shall provide a Computed Tomography (CT Scanner) to perform the following examinations:

5.1.1. Cervical spine

5.1.2. Thoracic spine

5.1.3. Lumbar spine

5.1.4. Spine

5.1.5. Extremities

5.1.6. Abdomen

5.1.7. Pelvis

5.1.8. Sinus/face, head, orbits, temporal bones

5.1.9. Chest without contrast, chest with contrast, Chest/Abdomen/Pelvis

5.1.10. Dual Phase Liver, Pancreatic protocol, Endograph protocol, AAA protocol, PE protocol

5.1.11. Complete high-resolution Lung CT exams

5.2. Equipment:

5.2.1. The provider will deliver on each scan day a clean well-maintained state-of-the-art Computed

Tomography (CT Scan) unit - minimum 64 slice Siemens Edge, comparable unit that is currently utilized at the Atlanta VA main facility. The provider will have available, at provider expense, any surface accessories for performance of all imaging studies. The provider will be responsible for maintenance of all connectivity cables from the unit to the fixed connectivity ports. The ATLVAHCS will provide well maintained fixed connectivity ports. The provider will be responsible for collaborating all connecting and disconnecting power, and network connections. The CT acquisition environment will have a means of redundant backup of all patient data.

5.2.2. Communication with CT workstation technology & Radiology service printers. The provider will ensure that all software and licenses necessary to have full Digital Imaging Communications in Medicine (DICOM) communication between the CT workstation technology and ATLVAHCS Radiology service are acquired and installed.

5.2.3. Communication between CT systems & Radiology service Picture Archiving and

Communication System (PACS). Provider will ensure that a convenient and robust means of DICOM transfer of CT studies to the VAMC Radiology Service PACS is operational. The provider will obtain and provide to VAMC any technology necessary to ensure that CT studies can be conveniently read on the existing VAMC PACS display technology. Any peripherals that the VAMC does not have but that are needed to insure convenient and timely display of CT studies in the ATLVAHCS Radiology service will be obtained by the provider, be installed and maintained by the provider, and become the property of the VAMC. Such technology will be retained by the VAMC so that at future dates the archived studies can be reviewed. Each CT study will be transferred to the VAMC PACS immediately following acquisition of the study so that it can, if necessary, be reviewed before the patient leaves the Computed Tomography (CT Scan) and / or the CBOC. Contrast studies are to be determined, if needed.

5.2.4. The equipment shall have the capabilities necessary to perform the following:

5.2.4.1. Dedicated imaging protocols for all applications

5.2.4.2. CT scans to include: sinus/face, head, orbits, temporal bones, soft tissue neck, routine abdomen and pelvis, hi-resolution chest, chest without contrast, chest with contrast, Chest/Abdomen/Pelvis, A/P for Hematuria, Renal Mass protocol, Adrenal Mass protocol, Dual Phase Liver, Pancreatic protocol, Endograph protocol, AAA protocol, PE protocol, Runoff, CTA Head, CTA head and neck, CTA neck, cervical spine, thoracic spine, lumbar spine, upper extremity, and lower extremity.

5.2.4.3. Imaging, in multi-slice or 3D techniques, if needed

5.2.4.4. Perform sagittal and coronal reformats on all exams

5.2.4.5. Achieve lumen visualization in cardiac and vascular imaging as needed

5.2.4.6. Dedicated imaging protocols for Abdomen / Pelvis applications

5.2.4.7. To include: Renal Mass Protocol, Dual Phase Liver, Endograph protocol, AAA, Hematuria, Adrenal Mass, Pancreatic Protocol, PE protocol, and CTA Runoff

5.2.4.8. High quality imaging for assessment of lesions in all anatomical areas

5.2.4.9. Complete high-resolution Lung CT exams

5.2.4.10. Copying of all examine parameters from any previous scan to a near acquisition

5.2.4.11. Selection of image matrix sizes freely up to 1024 X 1024

5.2.4.12. Dynamic studies with all imaging methods allowing entire scans to be repeated multiple times. To include: Dual Phase Liver, Renal Mass Protocols, Hematuria, Endograph protocol, Adrenal Mass Protocol, and Pancreatic Protocol

5.2.4.13. Manual start controlled from the gantry or operator’s console

5.2.4.14. Various motion and artifact reduction techniques

5.2.4.15. Phase contrast imaging

5.2.4.16. The CT shall be capable of performing 0.6 mm thick scan images

6. CONTRACTOR REQUIREMENTS & RESPONSIBILITIES

6.1. Contractor to verify that equipment is used for federal government contract work only; and oversight management, staff and BioMed staff must be no more than 50 miles away from each indicated site.

