Attachment 2 Price Schedule.doc

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Q522--LOCUM - Radiological Physicists - 626 POP: 10/1/2022-9/30/2023 +4 options years contract end date 9/30/ 2027
Solicitation number
36C24922R0002
Issued by

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This combined synopsis/solicitation requests proposals for radiological physicist inspection services for the Tennessee Valley Veteran Healthcare radiology department. The base period of performance is from 1 October 2021 to 30 September 2022, with four one-year option periods. Proposals are due no later than 3 July 2021 and shall include separate technical and price volumes. The solicitation is set aside for service-disabled veteran-owned small businesses. The Department of Veterans Affairs will evaluate proposals based on technical approach, past performance, and price. The contractor shall provide medical physicist inspections and certifications for radiological equipment at TVH healthcare facilities in Chattanooga, Clarksville, Murfreesboro, and Nashville, Tennessee.

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36C24922R0002 0002.docx DOCX document
Attachment 1 Physics SOW.docx DOCX document
36C24922R0002 0001.docx DOCX document
Attachment 6 - Past Performance Questionnaire.docx DOCX document
Attachment 1 Physics PWS.docx DOCX document
Attachment 3 - Contractor Certification of Immigration.docx DOCX document
36C24922R0002.docx DOCX document
Attachment 7 equiptment list.docx DOCX document
Attachment 4 - Contractor Rules of Behavior.docx DOCX document
Attachment 5 - Org Conflict of Interest.docx DOCX document

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Attachment 2 Price Schedule 36C24922R0002

