B08 Combined Synopsis W81K0425QA021 - Radiation Survey West Point.pdf

Combined Synopsis/Solicitation Number: W81K0425QA021 – Request for Quote

Document Type: Combined Solicitation / Synopsis

Date: 22 July 2025

Subject: Radiation Survey Service and Certification

Solicitation Number: W81K0425QA021

Response Date: 29 July 2025 at 1:00 PM EST

Point of Contact: jessie.g.hart.civ@health.mil rebecca-lynn.m.ruff.civ@health.mil

Set-Aside: Total Small Business Set-aside

Delivery Location: Keller Army Community Hospital, West Point, NY

Period of performance: 15 September 2025 thru 14 September 2028

NAICS Code: 541690, Other Scientific and Technical Consulting Services Size Standard: $19M

Contracting Office Address

Department of the Army US Army Medical Command Army Health Contracting Activity Health Readiness Contracting Office 9275 Doerr Rd. Bldg. 1221 Fort Belvoir, VA 22060-5505

The Health Readiness Contracting Office, East Services Branch intends to solicit and award a Firm-Fixed Price contract with a base year period of performance from 15 September 2025 thru 14 September 2026 plus two 1-year option periods for a total contract period from 15 September 2025 thru 14 September 2028. The contract seeks for Radiation Survey Service and Certification at the Keller Army Community Hospital, West Point, NY plus three other clinics located in Fort Dix, NJ, Hanscomb Air Force Base, MA, and Gordon, CT. See CLIN structure Matrix Attached and Performance Work Statement (PWS) below:

This is a combined synopsis/solicitation for commercial services prepared in accordance with the format in Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested and a written solicitation will not be issued. This solicitation number W81K0425QA021 is issued as a request for quote (RFQ). The NAICS Code is 541690 “Other Scientific and Technical Consulting Services”. The Product and Service Code is H965 “other qc/test/inspect- medical, dental, and veterinary equipment and supplies”.

mailto:jessie.g.hart.civ@health.mil mailto:rebecca-lynn.m.ruff.civ@health.mil

W81K0425QA021

The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2025-04, dated 11 June 2025. Interested persons may identify their interest and capability to respond to the requirement and submit quotes. Provide your Unique Entity ID (UEI); CAGE code; tax ID number; and quote for evaluation purposes.

All quotes received after the date of publication of this synopsis and prior to the due date and time will be considered by the Government.

Quoters must email the POC listed below and verify receipt of the offer. Quotations are due electronically on 29 July 2025 at 1:00 PM EST. The Government will not be responsible for any failure of transmission or receipt of the quote, or any failure of the quoter to verify receipt of the emailed quote. All questions pertaining to this requirement must be received electronically by 24 July 2025 at 1:00 PM EST. Once questions are received an amended solicitation will be posted with a compiled list of all questions received with the government responses. No telephonic requests will be honored.

Contract Specialist: jessie.g.hart.civ@health.mil Contracting Officer: rebecca-lynn.m.ruff.civ@health.mil

Clauses and provisions throughout this solicitation can be viewed by accessing website www.acquisition.gov. FAR provision 52.212-1 Instructions to Quoters Commercial Items applies to this acquisition to include the following addenda: All quoters are cautioned that if selected for award, they must be registered in the System for Award Management (SAM) program. The SAM can be accessed via the internet at https://www.sam.gov/portal/public/SAM/. Confirmation of SAM registration will be validated prior to awarding a contract. The provision at FAR 52.212-2, Evaluation – Commercial Items and any addendums to this provision apply to this acquisition. The clause at FAR 52.212-5 (DEVIATION 2025-O0003 and 2025-O0004) (MARCH 2025), Contract Terms and Conditions to Implement Statutes or Executive Orders – Commercial Items applies to this acquisition.

The following provisions in their latest editions apply to this solicitation.

ADDENDUM TO 52.212-1

FAR 52.212-1 is hereby amended to reflect the changes shown below as to the specific paragraph revised.

Para (b) Submission of Quotes. The following amends this paragraph with respect to the information and documents required for submission in response to this solicitation.

mailto:jessie.g.hart.civ@health.mil mailto:rebecca-lynn.m.ruff.civ@health.mil http://www.acquisition.gov/ http://www.sam.gov/portal/public/SAM/

(1) ELECTRONIC QUOTES. The Quoter shall submit electronic quote in response to this solicitation. The quote must arrive by the time specified in the combined solicitation / synopsis to the following email addresses:

Contract Specialist: jessie.g.hart.civ@health.mil Contracting Officer: rebecca-lynn.m.ruff.civ@health.mil

(2) Quoters must email Jessie Hart to verify receipt of the quote. Quotations are due electronically on 29 July 2025 at 1:00 PM EST. The Government will not be responsible for any failure of transmission or receipt of the quote, or any failure of the quoter to verify receipt of the emailed quote. All questions pertaining to this requirement must be received electronically by 24 July 2025 at 1:00 PM EST.

(3) BASIS FOR AWARD. The Government will make an award based upon the Lowest Price Technically Acceptable (LPTA) process consistent with the evaluation criteria discussed in FAR 52.212-2 and the Addendum to FAR 52.212-2.

(4) SUBMISSION OF QUOTES. Quotes will include contract line item number (CLIN) pricing, completion of FAR 52.212-3 Quoter Representations and Certifications if not already provided in sam.gov, a description of the services.