6.2. Contractor to verify that equipment is used for federal government contract work only;

6.3. Contractor will be solely responsible for all staffing issues related to the CT Scan;

6.4. Contractor will perform arrival, set-up, take-down, and departure of Computed Tomography (CT

Scan) in a manner that results in limited or no disruption to normal operations of the

ATLVAHCS

6.5. The Contractor will be responsible for providing all necessary QA Phantoms for quality assurance testing.

6.6. The Contractor will provide a clean Computed Tomography (CT Scan) area and dispose of trash in a responsible manner.

6.7. Contractor will provide a system that is compatible with Vista Imaging;

6.8. Contractor will transfer images to Vista Imaging immediately on completion of each scan via network connection;

6.9. Contractor will abide by all VA hospital rules and regulations, to include all VA Information and

Security guidelines.

6.10. Contractor will maintain all training, licenses, and certifications to perform this service and provide technologist that meet the qualifications in section 3.1;

6.11. Contractor will be solely responsible for all technologists and other staffing issues related to the operation of the Computed Tomography (CT Scan);

6.12. Contractor will provide each day a clean Computed Tomography (CT Scan) and dispose of trash in a responsible manner;

6.13. Contractor will adhere to all Health Insurance Portability and Accountability Act

(HIPPA) and Occupational Safety and Health Administration (OSHA) requirements and regulations;

6.14. Contractor will communicate effectively with radiologist and other physicians;

6.15. Contractor will provide excellent customer service to all patients and staff and;

6.16. Contractor will provide back-up CT technologists when needed to limit any downtime.

6.17. Key Personnel:

6.17.1. CT Technologist –

6.17.1.1. Must be registered under the American Registry of Radiologic Technologists

(CT) (ARRT);

6.17.1.2. Must be Basic Life Support (BLS) certified;

6.17.1.3. Must be Cardiopulmonary Resuscitation (CPR) certified and;

6.17.1.4. Preferably at least three (3) years’ experience

6.17.1.5. All training and certifications must be up to date and maintained through the life of the contract.

6.17.1.6. All technologists will maintain all immunizations required of practicing medical professionals.

6.17.1.7. All technologists will adhere to all relevant radiation safety practices and relevant magnetic safety practices.

6.17.2. Required Documents & Reporting for Key Personnel –

6.17.2.1. Contractor shall provide proof of BLS certification for each employee within 30 days of contract start date and must recertify by 30 days of expiration.

6.17.2.2. Contractor shall report any instances of employees with communicable illness upon receipt of notification.

6.17.2.3. Contractor shall submit a resume of all service providers before service providers can perform

6.17.2.4. All service providers with access to VA system will follow all facility security standards stated in section 7. along with a background check described in section 7.5.

6.17.2.5. Contractor shall submit a resume of all service technologists /providers before service can perform. All contracted staff will provide three (3) prior performance evaluations for review and must be satisfactory in conduct and performance.

6.17.2.6. All service providers with access to VA system will follow all facility security standards stated in section 7. along with a background check described in section 7.5.

6.17.3. Conduct –

6.17.3.1. Contractor employees shall not loiter in any working or patron area. Upon completion of their assigned shifts, employees shall promptly depart from the facilities. Contractor will follow all local policies for employee conduct and comply with applicable laws on federal property.

6.17.4. Key Personnel Policy -

6.17.4.1. The contractor shall be responsible for protecting the personnel furnishing services under this contract. To carry out this responsibility, the contractor shall provide the following for these personnel

6.17.4.1.1. Worker’s compensation

6.17.4.1.2. Liability insurance

6.17.4.2. The parties agree that such contractor furnished personnel shall not be considered

VA employees for any purpose and shall be considered employees of the contractor.

6.17.4.3. The contractor will provide current copies of these records at the time of the contract award and annually on the anniversary date of the contract award to the VA COR or upon request, for each of the contractor employees working on the contract

6.17.4.4. Candidates are required to be eligible for United States (US) employment and able to provide proof of employment eligibility. It is the responsibility of the contractor to assure their candidates have proof of citizenship or proof of the candidates’ right to work under a U.S. Citizenship and Immigration Services (USCIS) VISA program.