Estimated Base Price List for FY22 10/1/21 - 9/30/22

CLIN
Campus
Location
Type
ID

Unit

Price

Frequency
Total # of equipment to be serviced
Total Cost
0001
Chattanooga

0001AA

Radiology
Bone Density
Lunar
Annually
1

0001AB

209
Radiographic/Fluouoro
Easy Diagnost
Annually
1

0001AC

CT
Radiology
CT
Annually
1

0001AD

Dental Clinic
Dental
Intraoral
Semi Annually
1

0001AE

Radiology
Rad (podiatry)
XCEL BX-1
Annually
1

0001AF

Radiology
Ultrasound
Semi annually
3
0002
Clarksville

0002AA

Dental Clinic
Dental
Planar
Semi Annually
4

0002AB

Dental Clinic
Dental
Promax 2D S3
Semi Annually
1

0002AC

Radiology
X-Ray Suite
RAD
Annually
1
0003
Murfreesboro

0003AA

G17,G15,G06,G08
Rad
Easy Diagnost
Annually
4

0003AB

G08,G06
Fluoro
Fluoroscopy
Annually
2

0003AC

G15
Rad (podiatry)
XCEL
Annually
1

0003AD

Mobile
C-Arm (m)
Annually
1

0003AE

Mobile
Rad(m)
Optima 1,2,3
Annually
3

0003AF

Mammo
Radiology
Mammo
Annually
1

0003AG

NucMed
CT
SPECT/CT
Quartly
2

0003AH

Dental Clinic
Dental
Intraoral
Semi Annually
3

0003AJ

MRI
Radiology
1.5T
Annually
1

0003AK

Mobile
C-Arm
OEC
Annually
1

0003AL

CT
Radiology
CT
Annually
1

0003AM

Radiology
Ultrasound
Semi annually
3

0003AN

NucMed
Nucs
SPECT
Quartely
1
CLIN
Campus
Location
Type
ID

Unit

Frequency
Total # of equipment to be serviced
Total Cost
0004
Nashville

0004AA

X-ray suite 1, 4,6
Rad
6
Annually
6

0004AB

X-ray suite 2,8
Fluoro
3
Annually
5

0004AC

Mobile
C-Arm (m)
Bronch Lab OEC
Annually
6

0004AD

MRI
Radiology
1.5T
Annually
1

0004AE

OR
C-Arm mini
Fluoroscopy
Annually
4

0004AF

PET/CT
NucMed
PET/CT
quarterly
1

0004AG

CT
Radiology
CT
Annually
2

0004AH

DC Rm G-133
Dental
Planar
Semi Annually
8

0004AJ

G-145B
Dental CT
Dental CT
Semi Annually
1

0004AK

1-D103
Rad
1-D103
Annually
1

0004AL

D-62
Rad (podiatry)
XCEL
Annually
1

0004AM

Mobile
Rad(m)
Optima 1
Annually
7

0004AN

DC Rm G-160
Dental
Planar
Semi annually
2

0004AO

Mammo
Radiology
Mammography
Annually
1

0004AP

NucMed
CT
SPECT/CT
Quarterly
2

0004AQ

Dental Clinic
Dental
Pan
Semi annually
1

0004AR

Room 3
Rad
Diagnostic
Annually
1

0004AS

Cysto Room 1
Fluoro
Fluoroscopy
Annually
2

0004AT

NucMed
Nucs
SPECT
Quarterly
2

0004AU

Radiology
Ultrasound
Semi Annually
4

0004AV

Radiology
Reading Room/Radiologist Office
Annually
11
TVHS
Shielding Design/ Shielding Assessment
Depends on room size and specifics(est. Quantity 8 Per historical data)
TVHS
Emergency Tube Replacements
Per Visit (est. Quantity 5 per historical data)

Total ESTIMATED Cost for FY 22:

Estimated Option 1 Price List for FY22 10/1/22 - 9/30/23

CLIN
Campus
Location
Type
ID

Unit

Frequency
Total # of equipment to be serviced
Total Cost
0001
Chattanooga
Radiology
Bone Density
Lunar
Annually
1