A complete quote package must include the following:

1) CLIN pricing. Clin Pricing will be inclusive costs associated with travel and preparation of reports.

2) Provide a brief description of the technical qualifications of the organization in regards to providing this type of service. This report should be no more than 1-7 pages.

Para (g) Contract award. This is amended to provide that the Government may conduct discussions prior to contract award at its sole discretion.

Para (j) Unique Entity Identifier (UEI) / CAGE Code. The quoter shall obtain these said codes and registration in the System Award Management (SAM) and complete the Online Representations and Certifications. Award cannot and shall not be made to an quoter without these codes.

Para (m) Quotation Preparation Costs. The Government will not pay any costs incurred in the submission of an quote, in making any necessary studies for the preparation thereof, or for any visit(s) the Contracting Officer may request for the purpose of clarification of the quote.

Para (n) Protests received at a level higher than the contracting officer will be referred to the contracting officer. Protestor may request a review by the contracting officer or an independent review at a level higher than the contracting officer. Requests for appeals or independent review will be addressed to the contracting officer for referral to the mailto:jessie.g.hart.civ@health.mil mailto:rebecca-lynn.m.ruff.civ@health.mil review authority. Questions on this process will be referred to the cognizant contracting officer identified in the solicitation.

The FAR, AFARS and DFARS, are included and incorporated into this solicitation either by reference or in full text. If incorporated by reference, see provision 52.252-1 herein for locations where full text can be found.

(End of Addendum to 52.212-1)

52.212-2 EVALUATION--COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

(a) See 52.212-2 Addendum

(b) Options. See 52.212-2 Addendum

(c) A written notice of award or acceptance of a quote, mailed or otherwise furnished to the successful quoter within the time for acceptance specified in the quote, shall result in a binding contract without further action by either party. Before the quote's specified expiration time, the Government may accept an quote (or part of an quote), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

(End of provision)

52.212-2 ADDENDUM

Paragraph (a) is hereby replaced with the following:

Award will be made using the lowest price technically acceptable (LPTA) source selection process. Award will be made to the responsible quoter on the basis of the lowest evaluated price of proposals meeting or exceeding the acceptability standards for non-price factors. The following factors shall be used to evaluate Quotes:

• Factor I: Technical

• Factor II: Price

Contract award will be made to the quoter provided its technical response conforms to the requirements of the solicitation; its price is determined to be fair and reasonable by the contracting officer; and the contracting officer determines the quoter is responsible.

Technical capability will be evaluated based on the contractor’s quote. The

Contractor shall detail how the requirements will be fulfilled for the Specific Task outlined in the PWS. The Government will evaluate whether the Quoter has demonstrated in their technical/management plan that it meets all minimum requirements of this solicitation.

Quotes that do not demonstrate the quoted services meet all requirements will not be considered further for award. If a quoter does not indicate whether its quoted services meet a certain minimum requirement, the Government will determine that it does not.

PROCESS FOR AWARD:

• Impartial consideration will be given to all Quotes received in response to this solicitation. Each quote will be evaluated strictly in accordance with its content and the Government will not assume that performance will include areas not specified in the quote.

• Prior to evaluation of Quotes, the Government will conduct a compliance review to determine if each quote meets all submission requirements as outlined in 52.212-1 and Addendum to 52.212-1. If a quote is found to be non-compliant, no further consideration will be given.

• All Quotes received in compliance with this solicitation will receive an evaluation as outlined below, FACTOR 1: TECHNICAL. The Government will evaluate Technical Performance for merit. Any quote with an unacceptable technical rating will not receive any further consideration. FACTOR 2: PRICE Evaluation of price for all Quotes deemed to have an acceptable Technical rating.

BASIS FOR AWARD.

EVALUATION:

FACTOR 1. Overall Technical Evaluation A combination of the technical merit and past performance subfactors. Technical merit demonstrates the ability to meet the requirements of the solicitation and past performance rating demonstrate the probability of meeting the minimum past performance solicitation requirements.

Overall Technical Acceptable/Unacceptable Ratings

Rating Description

Acceptable Proposal meets acceptable ratings for both Technical Merit and Past Performance sub-factors

Unacceptable Proposal does not clearly meet the minimum requirements for either the Technical Merit or Past Performance sub-factors

SUB-FACTOR 1A. Technical Merit. Technical merit ratings reflect the Government’s confidence in each offeror’s ability, as demonstrated in its proposal, to perform the requirements stated in the Performance Work Statement (PWS) and solicitation. In evaluating the proposal risk, the Government will make an independent judgment of the probability of success, the impact of failure and the alternatives available to meet the requirements.

The following adjectival ratings will be used in evaluating each offeror’s technical merit of their proposal.

Technical Merit Acceptable/Unacceptable Ratings

Acceptable Proposal clearly meets the minimum requirements of the solicitation.

Unacceptable Proposal does not clearly meet the minimum requirements of the solicitation.

Note: To receive consideration for award, a rating of acceptable must be achieved for the technical merit sub-factor.

SUB-FACTOR 1B. Past Performance The past performance evaluation is an assessment of the offeror’s probability of meeting the minimum past performance solicitation requirements. This assessment is based on the offeror’s record of relevant and recent past performance information that pertain to the products and/or services outlined in the solicitation requirements.