6.18. The Contractor will provide the ATLVAHCS a study-quality standard (a binder and/or CD of data and studies) that reflects the quality of the studies the provider is prepared to insure will be maintained throughout the duration of the contract. Examples of most, if not all, study types to be performed will be included in the study-quality standard.

6.19. The Contractor will have a documented quality assurance program and provide the ATLVAHCS copies of quality assurance documents. The program will comply with all relevant The Joint Commission (TJC) and HIPPA standards. The Contractor will have readily available several phantoms that can be used to determine CT parameters. Phantom studies will be conducted as needed to test and ensure study quality.

6.20. Clinical and/or other medical records, including images in DICOM form, of VA beneficiaries treated by the Contractor will be forwarded to the ATLVAHCS and shall remain the property of the US Government. The ATLVAHCS will own solely the data/images of the examinations and studies performed on the CT scanners / units.

6.21. HIPAA: Contractor must adhere to the provision of Public Law 104-191, Health Insurance Portability and Accountability Act (HIPAA) of 1996 and the National Standards to Protect the Privacy and Security of Protected Health Information (PHI). As required by HIPAA, the Department of Health and Human Services (HHS) has promulgated rules governing the security and use and disclosure of protected health information by covered entities, including the Department of Veterans Affairs (VA). In accordance with 45 CFR 164.502(e), the Privacy Rule includes exceptions to the Business Associate Standard. This requirement meets the exception and does not require a Business Associate agreement in order for Covered Entity to disclose Protected Healthcare Information to a health care provider for treatment. There will not be federal records created, maintained, used or dispositioned with this contract; regardless of format [paper, electronic, etc.] or mode of transmission [e-mail, fax, etc.].

6.22. Employee Personal Identity Verification (PIV) Badges: The contractor shall submit requests for flash badges to the contract COR for their personnel as soon as they know individual will be employed by the contractor. Renewals shall be submitted at a minimum of 30 workdays prior to expiration. The contract COR will notify the contractor site supervisor when the flash badge is ready to be picked up at VHA Human Resource Office.

6.23. Physical Security: The contractor shall safeguard all Government property provided for contractor use. At the end of each work shift, all Government facilities, equipment, and materials shall be secured.

7. SECURITY REQUIREMENTS

7.1. All personnel employed by the contractor in the performance of this contract, or any representative of the contractor entering the Government installation, shall abide by all security regulations of VHA. The contractor shall sign an agreement to comply with the security requirements of this contract.

7.2. Contractor Personnel shall wear uniforms of a clean appearance which displays the full name of the company, along with the appropriate Personal Protective Equipment;

7.3. Contractor Personnel are required to obtain VA-issued identification (PIV) badges within 30 days of beginning work at the DRRTP.

7.4. Contractor Personnel shall wear VA-issued identification (PIV) badges the entire time they are on VA Property.

7.5. All contractor employees are subject to the same level of investigation as VA employees who have access to VA Sensitive Information. The level of background investigation commensurate with the level of access needed to perform the performance work statement is: Routine – Federal Facility. This requirement is applicable to all subcontractor personnel requiring the same access.

7.6. Contractor Personnel are prohibited from smoking on VA Property.

7.7. Contractor Personnel shall refrain from using personal electronic devices during meal service.

7.8. Contractor Personnel shall only park in designated areas.

7.9. Contractor Personnel shall only enter Facility through designated area.

7.10. Contractor Personnel shall be older than eighteen (18) years of age.

7.11. Contractor Personnel shall adhere to VA security and screening guidelines.

7.12. The contractor shall safeguard all Government property provided for contractor use.

7.13. The contractor will abide by all security guidelines when accessing VA systems.

7.14. The contractor will have access to personal health information (PHI), the contractor will have access to the Computerized Patient Record System (electronic health record).

7.15. Contractor employees will not use any form of removable storage media when providing services under the terms of this contract. Removable storage media includes, but is not limited to, universal serial bus (USB) thumb drives, MP3 Players, and external hard drives.

8. GOVERNMENT RESPONSIBILITY

8.1. COR shall ensure that all key personnel have current badges to enter the facilities.

8.2. COR shall ensure that all work areas are available at the time services begin.

8.3. The COR shall ensure that all background checks have been cleared and results shall be provided to the Contracting Officer (CO) for electronic filing.