0001AB

209
Radiographic/Fluouoro
Easy Diagnost
Annually
1

0001AC

CT
Radiology
CT
Annually
1

0001AD

Dental Clinic
Dental
Intraoral
Semi Annually
1

0001AE

Radiology
Rad (podiatry)
XCEL BX-1
Annually
1

0001AF

Radiology
Ultrasound
Semi annually
3
0002
Clarksville

0002AA

Dental Clinic
Dental
Planar
Semi Annually
4

0002AB

Dental Clinic
Dental
Promax 2D S3
Semi Annually
1

0002AC

Radiology
X-Ray Suite
RAD
Annually
1
0003
Murfreesboro

0003AA

G17,G15,G06,G08
Rad
Easy Diagnost
Annually
4

0003AB

G08,G06
Fluoro
Fluoroscopy
Annually
2

0003AC

G15
Rad (podiatry)
XCEL
Annually
1

0003AD

Mobile
C-Arm (m)
Annually
1

0003AE

Mobile
Rad(m)
Optima 1,2,3
Annually
3

0003AF

Mammo
Radiology
Mammo
Annually
1

0003AG

NucMed
CT
SPECT/CT
Quartly
2

0003AH

Dental Clinic
Dental
Intraoral
Semi Annually
3

0003AJ

MRI
Radiology
1.5T
Annually
1

0003AK

Mobile
C-Arm
OEC
Annually
1

0003AL

CT
Radiology
CT
Annually
1

0003AM

Radiology
Ultrasound
Semi annually
3

0003AN

NucMed
Nucs
SPECT
Quartely
1
CLIN
Campus
Location
Type
ID

Unit

Frequency
Total # of equipment to be serviced
Total Cost
0004
Nashville

0004AA

X-ray suite 1, 4,6
Rad
6
Annually
6

0004AB

X-ray suite 2,8
Fluoro
3
Annually
5

0004AC

Mobile
C-Arm (m)
Bronch Lab OEC
Annually
6

0004AD

MRI
Radiology
1.5T
Annually
1

0004AE

OR
C-Arm mini
Fluoroscopy
Annually
4

0004AF

PET/CT
NucMed
PET/CT
quarterly
1

0004AG

CT
Radiology
CT
Annually
2

0004AH

DC Rm G-133
Dental
Planar
Semi Annually
8

0004AJ

G-145B
Dental CT
Dental CT
Semi Annually
1

0004AK

1-D103
Rad
1-D103
Annually
1

0004AL

D-62
Rad (podiatry)
XCEL
Annually
1

0004AM

Mobile
Rad(m)
Optima 1
Annually
7

0004AN

DC Rm G-160
Dental
Planar
Semi annually
2

0004AO

Mammo
Radiology
Mammography
Annually
1

0004AP

NucMed
CT
SPECT/CT
Quarterly
2

0004AQ

Dental Clinic
Dental
Pan
Semi annually
1

0004AR

Room 3
Rad
Diagnostic
Annually
1

0004AS

Cysto Room 1
Fluoro
Fluoroscopy
Annually
2

0004AT

NucMed
Nucs
SPECT
Quarterly
2

0004AU

Radiology
Ultrasound
Semi Annually
4

0004AV

Radiology
Reading Room/Radiologist Office
Annually
11
TVHS
Shielding Design/ Shielding Assessment
Depends on room size and specifics(est. Quantity 8 Per historical data)
TVHS
Emergency Tube Replacements
Per Visit (est. Quantity 5 per historical data)

Total ESTIMATED Cost for FY 22:

Estimated Option 2 Price List for FY22 10/1/23 - 9/30/24

CLIN
Campus
Location
Type
ID

Unit

Frequency
Total # of equipment to be serviced
Total Cost
0001
Chattanooga
Radiology
Bone Density
Lunar
Annually
1