Sources of Past Performance Information for evaluation are as follows:

• Past performance information provided by the offeror, as solicited;

• Past performance information obtained from any other sources available to the Government, to include, but not limited to, Contractor Performance Assessment Reporting System (CPARS), Federal Awardee Performance and Integrity Information System (FAPIIS), Electronic Subcontract Reporting System (eSRS), or other databases; the Defense Contract Management Agency; and interviews with Program Managers, Contracting Officers, and Fee Determining Officials.

The following adjectival ratings will be used in evaluating the past performance for each offeror.

Past Performance Acceptable/Unacceptable Ratings

Acceptable Based on the offeror’s performance record, the Government has a reasonable expectation that the offeror will successfully perform the required effort, or the offeror’s performance record is unknown

Unacceptable Based on the offeror’s performance record, the Government does not have a reasonable expectation that the offeror will be able to successfully perform the required effort.

Note: To receive consideration for award, a rating of acceptable must be achieved for the past-performance sub-factor.

FACTOR II: PRICE.

Price Analysis will be conducted. Quotes will be evaluated for price reasonableness, balance, and completeness. The quoted price will be evaluated for the entire effort. A price is reasonable if, in its nature and amount, it does not exceed that which would be incurred by a prudent person in the conduct of competitive business. The Government may use various price analysis techniques and procedures to ensure a fair and reasonable price. Some of those techniques are, but not limited to, comparison of quoted prices received in response to the solicitation and/or comparison of quoted prices with the Independent Government Estimate. Price must be determined to be fair and reasonable.

Within the time for acceptance specified in the quote, shall result in a binding contract without further action by either party. Before the quote's specified expiration time, the Government may accept an quote (or part of an quote), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

(End of provision)

Price:

CLIN Description PoP Begin PoP End Quantity Unit of

Measure Price Each

Total Line Item Price

Base Year - ACR MRI Annu. Physics Test - 15 September 2025 to 14 September 2026

9/15/2025

9/14/2026

Each

Base Year - ACR CT Annu.

Physics Test - 15

Base Year - Radiographic Annu. Physics Survey - 15

Base Year - Fluoroscopic Annu. Physics Survey - 15

Base Year - Dental X-Ray Annu. Physics Survey - 15

Option Year 1 - ACR MRI Annu. Physics Test - 15 September 2026 to 14 September 2027

9/15/2026

9/14/2027

Option Year 1 - ACR CT Annu. Physics Test - 15

Option Year 1 - Radiographic Annu.

Physics Survey - 15

Option Year 1 - Fluoroscopic Annu.

Physics Survey - 15

Option Year 1 - Dental X- Ray Annu. Physics Survey

- 15 September 2026 to 14 September 2027

Option Year 2 - ACR MRI Annu. Physics Test - 15 September 2027 to 14 September 2028

9/15/2027

9/14/2028

Option Year 2 - ACR CT Annu. Physics Test - 15

Option Year 2 - Radiographic Annu.

Physics Survey - 15

Option Year 2 - Fluoroscopic Annu.

Physics Survey - 15

Option Year 2 - Dental X- Ray Annu. Physics Survey

- 15 September 2027 to 14 September 2028

PERFORMANCE WORK STATEMENT

Keller Army Community Hospital (KACH) West Point, New York

Medical Physicist (Diagnostic Service Support)

1.0 General

This is a non-personal service requirement for Radiation Survey Service and Certification at

Keller Army Community Hospital, West Point, NY. The Contractor will provide Medical

Physicist Certification and Testing on radiation producing modalities on equipment listed below to maintain accreditation.

2.0 Scope of Work

Keller Army Community Hospital (KACH) West Point, NY has a requirement for an Annual

Medical Physics Survey Service. The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items necessary to perform radiological equipment safety surveys and radiation use evaluations for all medical systems utilizing diagnostic radiography equipment and operation procedures as defined in this

Performance Work Statement. The Contractor shall complete annual radiation safety and compliance surveys of all (medical) X-ray equipment at KACH to identify diagnostic x-ray systems that fail to comply with applicable performance standard requirements and to protect the public from unnecessary radiation hazard. The contractor shall complete required re-surveys of all (medical) X-ray equipment after said equipment undergoes repairs.

2.1 Qualified Medical Physicist meets each of the following credentials:

a. Has earned a master’s or doctoral degree in physics medical physics, biophysics, radiological physics, medical health physics, or equivalent disciplines from an accredited college or university; and

b. Has been granted certification in the specific subfield(s) of medical physics with its associated medical health physics aspects by an appropriate national certifying body and abides by the certifying body’s requirements for continuing education.

2.2 The Contractor(s) will provide Physicist Certification and Testing on radiation producing equipment at the following locations:

KELLER ARMY COMMUNITY HOSPITAL

900 Washington Road

Page 10 of

West Point, NY 10996

NEW LONDON VETERINARY CLINIC

521 Grayling Avenue

Gordon, CT 06340

FORT DIX DENTAL CLINIC

3452 Broidy Road

Fort Dix, NJ 08640

HANSCOMB AFB VETERINARY TREATMENT FACILITY

7 Kirtland Street

Hanscomb AFB, MA 01731

3.0 Scheduling of Tests and Measurements

For all routinely scheduled inspections, the Government will give at least twenty calendar day notice to the Contractor(s). Scheduling is coordinated through the Equipment Management

Branch (EMB) of KACH. (This lead time is also necessary for various clinics to schedule blocks of time to make particular x-ray systems available for testing). If the Contractor require more time than thirty calendar days before testing, they should notify the EMB. The Contractor(s) should take the least time necessary for inspecting any specific device, but if a minimum period is needed, this will be conveyed to the EMB so that coordination between the EMB and clinics can take place to ensure the requested time period is available.