8.4. COR shall notify the contractor of any changes in services that have been scheduled.

8.5. Government Furnished Property:

8.5.1. Fiber reinforced area

8.5.2. Power outlets located for needed power requirements. An example of power requirements would be 480 volts, 3 phase, 150 amps, 112 kVA.]

8.5.3. Contrast Injector, if needed and Contrast Media if needed.

8.5.4. One (1) telephone line located in the CT Control area

8.5.5. One computer terminal with ATLVAHCS Radiology PACS network access

8.5.6. Telephone instruments as needed

8.5.7. Restroom facilities within a reasonable walking distance

8.5.8. Printer for printing request

8.5.9. Provide all supplies, including basic consumables and linens, required to perform the CT examinations

8.5.10. Dumpsters for waste disposal will be provided and maintained by the Government.

8.6. The ATLVAHCS will be responsible for maintenance of the appropriate equipment for support and location of the CT units. The ATLVAHCS will be responsible for maintenance of connectivity ports appropriate for linking the CT units to power, computer network, and local-access phone/modem/fax as needed. The telephone technology will include one line dedicated for access to the CBOC lines in the ATLVAHCS. The phone line must be a dedicated sole use line used for professional work. The ATLVAHCS will be responsible for connectivity from within the ATLVAHCS to connectivity ports located in the ATLVAHCS CBOC facility at the site. The Contractor will be responsible for collaboration of connectivity from the CT unit within the facility to the connectivity ports of the provided by the ATLVAHCS.

9. QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

9.1. Performance:

9.1.1. The contractor is responsible for performance of ALL terms and conditions of the contract.

CORs will provide contract progress reports quarterly to the CO reflecting performance on this plan and all other aspects of the resultant contract. The performance standards outlined in this QASP shall be used to determine the level of contractor performance in the elements defined.

9.1.2. Performance standards define desired services. The Government performs surveillance to determine the level of Contractor performance to these standards.

9.2. Incentives / Deducts:

9.2.1. The Government shall use exercise of option period and past performance as incentives.

Incentives shall be based on exceeding, meeting, or not meeting performance standards.

9.3. Methods of Surveillance:

9.3.1. DIRECT OBSERVATION - The COR and/or his designee will regularly observe the work performance of the vendor or vendor’s employee during normal work hours and at dates and times consistent with operational efficiency.

9.3.2. PERIODIC INSPECTION - The COR and/or his designee will perform periodic inspection of equipment service reports and other standard documentation of all maintenance performed.

9.3.3. PATIENT/CUSTOMER COMPLAINTS - The COR and/or his designee will review and investigate as necessary any staff patient or visitor’s complaints, with results to be discussed with vendor as required.

9.4. Performance Standards:

PERFORMANCE

INDICATORS

REF

PERFORMANCE

MEASURE

FREQUENCY

OF

ASSESSMENT

RATING

INCENTIVE / DIS-

INCENTIVE

Provide personnel in the work area and available for work at appointed times

3.3 Personnel shall

arrive for all duty shifts timely of the time

Weekly EXCEPTIONAL 96% – 100 %

SATISFACTORY

90 - 95%

UNSATISFACTORY

0% - 89%

Positive Past Performance

Options Awarded / Poor Past performance/Options Not Awarded

Adhere to

HIPPA

requirements

6 Contractor shall adhere to all

HIPPA

requirements while at Government facilities.

Daily EXCEPTIONAL Zero (0) Violations

SATISFACTORY

No More Than two (2) Violations

UNSATISFACTORY

Three (3) or More

Violations

Positive Past Performance

Options Awarded / Poor Past performance/Options Not Awarded

Complete a screening form accurately for each patient and complete

3.2 Contractor will

complete all necessary documents for all scheduled exams.

Weekly EXCEPTIONAL 96% – 100 %

SATISFACTORY

90 - 95%

UNSATISFACTORY

Positive Past Performance

Options Awarded / Poor Past performance/Options

10. PAYMENT & INVOICING

10.1.1. The Contractor will be paid monthly, in arrears, upon receipt of a properly prepared invoice. The invoice shall include at a minimum: invoice number, invoice amount, Contract’s name and address, contract number, purchase order number and period of performance. The Contractor will provide backup document to COR for verification of amount invoiced. Backup document shall include invoice number, Contractor’s name and address, the contract number, and purchase order. Invoices will be reconciled with VA record prior to disbursement of payments.