0001AB

209
Radiographic/Fluouoro
Easy Diagnost
Annually
1

0001AC

CT
Radiology
CT
Annually
1

0001AD

Dental Clinic
Dental
Intraoral
Semi Annually
1

0001AE

Radiology
Rad (podiatry)
XCEL BX-1
Annually
1

0001AF

Radiology
Ultrasound
Semi annually
3
0002
Clarksville

0002AA

Dental Clinic
Dental
Planar
Semi Annually
4

0002AB

Dental Clinic
Dental
Promax 2D S3
Semi Annually
1

0002AC

Radiology
X-Ray Suite
RAD
Annually
1
0003
Murfreesboro

0003AA

G17,G15,G06,G08
Rad
Easy Diagnost
Annually
4

0003AB

G08,G06
Fluoro
Fluoroscopy
Annually
2

0003AC

G15
Rad (podiatry)
XCEL
Annually
1

0003AD

Mobile
C-Arm (m)
Annually
1

0003AE

Mobile
Rad(m)
Optima 1,2,3
Annually
3

0003AF

Mammo
Radiology
Mammo
Annually
1

0003AG

NucMed
CT
SPECT/CT
Quartly
2

0003AH

Dental Clinic
Dental
Intraoral
Semi Annually
3

0003AJ

MRI
Radiology
1.5T
Annually
1

0003AK

Mobile
C-Arm
OEC
Annually
1

0003AL

CT
Radiology
CT
Annually
1

0003AM

Radiology
Ultrasound
Semi annually
3

0003AN

NucMed
Nucs
SPECT
Quartely
1
CLIN
Campus
Location
Type
ID

Unit

Frequency
Total # of equipment to be serviced
Total Cost
0004
Nashville

0004AA

X-ray suite 1, 4,6
Rad
6
Annually
6

0004AB

X-ray suite 2,8
Fluoro
3
Annually
5

0004AC

Mobile
C-Arm (m)
Bronch Lab OEC
Annually
6

0004AD

MRI
Radiology
1.5T
Annually
1

0004AE

OR
C-Arm mini
Fluoroscopy
Annually
4

0004AF

PET/CT
NucMed
PET/CT
quarterly
1

0004AG

CT
Radiology
CT
Annually
2

0004AH

DC Rm G-133
Dental
Planar
Semi Annually
8

0004AJ

G-145B
Dental CT
Dental CT
Semi Annually
1

0004AK

1-D103
Rad
1-D103
Annually
1

0004AL

D-62
Rad (podiatry)
XCEL
Annually
1

0004AM

Mobile
Rad(m)
Optima 1
Annually
7

0004AN

DC Rm G-160
Dental
Planar
Semi annually
2

0004AO

Mammo
Radiology
Mammography
Annually
1

0004AP

NucMed
CT
SPECT/CT
Quarterly
2

0004AQ

Dental Clinic
Dental
Pan
Semi annually
1

0004AR

Room 3
Rad
Diagnostic
Annually
1

0004AS

Cysto Room 1
Fluoro
Fluoroscopy
Annually
2

0004AT

NucMed
Nucs
SPECT
Quarterly
2

0004AU

Radiology
Ultrasound
Semi Annually
4

0004AV

Radiology
Reading Room/Radiologist Office
Annually
11
TVHS
Shielding Design/ Shielding Assessment
Depends on room size and specifics(est. Quantity 8 Per historical data)
TVHS
Emergency Tube Replacements
Per Visit (est. Quantity 5 per historical data)

Total ESTIMATED Cost for FY 22:

Estimated Option 3 Price List for FY22 10/1/24 - 9/30/25

CLIN
Campus
Location
Type
ID

Unit

Frequency
Total # of equipment to be serviced
Total Cost
0001
Chattanooga
Radiology
Bone Density
Lunar
Annually
1