3.1 Special Call-Back Inspection: In some cases, due to sudden failure of x-ray equipment and subsequent repairs, it may be necessary to schedule, on short notice, a “special call-back inspection” in order to place the device back in service at the earliest possible time. In such cases, the Contractor shall provide the inspection within ten calendar days of notification.

3.2 Reporting of Defects, and Written Report Generation and Submission: The Contractor(s) shall provide the following items as noted, within the specified interval(s):

a. For all Mammography Quality Standards Act (MQSA) inspections, reports shall be made within the specified times, and specific actions required for defects found as specified by

MQSA requirements. The Contractor shall notify the EMB within one business day of detecting such a deficiency.

b. When x-ray systems fail significant tests (items causing significant degraded images, unnecessary radiation exposure to patients or staff, or if uncorrected would lead to significant and expensive repairs to the equipment), the Contractor shall verbally notify the EMB immediately.

c. For tests that otherwise do not meet the above criteria, notify the EMB before the end of day, and provide the EMB with the information in the final written report.

d. Any other relevant information should be provided, in writing, to the EMB before leaving the facility.

e. All final written reports shall be submitted to the EMB within thirty calendar days of the completion of the test. The written reports submitted to the EMB shall include the summary of deficiencies, a listing of all equipment tested including description/model, serial number and equipment control number (ECN), then by unit tested the comprehensive listing of information as identified above. These written reports may be submitted electronically or in hard copy, or both, at the discretion of the Contractor.

f. When requested, the Contractor shall provide the clarification of reports within thirty calendar days of the request.

4.0 Personnel

As noted in the Scope of Work (Section 2.1), only Physicists that have been determined to be a

Qualified Expert.

5.0 Federal Holidays

The following federal holidays are observed:

New Year’s Day, January 1

Martin Luther King Jr.’s Birthday, 3rd Monday in January

Presidents Day, 3rd Monday in February

Memorial Day, Last Monday in May

Juneteeth, June 19

Independence Day, July 4

Labor Day, 1st Monday in September

Columbus Day, 2nd Monday in October

Veteran’s Day, November 11

Thanksgiving Day, 4th Thursday in November

Christmas Day, December 25

Note: Any of the above holidays falling on a Saturday will be observed on the preceding Friday;

holidays falling on a Sunday will be observed on the following Monday. Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as holidays listed above. Closures of the installation due to inclement weather shall be handled in the same manner.

6.0 Specific Tasks to be Performed:

Radiation and Electromagnetic Survey. The Contractor shall schedule the survey at intervals required by State and Federal Guidelines and coordinate the date with the EMB.

6.1 The Contractor shall perform survey in accordance with the applicable States of New York, Connecticut, New Jersey and Massachusetts DHHS (respectively) and Federal Drug

Administration requirements checklist.

6.2 Upon completion of the Survey, the Contractor shall provide the EMB with a verbal and written copy of the results within thirty days.

6.3 Work shall be performed at the equipment location. Equipment shall not be removed from site.

6.4 The Contractor shall complete surveys within thirty days.

6.5 The Contractor shall be responsible for all items of Government equipment throughout the period they are under control of the Contractor. The Contractor shall be responsible for contractor-caused damage to Government-owned property and shall replace or repair at the

Contractor’s expense within thirty days. The Contracting Office will approve any replacements or repairs.

6.6 The Contractor shall ensure all areas where equipment is surveyed shall be left in a clean, neat, safe and orderly condition. To prevent safety hazards, no equipment shall be left pulled out or apart at the end of the workday.

6.7 The Contractor shall ensure their actions encompass contract compliance.

6.8 If the Contractor determines that the item being surveyed is not safe for use, the Chief, Equipment Management Branch, shall be notified. The Chief, EMB, will determine the appropriate action and required adjustments and repairs in accordance with US Army Directives.

7.0 Government Responsibility

7.1 For all routinely scheduled inspections, the Government will give at least twenty calendar days notice to the Contractor.

8.0 Contractor’s Responsibility

8.1 Contractor must ensure all systems be tested to the paramedics outlines in TB Med 521, Code of Federal Regulations, Title 21 Subpar J, MQSA Standards and ACR in the absence of the other standards or when other standards are outdated.

The following requirements must be met by the Contractor:

• Contractor who will inspect x-ray emitting equipment must provide documentation of their education and experience (to include a full or partial list of current facilities where they conduct tests) prior to conducting specified tests. The Equipment Management

Branch will evaluate the prospective inspector’s qualifications and based on the information provided and at our sole discretion. This will be an on-going assessment and will be a basis for continued used. The successful Contractor may, at any time, submit other individuals for evaluation.

• Contractor may, at their discretion, request that personnel in training status be authorized to conduct inspections, but these inspections shall be under the direction and supervision of an individual the EMB office has authorized to conduct the tests. The Contractor must also notify the EMB of their intent to do this as documentation of existing education, training and experience may be requested before allowing them to work in a training status. Authorization is granted at the sole discretion of the Equipment Management

Branch.

• For testing any modality that requires specific education, training and experience requirements, the Contractor shall submit all required documentation to prove the necessary qualifications (and resubmit documentation periodically as required).