10.1.2. The Contractor shall submit all invoices to the following address:

FSC VA (667)

PO BOX 149971

Austin, TX 78714-8971

11. CHANGES TO THE STATEMENT OF WORK

11.1. Any changes to this PWS 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.

12. CONFLICT OF INTEREST:

12.1. The Contractor shall not employ any person who is an employee of the United States

Government if the employment of that person would create a conflict of interest. The Contractor shall not employ any person who is an employee of the Department of Veterans Affairs. Nor shall the Contractor employ any person who is a member of the immediate family of a VA employee, if the employment of that family member would create a conflict of interest, or the appearance of a conflict of interest, particularly with regard to influencing the contract negotiations, terms of the contract or the work carried out under the contract. In any such case VA must review the matter and give its approval in accordance with agency ethics rules.

(End of PWS) and complete scheduled exam

All exams will be scheduled during their appointment time.

0% - 89% Not Awarded

Equipment

3.5 All equipment will

be operational and preventative maintenance will be performed when necessary.

Weekly EXCEPTIONAL 96% – 100 %

SATISFACTORY

90 - 95%

UNSATISFACTORY

0% - 89%

Positive Past Performance

Options Awarded / Poor Past performance/Options Not Awarded

Customer Service

3.4 Contacted service

providers will treat all patients and staff with courtesy and respect. All complaints will be validated.

Monthly EXCEPTIONAL Zero (0) Complaints

SATISFACTORY

No More Than Three

(3) Complaints

UNSATISFACTORY

Four (4) or More

Complaints

Positive Past Performance

Options Awarded / Poor Past performance/Options Not Awarded

SECTION C - CONTRACT CLAUSES

C.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

http://www.acquisition.gov/far/index.html http://www.va.gov/oal/library/vaar/

(End of Clause)

FAR

Number

Title Date

52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL

ITEMS

OCT 2018

ADDENDUM to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS

Clauses that are incorporated by reference (by Citation Number, Title, and Date), have the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

The following clauses are incorporated into 52.212-4 as an addendum to this contract:

FAR

Number

Title Date

52.203-17 CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS

AND REQUIREMENT TO INFORM EMPLOYEES OF

WHISTLEBLOWER RIGHTS

JUN 2020

52.204-4 PRINTED OR COPIED DOUBLE-SIDED ON

POSTCONSUMER FIBER CONTENT PAPER

MAY 2011

52.204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR

PERSONNEL

JAN 2011

52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE OCT 2018

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE

MAINTENANCE

AUG 2020

52.224-1 PRIVACY ACT NOTIFICATION APR 1984

52.224-2 PRIVACY ACT APR 1984

52.228-5 INSURANCE—WORK ON A GOVERNMENT

INSTALLATION

JAN 1997

C.2 SUPPLEMENTAL INSURANCE REQUIREMENTS

In accordance with FAR 28.307-2 and FAR 52.228-5, the following minimum coverage shall apply to this contract:

(a) Workers' compensation and employers liability: Contractors are required to comply with applicable Federal and State workers' compensation and occupational disease statutes. If occupational diseases are not compensable under those statutes, they shall be covered under the employer's liability section of the insurance policy, except when contract operations are so commingled with a Contractor's commercial operations that it would not be practical to require this coverage. Employer's liability coverage of at least

$100,000 is required, except in States with exclusive or monopolistic funds that do not permit workers' compensation to be written by private carriers.

(b) General Liability: $500,000.00 per occurrences.

(c) Automobile liability: $200,000.00 per person; $500,000.00 per occurrence and $20,000.00 property damage.

(d) The successful bidder must present to the Contracting Officer, prior to award, evidence of general liability insurance without any exclusionary clauses for asbestos that would void the general liability coverage.

(End of Clause)

FAR

Number

Title Date

52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL

BUSINESS SUBCONTRACTORS

DEC 2013

52.245-1 GOVERNMENT PROPERTY ALTERNATE I (APR 2012) JAN 2017

52.245-9 USE AND CHARGES APR 2012

C.3 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 30 days.

(End of Clause)

C.4 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR

2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within 30 days; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed five (5) years.

C.5 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

(a) The Contractor agrees to comply with any provision or clause that is incorporated herein by reference to implement agency policy applicable to acquisition of commercial items or components. The following provisions and clauses that have been checked by the Contracting Officer are incorporated by reference.

[X] 852.203–70, Commercial Advertising.