0001AB

209
Radiographic/Fluouoro
Easy Diagnost
Annually
1

0001AC

CT
Radiology
CT
Annually
1

0001AD

Dental Clinic
Dental
Intraoral
Semi Annually
1

0001AE

Radiology
Rad (podiatry)
XCEL BX-1
Annually
1

0001AF

Radiology
Ultrasound
Semi annually
3
0002
Clarksville

0002AA

Dental Clinic
Dental
Planar
Semi Annually
4

0002AB

Dental Clinic
Dental
Promax 2D S3
Semi Annually
1

0002AC

Radiology
X-Ray Suite
RAD
Annually
1
0003
Murfreesboro

0003AA

G17,G15,G06,G08
Rad
Easy Diagnost
Annually
4

0003AB

G08,G06
Fluoro
Fluoroscopy
Annually
2

0003AC

G15
Rad (podiatry)
XCEL
Annually
1

0003AD

Mobile
C-Arm (m)
Annually
1

0003AE

Mobile
Rad(m)
Optima 1,2,3
Annually
3

0003AF

Mammo
Radiology
Mammo
Annually
1

0003AG

NucMed
CT
SPECT/CT
Quartly
2

0003AH

Dental Clinic
Dental
Intraoral
Semi Annually
3

0003AJ

MRI
Radiology
1.5T
Annually
1

0003AK

Mobile
C-Arm
OEC
Annually
1

0003AL

CT
Radiology
CT
Annually
1

0003AM

Radiology
Ultrasound
Semi annually
3

0003AN

NucMed
Nucs
SPECT
Quartely
1
CLIN
Campus
Location
Type
ID

Unit

Frequency
Total # of equipment to be serviced
Total Cost
0004
Nashville

0004AA

X-ray suite 1, 4,6
Rad
6
Annually
6

0004AB

X-ray suite 2,8
Fluoro
3
Annually
5

0004AC

Mobile
C-Arm (m)
Bronch Lab OEC
Annually
6

0004AD

MRI
Radiology
1.5T
Annually
1

0004AE

OR
C-Arm mini
Fluoroscopy
Annually
4

0004AF

PET/CT
NucMed
PET/CT
quarterly
1

0004AG

CT
Radiology
CT
Annually
2

0004AH

DC Rm G-133
Dental
Planar
Semi Annually
8

0004AJ

G-145B
Dental CT
Dental CT
Semi Annually
1

0004AK

1-D103
Rad
1-D103
Annually
1

0004AL

D-62
Rad (podiatry)
XCEL
Annually
1

0004AM

Mobile
Rad(m)
Optima 1
Annually
7

0004AN

DC Rm G-160
Dental
Planar
Semi annually
2

0004AO

Mammo
Radiology
Mammography
Annually
1

0004AP

NucMed
CT
SPECT/CT
Quarterly
2

0004AQ

Dental Clinic
Dental
Pan
Semi annually
1

0004AR

Room 3
Rad
Diagnostic
Annually
1

0004AS

Cysto Room 1
Fluoro
Fluoroscopy
Annually
2

0004AT

NucMed
Nucs
SPECT
Quarterly
2

0004AU

Radiology
Ultrasound
Semi Annually
4

0004AV

Radiology
Reading Room/Radiologist Office
Annually
11
TVHS
Shielding Design/ Shielding Assessment
Depends on room size and specifics(est. Quantity 8 Per historical data)
TVHS
Emergency Tube Replacements
Per Visit (est. Quantity 5 per historical data)

Total ESTIMATED Cost for FY 22:

Estimated Option 4 Price List for FY22 10/1/25 - 9/30/26

CLIN
Campus
Location
Type
ID

Unit

Frequency
Total # of equipment to be serviced
Total Cost
0001
Chattanooga
Radiology
Bone Density
Lunar
Annually
1