• Current certification by recognized accrediting bodies for specified modalities shall be considered evidence of qualification to test x-ray equipment in those specified modalities.

9.0 Definitions and Acronyms:

9.1 Definitions:

9.1.1 ANNUAL: Occurring once every year.

9.1.2 BIENNIAL: Taking place every other year.

9.1.3 CONTRACTOR: A supplier or vendor awarded a contract to provide specific supplies or service to the Government. The term used in this contract refers to the prime.

9.1.4 CONTRACTING OFFICER: A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government.

Note: The only individual who can legally bind the government.

9.1.5 CONTRACTING OFFICER'S REPRESENTATIVE (COR): An employee of the U.S.

Government appointed by the contracting officer to administer the contract. Such appointment shall be in writing and shall state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

9.1.6 DEFECTIVE SERVICE: A service output that does not meet the standard of performance associated with the Performance Work Statement.

9.1.7 DELIVERABLE: Anything that can be physically delivered, but may include non-manufactured things such as meeting minutes or reports.

9.1.8 KEY PERSONNEL: Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the Key Personnel listed in the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

9.1.9 PHYSICAL SECURITY: Actions that prevent the loss or damage of Government property.

9.1.10 QUALITY ASSURANCE: The Government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

9.1.11 QUALITY ASSURANCE SURVEILLANCE PLAN (QASP): An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

9.1.12 QUALITY CONTROL: All necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements.

9.1.13 SUBCONTRACTOR: One that enters into a contract with a prime contractor. The

Government does not have privity of contract with the subcontractor.

9.1.14 TRIENNIEL: Recurring every three years.

9.1.15 WORK DAY: The number of hours per day the Contractor provides services in accordance with the contract.

9.1.16 WORK WEEK: Monday through Friday, unless otherwise specified.

9.2 Acronyms:

ACOR Alternate Contracting Officer's Representative

AFARS Army Federal Acquisition Regulation Supplement

AR Army Regulation

BES Biomedical Engineering Services

CCE Contracting Center of Excellence

CFR Code of Federal Regulations

CONUS Continental United States (excludes Alaska and Hawaii)

COR Contracting Officer Representative

COTR Contracting Officer's Technical Representative

COTS Commercial-Off-the-Shelf

DA Department of the Army

DD250 Department of Defense Form 250 (Receiving Report)

DD254 Department of Defense Contract Security Requirement List

DFARS Defense Federal Acquisition Regulation Supplement

DMDC Defense Manpower Data Center

DOD Department of Defense

EMB Equipment Management Branch

FAR Federal Acquisition Regulation

G-POC Government Point of Contact

HIPAA Health Insurance Portability and Accountability Act of 1996

KO Contracting Officer

OCI Organizational Conflict of Interest

OCONUS Outside Continental United States (includes Alaska and

Hawaii)

ODC Other Direct Costs

PIPO Phase In/Phase Out

POC Point of Contact

PRS Performance Requirements Summary

PWS Performance Work Statement

QA Quality Assurance

QAP Quality Assurance Program

QASP Quality Assurance Surveillance Plan

QC Quality Control

QCP Quality Control Program

SN Serial Number

TE Technical Exhibit

10.0 Applicable Directives/Documents: Documents applicable to this PWS are listed below and all Army publications and forms will be available from the Chief, Equipment Management Branch upon request.

10.1 Army Regulations:

• AR 40-61 Medical Logistics Policies and Procedures

• AR 190-13 Army Physical Security Program

• AR 190-51 Security of Army Property at Unit and Installation Level

10.2 Army Pamphlet: DA PAM 710-2-1 Using Supply System Manual Procedures

10.3 Code of Federal Regulation: 21 CFR Code of Federal Regulations, Title 21, Food and

Drugs, Part 0800 to 1299 (includes regulations for the Administration and Enforcement of

Radiation Control for Health and Safety Act of 1968) Army Forms

10.4 Other Regulatory Documents: Standards for the Joint Commission.

10.5 Forms:

• DD1150 Request for Issue or Turn-in

• DD2163 Medical Equipment Calibration/Verification

• DD2164 X-Ray Verification/ Certification Worksheet

• DD2579 Report of Assembly of a Diagnostic X-Ray System

11.0 Technical Exhibits/ Attachments

11.1 Technical Exhibit 1: Performance Requirements Summary

The Contractor service requirements are summarized into performance objectives that related directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. These thresholds are critical to mission success.

Performance Objective

(The Service required—usually a shall statement)

Standard Performance Threshold (This is the maximum error rate. It could possibly be

“Zero deviation from standard”)

Method of

Surveillance

PRS # 1.

The contractor shall provide fully certified contractor personnel.

Paragraph 2.1 Zero deviation from standard. Periodic Surveillance.

PRS # 2

The contractor shall complete the surveys within 30 days of request.

Paragraph 6.4 No more than 30 days with a performance threshold of 90%.

100% Inspection.

PRS #3

The Contractor shall provide written survey results within 30 days of test completion

Paragraph 3.2.e No more than 30 days with a performance threshold of 90%

100% Inspection.

11.2 Technical Exhibit 2: Deliverables Schedule

Deliverable Frequency # of Copies

Medium/Format Submit To

Survey Result

Report

After every scheduled service.

1 copy Email PDF copy

(preferred) or hard copy.