[] 852.209–70, Organizational Conflicts of Interest.

[] 852.211–70, Equipment Operation and Maintenance Manuals.

[] 852.214–71, Restrictions on Alternate Item(s).

[] 852.214–72, Alternate Item(s). [Note: this is a fillable clause.]

[] 852.214–73, Alternate Packaging and Packing.

[] 852.214–74, Marking of Bid Samples.

[] 852.215–70, Service-Disabled Veteran-Owned and Veteran-Owned Small Business Evaluation Factors.

[] 852.215–71, Evaluation Factor Commitments.

[] 852.216–71, Economic Price Adjustment of Contract Price(s) Based on a Price Index.

[] 852.216–72, Proportional Economic Price Adjustment of Contract Price(s) Based on a Price Index.

[] 852.216–73, Economic Price Adjustment—State Nursing Home Care for Veterans.

[] 852.216–74, Economic Price Adjustment—Medicaid Labor Rates.

[] 852.216–75, Economic Price Adjustment—Fuel Surcharge.

[] 852.219–9, VA Small Business Subcontracting Plan Minimum Requirements.

[X] 852.219–10, VA Notice of Total Service-Disabled Veteran-Owned Small Business Set-Aside.

[] 852.219–11, VA Notice of Total Veteran-Owned Small Business Set-Aside.

[] 852.222–70, Contract Work Hours and Safety Standards—Nursing Home Care for Veterans.

[] 852.228–70, Bond Premium Adjustment.

[] 852.228–71, Indemnification and Insurance.

[] 852.228–72, Assisting Service-Disabled Veteran-Owned and Veteran-Owned Small Businesses in Obtaining Bonds.

[X] 852.232–72, Electronic Submission of Payment Requests.

[X] 852.233–70, Protest Content/Alternative Dispute Resolution.

[X] 852.233–71, Alternate Protest Procedure.

[] 852.237–70, Indemnification and Medical Liability Insurance.

[] 852.246–71, Rejected Goods.

[] 852.246–72, Frozen Processed Foods.

[] 852.246–73, Noncompliance with Packaging, Packing, and/or Marking Requirements.

[X] 852.270–1, Representatives of Contracting Officers.

[] 852.271–72, Time Spent by Counselee in Counseling Process.

[] 852.271–73, Use and Publication of Counseling Results.

[] 852.271–74, Inspection.

[] 852.271–75, Extension of Contract Period.

[] 852.273–70, Late Offers.

[] 852.273–71, Alternative Negotiation Techniques.

[] 852.273–72, Alternative Evaluation.

[] 852.273–73, Evaluation—Health-Care Resources.

[] 852.273–74, Award without Exchanges.

(b) All requests for quotations, solicitations, and contracts for commercial item services to be provided to beneficiaries must include the following clause:

[] 852.237–74, Nondiscrimination in Service Delivery.

(End of Clause)

C.6 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—

MONITORING AND COMPLIANCE (JUL 2018)

(a) This solicitation includes VAAR 852.219-10 VA Notice of Total Service- Disabled Veteran-Owned Small Business Set-Aside.

(b) Accordingly, any contract resulting from this solicitation is subject to the limitation on subcontracting requirements in 13 CFR 125.6, or the limitations on subcontracting requirements in the FAR clause, as applicable. The Contractor is advised that in performing contract administration functions, the Contracting Officer may use the services of a support contractor(s) retained by VA to assist in assessing the Contractor's compliance with the limitations on subcontracting or percentage of work performance requirements specified in the clause. To that end, the support contractor(s) may require access to Contractor's offices where the Contractor's business records or other proprietary data are retained and to review such business records regarding the Contractor's compliance with this requirement.

(c) All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the Contractor's business records or other proprietary data reviewed or obtained in the course of assisting the Contracting Officer in assessing the Contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs.

(d) Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the Contractor to protect proprietary information as required by FAR 9.505-4, Obtaining access to proprietary information, paragraph (b). The Contractor is required to cooperate fully and make available any records as may be required to enable the Contracting Officer to assess the Contractor's compliance with the limitations on subcontracting or percentage of work performance requirement.