0001AB

209
Radiographic/Fluouoro
Easy Diagnost
Annually
1

0001AC

CT
Radiology
CT
Annually
1

0001AD

Dental Clinic
Dental
Intraoral
Semi Annually
1

0001AE

Radiology
Rad (podiatry)
XCEL BX-1
Annually
1

0001AF

Radiology
Ultrasound
Semi annually
3
0002
Clarksville

0002AA

Dental Clinic
Dental
Planar
Semi Annually
4

0002AB

Dental Clinic
Dental
Promax 2D S3
Semi Annually
1

0002AC

Radiology
X-Ray Suite
RAD
Annually
1
0003
Murfreesboro

0003AA

G17,G15,G06,G08
Rad
Easy Diagnost
Annually
4

0003AB

G08,G06
Fluoro
Fluoroscopy
Annually
2

0003AC

G15
Rad (podiatry)
XCEL
Annually
1

0003AD

Mobile
C-Arm (m)
Annually
1

0003AE

Mobile
Rad(m)
Optima 1,2,3
Annually
3

0003AF

Mammo
Radiology
Mammo
Annually
1

0003AG

NucMed
CT
SPECT/CT
Quartly
2

0003AH

Dental Clinic
Dental
Intraoral
Semi Annually
3

0003AJ

MRI
Radiology
1.5T
Annually
1

0003AK

Mobile
C-Arm
OEC
Annually
1

0003AL

CT
Radiology
CT
Annually
1

0003AM

Radiology
Ultrasound
Semi annually
3

0003AN

NucMed
Nucs
SPECT
Quartely
1
CLIN
Campus
Location
Type
ID

Unit

Frequency
Total # of equipment to be serviced
Total Cost
0004
Nashville

0004AA

X-ray suite 1, 4,6
Rad
6
Annually
6

0004AB

X-ray suite 2,8
Fluoro
3
Annually
5

0004AC

Mobile
C-Arm (m)
Bronch Lab OEC
Annually
6

0004AD

MRI
Radiology
1.5T
Annually
1

0004AE

OR
C-Arm mini
Fluoroscopy
Annually
4

0004AF

PET/CT
NucMed
PET/CT
quarterly
1

0004AG

CT
Radiology
CT
Annually
2

0004AH

DC Rm G-133
Dental
Planar
Semi Annually
8

0004AJ

G-145B
Dental CT
Dental CT
Semi Annually
1

0004AK

1-D103
Rad
1-D103
Annually
1

0004AL

D-62
Rad (podiatry)
XCEL
Annually
1

0004AM

Mobile
Rad(m)
Optima 1
Annually
7

0004AN

DC Rm G-160
Dental
Planar
Semi annually
2

0004AO

Mammo
Radiology
Mammography
Annually
1

0004AP

NucMed
CT
SPECT/CT
Quarterly
2

0004AQ

Dental Clinic
Dental
Pan
Semi annually
1

0004AR

Room 3
Rad
Diagnostic
Annually
1

0004AS

Cysto Room 1
Fluoro
Fluoroscopy
Annually
2

0004AT

NucMed
Nucs
SPECT
Quarterly
2

0004AU

Radiology
Ultrasound
Semi Annually
4

0004AV

Radiology
Reading Room/Radiologist Office
Annually
11
TVHS
Shielding Design/ Shielding Assessment
Depends on room size and specifics(est. Quantity 8 Per historical data)
TVHS
Emergency Tube Replacements
Per Visit (est. Quantity 5 per historical data)

Total ESTIMATED Cost for FY 22:

Sheet1

CLIN Campus Location ID Unit Price Frequency Total # of equipment to be serviced Total Cost

Type

1 Chattanooga

0001AA Radiology Bone Density Lunar Annually 1

Radiographic/Fluouoro Easy Diagnost 1

0001AB 209 Annually

0001AC CT Ra CT Annually 1 diology

0001AD Dental Clinic Dental Intraoral Semi Annually 1

0001AE Radiology Rad (podiatry) XCEL BX-1 Annually 1

0001AF Radiology Ultrasound Semi annually 3

2 Clarksville

0002AA Dental Clinic Dental Planar Semi Annually 4

0002AB Dental Clinic Dental Promax 2D S3 Semi Annually 1

3 Murfreesboro

12 G17,G15,G06,G08 Rad Easy Diagnost Annually 4

13 G08,G06 Fluoro Fluoroscopy Annually 2

15 G15 Rad (podiatry) XCEL Annually 1

18 Mobile C-Arm (m) Annually 1

19 Mobile Rad(m) Optima 1,2,3 Annually 3

22 Mammo Radiology Mammo Annually 1

23 NucMed CT SPECT/CT Quartly 2

24 Dental Clinic Dental Intraoral Semi Annually 3

27 MRI Radiology 1.5T Annually 1

30 Mobile C-Arm OEC Annually 1

31 CT Radiology CT Annually 1

Radiology Ultrasound Semi annually 3

NucMed Nucs SPECT Quartely 1

34 X-ray suite 1, 4,6 Rad 6 Annually 6

35 X-ray suite 2,8 Fluoro 3 Annually 5

36 Mobile C-Arm (m) Bronch Lab OEC Annually 6

46 MRI Radiology 1.5T Annually 1

47 OR C-Arm mini Fluoroscopy Annually 4

52 PET/CT NucMed PET/CT quarterly 1

53 CT Radiology CT Annually 2

CLIN Campus Location Type ID Unit Price Frequency Total # of equipment to be serviced Total Cost

55 DC Rm G-133 Dental Planar Semi Annually 8

63 G-145B Dental CT Dental CT Semi Annually 1

64 1-D103 Rad 1-D103 Annually 1

65 D-62 Rad (podiatry) XCEL Annually 1

66 Mobile Rad(m) Optima 1 Annually 7

73 DC Rm G-160 Dental Planar Semi annually 2

75 Mammo Radiology Mammography Annually 1

76 NucMed CT SPECT/CT Quarterly 2

78 Dental Clinic Dental Pan Semi annually 1

79 Room 3 Rad Diagnostic Annually 1

80 Cysto Room 1 Fluoro Fluoroscopy Annually 2

83 NucMed Nucs SPECT Quarterly 2

Radiology Ultrasound Semi Annually 4

Radiology Reading Room/Radiologist Office Annually 11

TVHS Shielding Design Depends on room size and specifics

TVHS Shielding Assessment Per Visit

Total ESTIMATED Cost for FY 22:

File details come from the government source that posted it. Updated .