Email:

daniel.flores16.mil@health.mil Hard Copy address:

Keller Army Community Hospital

900 Washington Road West Point, NY 10996 ATTN: Equipment Management Branch, Room 2A09

Schedule confirmation of scheduled service

Two week prior to the beginning of the month in which scheduled services are required.

1 copy Email confirmation Email:

daniel.flores16.mil@health.mil

11.3 Attachment: Equipment List

Nomenclature

Nameplate Model

Manufact urer

Mfr.

Serial No.

Location

State

Frequ ency

Equip ment Type

RADIOGRAPHI

C UNIT

CNFG07048

-0008

MINXRAY

INC

BGA89

2-1020

NEW

LONDON

Connect icut

TRIEN

NIAL

Radiog raphic mailto:daniel.flores16.mil@health.mil mailto:daniel.flores16.mil@health.mil

CT VET

CLINIC

RADIOGRAPHI

C UNIT,

DENTAL,

INTRAORAL

NOMAD

PRO 2

KAVO

DENTAL

300024

NEW

LONDON

CT VET

CLINIC

Connect icut

TRIEN

NIAL

Dental X-Ray

RADIOGRAPHI

C UNIT

VERSA

MINXRAY

INC

BGB09

6-0924

HANSCOM

AFB VET

CLINIC

Massac husetts

TRIEN

NIAL

Radiog raphic

RADIOGRAPHI

C UNIT,

DENTAL

INTRAORA

L

PLANMEC

A USA INC

IPX012

FORT DIX

DENTAL

CLINIC

New Jersey

BIENNI

AL

Dental X-Ray

RADIOGRAPHI

C UNIT,

DENTAL,

EXTRAORAL

PX-1001

PLANMEC

A USA INC

RPXV2

052535

FORT DIX

DENTAL

CLINIC

New Jersey

BIENNI

AL

Dental X-Ray

RADIOGRAPHI

C UNIT,

PX-1001

A USA INC

RPXV2

052533

FORT DIX

DENTAL

CLINIC

New Jersey

BIENNI

AL

Dental X-Ray

RADIOGRAPHI

C UNIT,

DENTAL,

INTRAORAL

652501C72

8714AA

PLANMEC

A USA INC

IPX028

FORT DIX

DENTAL

CLINIC

New Jersey

BIENNI

AL

Dental X-Ray

RADIOGRAPHI

C UNIT,

INTRAORAL

PROX

A USA INC

RPXV2

052627

FORT DIX

DENTAL

CLINIC

New Jersey

BIENNI

AL

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Contract Clauses

FAR Clauses Incorporated by Reference

52.203-19 Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements.

Jan 2017 52.204-13 System for Award Management Maintenance. Oct 2018 52.204-18 Commercial and Government Entity Code Maintenance. Aug 2020

52.204-23 Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab Covered Entities. Dec 2023 52.204-25 Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment. Nov 2021 52.204-27 Prohibition on a ByteDance Covered Application. Jun 2023 52.219-6 Notice of Total Small Business Set-Aside. Nov 2020 52.222-50 Combating Trafficking in Persons. Nov 2021 52.225-13 Restrictions on Certain Foreign Purchases. Feb 2021 52.226-8 Encouraging Contractor Policies to Ban Text Messaging While Driving. May 2024 52.232-33 Payment by Electronic Funds Transfer-System for Award Management. Oct 2018 52.232-40 Providing Accelerated Payments to Small Business Subcontractors. Mar 2023 52.233-3 Protest after Award. Aug 1996 52.233-4 Applicable Law for Breach of Contract Claim. Oct 2004 52.212-4 Contract Terms and Conditions-Commercial Products and Commercial Services. Nov

DFARS Clauses Incorporated by Reference

252.203-7000 Requirements Relating to Compensation of Former DoD Officials. Sep 2011 252.203-7002 Requirement to Inform Employees of Whistleblower Rights. Dec 2022 252.204-7012 Safeguarding Covered Defense Information and Cyber Incident Reporting. May

252.204-7018 Prohibition on the Acquisition of Covered Defense Telecommunications Equipment or Services. Jan 2023 252.204-7020 NIST SP 800-171 DoD Assessment Requirements. Nov 2023 252.225-7056 Prohibition Regarding Business Operations with the Maduro Regime. Jan 2023 252.225-7060 Prohibition on Certain Procurements from the Xinjiang Uyghur Autonomous Region. Jun 2023 252.232-7003 Electronic Submission of Payment Requests and Receiving Reports. Dec 2018

252.232-7010 Levies on Contract Payments. Dec 2006 252.244-7000 Subcontracts for Commercial Products or Commercial Services. Nov 2023 252.247-7023 Transportation of Supplies by Sea. Oct 2024 252.204-7022 Expediting Contract Closeout. May 2021

DFARS Clauses Incorporated by Full Text

252.232-7006 Wide Area WorkFlow Payment Instructions. (Jan 2023)

WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (JAN 2023)

(a) Definitions. As used in this clause-

"Department of Defense Activity Address Code (DoDAAC)" is a six position code that uniquely identifies a unit, activity, or organization.

"Document type" means the type of payment request or receiving report available for creation in Wide Area WorkFlow (WAWF).

"Local processing office (LPO)" is the office responsible for payment certification when payment certification is done external to the entitlement system.

"Payment request" and "receiving report" are defined in the clause at 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(b) Electronic invoicing. The WAWF system provides the method to electronically process vendor payment requests and receiving reports, as authorized by Defense Federal Acquisition Regulation Supplement (DFARS) 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(c) WAWF access. To access WAWF, the Contractor shall-

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.sam.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this web site.