(End of Clause)

C.7 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

The key personnel specified in this contract are considered to be essential to work performance. At least 30 days prior to the Contractor voluntarily diverting any of the specified individuals to other programs or contracts the Contractor shall notify the Contracting Officer and shall submit a justification for the diversion or replacement and a request to replace the individual. The request must identify the proposed replacement and provide an explanation of how the replacement’s skills, experience, and credentials meet or exceed the requirements of the contract. If the employee of the Contractor is terminated for cause or separates from the contractor voluntarily with less than thirty days notice, the Contractor shall provide the maximum notice practicable under the circumstances. The Contractor shall not divert, replace, or announce any such change to key personnel without the written consent of the Contracting Officer. The contract will be modified to add or delete key personnel as necessary to reflect the agreement of the parties.

(End of Clause)

C.8 VAAR 852.204-70 PERSONAL IDENTITY VERIFICATION OF

CONTRACTOR PERSONNEL (MAY 2020)

(a) The Contractor shall comply with current Department of Veterans Affairs policy for personal identity verification of all employees performing under this contract when frequent and continuing access to VA facilities or information systems is required.

(b) The Contractor shall insert this clause in all subcontracts when the subcontractor’s employees will require frequent and continuing access to VA facilities or information systems.

(End of Clause)

C.9 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT

2020)

The Contracting Officer reserves the right to designate an Administrative Contracting Officer (ACO) for the purpose of performing certain tasks/duties in the administration of the contract. Such designation will be in writing through an ACO Letter of Delegation and will identify the responsibilities and limitations of the ACO. A copy of the ACO Letter of Delegation will be furnished to the Contractor.

(End of Clause)

C.10 IT CONTRACT SECURITY

VA INFORMATION AND INFORMATION SYSTEM SECURITY/PRIVACY

1. 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.

2. ACCESS TO VA INFORMATION AND VA INFORMATION SYSTEMS

a. A contractor/subcontractor shall request logical (technical) or physical access to VA information and VA information systems for their employees, subcontractors, and affiliates only to the extent necessary to perform the services specified in the contract, agreement, or task order.

b. All contractors, subcontractors, and third-party servicers and associates working with VA information are subject to the same investigative requirements as those of VA appointees or employees who have access to the same types of information. The level and process of background security investigations for contractors must be in accordance with VA Directive and Handbook 0710, Personnel Suitability and Security Program. The Office for Operations, Security, and Preparedness is responsible for these policies and procedures.

c. Contract personnel who require access to national security programs must have a valid security clearance. National Industrial Security Program (NISP) was established by Executive Order 12829 to ensure that cleared U.S. defense industry contract personnel safeguard the classified information in their possession while performing work on contracts, programs, bids, or research and development efforts. The Department of Veterans Affairs does not have a Memorandum of Agreement with Defense Security Service (DSS). Verification of a Security Clearance must be processed through the Special Security Officer located in the Planning and National Security Service within the Office of Operations, Security, and Preparedness.

d. Custom software development and outsourced operations must be located in the U.S. to the maximum extent practical. If such services are proposed to be performed abroad and are not disallowed by other VA policy or mandates, the contractor/subcontractor must state where all non-U.S. services are provided and detail a security plan, deemed to be acceptable by VA, specifically to address mitigation of the resulting problems of communication, control, data protection, and so forth. Location within the U.S.

may be an evaluation factor.

e. The contractor or subcontractor must notify the Contracting Officer immediately when an employee working on a VA system or with access to VA information is reassigned or leaves the contractor or subcontractor's employ. The Contracting Officer must also be notified immediately by the contractor or subcontractor prior to an unfriendly termination.

3. VA INFORMATION CUSTODIAL LANGUAGE

a. Information made available to the contractor or subcontractor by VA for the performance or administration of this contract or information developed by the contractor/subcontractor in performance or administration of the contract shall be used only for those purposes and shall not be used in any other way without the prior written agreement of the VA. This clause expressly limits the contractor/subcontractor's rights to use data as described in Rights in Data - General, FAR 52.227-14(d) (1).

b. VA information should not be co-mingled, if possible, with any other data on the contractors/subcontractor's information systems or media storage systems in order to ensure VA requirements related to data protection and media sanitization can be met. If co-mingling must be allowed to meet the requirements of the business need, the contractor must ensure that VA's information is returned to the VA or destroyed in accordance with VA's sanitization requirements. VA reserves the right to conduct on site inspections of contractor and subcontractor IT resources to ensure data security controls, separation of data and job duties, and destruction/media sanitization procedures are in compliance with VA directive requirements.

c. Prior to termination or completion of this contract, contractor/ subcontractor must not destroy information received from VA, or gathered/ created by the…