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web- Based Training Course and use the Practice Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the "Web Based Training" link on the WAWF home page at https://wawf.eb.mil/

(e) WAWF methods of document submission. Document submissions may be via web entry, Electronic Data Interchange, or File Transfer Protocol.

(f) WAWF payment instructions. The Contractor shall use the following information when submitting payment requests and receiving reports in WAWF for this contract or task or delivery order:

(1) Document type. The Contractor shall submit payment requests using the following document type(s):

(i) For cost-type line items, including labor-hour or time-and-materials, submit a cost voucher.

(ii) For fixed price line items-

(A) That require shipment of a deliverable, submit the invoice and receiving report specified by the Contracting Officer.

N/A

(Contracting Officer: Insert applicable invoice and receiving report document type(s) for fixed price line items that require shipment of a deliverable.)

(B) For services that do not require shipment of a deliverable, submit either the Invoice 2in1, which meets the requirements for http://www.sam.gov/ the invoice and receiving report, or the applicable invoice and receiving report, as specified by the Contracting Officer.

Invoice 2in1

(iii) For customary progress payments based on costs incurred, submit a progress payment request.

(iv) For performance based payments, submit a performance based payment request.

(v) For commercial financing, submit a commercial financing request.

(2) ) Fast Pay requests are only permitted when Federal Acquisition Regulation (FAR) 52.213-1 is included in the contract.

[Note: The Contractor may use a WAWF "combo" document type to create some combinations of invoice and receiving report in one step.]

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table* Field Name in WAWF Data to be entered in WAWF

Pay Official DoDAAC HQ0490 Issue By DoDAAC W81K04 Admin DoDAAC W81K04 Inspect By DoDAAC HT0795 Ship To Code Ship From Code

Mark For Code

Service Approver (DoDAAC)

Service Acceptor (DoDAAC) HT0795 Accept at Other DoDAAC LPO DoDAAC

DCAA Auditor DoDAAC

Other DoDAAC(s)

(4) Payment request. The Contractor shall ensure a payment request includes documentation appropriate to the type of payment request in accordance with the payment clause, contract financing clause, or Federal Acquisition Regulation 52.216-7, Allowable Cost and Payment, as applicable.

(5) Receiving report. The Contractor shall ensure a receiving report meets the requirements of DFARS Appendix F.

(g) WAWF point of contact.

(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity's WAWF point of contact.

Ms. Korissa Hawthorne korissa.d.hawthorne.civ@health.mil (Contracting Officer: Insert applicable information or "Not applicable.")

(2) Contact the WAWF helpdesk at 866-618-5988, if assistance is needed.

(End of clause)

Contract Terms and Conditions Required To Implement Statutes or Executive Orders — Commercial Products and Commercial Services mailto:korissa.d.hawthorne.civ@health.mil

FAR Clauses Incorporated by Full Text

52.212-5 Contract Terms and Conditions Required to Implement Statutes or Executive Orders - Commercial Products and Commercial Services.

(DEVIATION 2025-O0003 and 2025-O0004) (Jan 2025) Deviation 2025-O0004 (Mar 2025)

CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR

EXECUTIVE ORDERS-COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES (MAR 2025) (DEVIATION 2025-O0003 AND

2025-O0004)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial products and commercial services:

(1) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (JAN 2017) (section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)).

(2) 52.204-23, Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab Covered Entities (DEC 2023) (Section 1634 of Pub. L. 115-91).

(3) 52.204-25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment. (NOV 2021) (Section 889(a)(1)(A) of Pub. L. 115-232).

(4) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (NOV 2015).

(5) 52.232-40, Providing Accelerated Payments to Small Business Subcontractors (MAR 2023) (31 U.S.C. 3903 and 10 U.S.C. 3801).

(6) 52.233-3, Protest After Award (AUG 1996) (31 U.S.C. 3553).

(7) 52.233-4, Applicable Law for Breach of Contract Claim (OCT 2004) (Public Laws 108-77 and 108-78 ( 19 U.S.C. 3805 note)).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial products and commercial services:

[Contracting Officer check as appropriate.]

(1) 52.203-6, Restrictions on Subcontractor Sales to the Government (JUN 2020), with Alternate I (NOV 2021) (41 U.S.C. 4704 and 10 U.S.C.

4655).

(2) 52.203-13, Contractor Code of Business Ethics and Conduct (NOV 2021) (41 U.S.C. 3509)).

(3) 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (JUN 2010) (Section 1553 of Pub. L. 111- 5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009.)

(4) 52.203-17, Contractor Employee Whistleblower Rights (NOV 2023) (41 U.S.C. 4712); this clause does not apply to contracts of DoD, NASA, the Coast Guard, or applicable elements of the intelligence community-see FAR 3.900(a).

(5) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (JUN 2020) (Pub. L. 109-282) ( 31 U.S.C. 6101 note).

(6) [Reserved].

(7) 52.204-14, Service Contract Reporting Requirements (OCT 2016) (Pub. L. 111-117, section 743 of Div. C).

(8) 52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (OCT 2016) (Pub. L. 111-117, section 743 of Div. C).

(9) 52.204-27, Prohibition on a ByteDance Covered Application (JUN 2023) (Section 102 of Division R of Pub. L. 117-328).

(10) 52.204-28, Federal Acquisition Supply Chain Security Act Orders-Federal Supply Schedules, Governmentwide Acquisition Contracts, and Multi-Agency Contracts. (DEC 2023) (Pub. L. 115-390, title II).

(11)

(i) 52.204-30, Federal Acquisition Supply Chain Security Act Orders-Prohibition. (DEC 2023) (Pub. L. 115-390, title II).

(ii) Alternate I (DEC 2023) of 52.204-30.

(12) 52.209-6, Protecting the Government's Interest When Subcontracting With Contractors Debarred, Suspended, Proposed for Debarment, or Voluntarily Excluded. (JAN 2025) (31 U.S.C. 6101 note).

(13) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (OCT 2018) (41 U.S.C. 2313).

(14) [Reserved].

(15) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (OCT 2022) (15 U.S.C.

657a).

(16) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (OCT 2022) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a).

(17) [Reserved] (18)

(i) 52.219-6, Notice of Total Small Business Set-Aside (NOV 2020) (15 U.S.C. 644).

(ii) Alternate I (MAR 2020) of 52.219-6.

(19)

(i) 52.219-7, Notice of Partial Small Business Set-Aside (NOV 2020) (15 U.S.C. 644).

(ii) Alternate I (MAR 2020) of 52.219-7.

(20) 52.219-8, Utilization of Small Business Concerns (JAN 2025)(15 U.S.C. 637(d)(2) and (3)).

(21)

(i) 52.219-9, Small Business Subcontracting Plan (JAN 2025) (15 U.S.C. 637(d)(4)).

(ii) Alternate I (NOV 2016) of 52.219-9.

(iii) Alternate II (NOV 2016) of 52.219-9.

(iv) Alternate III (JUN 2020) of 52.219-9.

(v) Alternate IV (JAN 2025) of 52.219-9.

(22)

(i) 52.219-13, Notice of Set-Aside of Orders (MAR 2020) (15 U.S.C. 644(r)).

(ii) Alternate I (MAR 2020) of 52.219-13.

(23) 52.219-14, Limitations on Subcontracting (OCT 2022) (15 U.S.C. 657s).

(24) 52.219-16, Liquidated Damages-Subcontracting Plan (SEP 2021) (15 U.S.C.

637(d)(4)(F)(i)).

(25) 52.219-27, Notice of Set-Aside for, or Sole-Source Award to, Service-Disabled Veteran- Owned Small Business (SDVOSB) Concerns Eligible Under the SDVOSB Program (FEB 2024) (15 U.S.C. 657f).

(26)

(i) 52.219-28, Postaward Small Business Program Rerepresentation (JAN 2025) (15 U.S.C.

632(a)(2)).

(ii) Alternate I (MAR 2020) of 52.219-28.

(27) 52.219-29, Notice of Set-Aside for, or Sole-Source Award to, Economically Disadvantaged Women-Owned Small Business Concerns (OCT 2022) (15 U.S.C. 637(m)).

(28) 52.219-30, Notice of Set-Aside for, or Sole-Source Award to, Women-Owned Small Business Concerns Eligible Under the Women-Owned Small Business Program (OCT 2022) (15 U.S.C. 637(m)).

(29) 52.219-32, Orders Issued Directly Under Small Business Reserves (MAR 2020) (15 U.S.C.

644(r)).

(30) 52.219-33, Nonmanufacturer Rule (SEP 2021) (15 U.S.C. 637(a)(17)).

(31) 52.222-3, Convict Labor (JUN 2003) (E.O.11755).

(32) 52.222-19, Child Labor-Cooperation with Authorities and Remedies (JAN 2025)(E.O.

13126).

(33) [Reserved]

(34) [Reserved] (35)

(i) 52.222-35, Equal Opportunity for Veterans (JUN 2020) (38 U.S.C. 4212).

(ii) Alternate I (JUL 2014) of 52.222-35.

(36)

(i) 52.222-36, Equal Opportunity for Workers with Disabilities (JUN 2020) (29 U.S.C. 793).

(ii) Alternate I (JUL 2014) of 52.222-36.

(37) 52.222-37, Employment Reports on Veterans (JUN 2020) (38 U.S.C. 4212).

(38) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (DEC 2010) (E.O. 13496).

(39)

(i) 52.222-50, Combating Trafficking in Persons (NOV 2021) (22 U.S.C. chapter 78 and E.O.

13627).

(ii) Alternate I (MAR 2015) of 52.222-50 (22 U.S.C. chapter 78 and E.O. 13627).

(40) 52.222-54, Employment Eligibility Verification (JAN 2025) (Executive Order 12989). (Not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial products or commercial services as prescribed in FAR 22.1803.)

(41)

(i) 52.223-9, Estimate of Percentage of Recovered Material Content for EPA-Designated Items (May 2008) ( 42 U.S.C. 6962(c)(3)(A)(ii)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

(ii) Alternate I (MAY 2008) of 52.223-9 (42 U.S.C. 6962(i)(2)(C)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

(42) 52.223-11, Ozone-Depleting Substances and High Global Warming Potential Hydrofluorocarbons (MAY 2024) (42 U.S.C. 7671, et seq.).

(43) 52.223-12, Maintenance, Service, Repair, or Disposal of Refrigeration Equipment and Air Conditioners (MAY 2024) (42 U.S.C. 7671, et seq.

(44) 52.223-20, Aerosols (MAY 2024) (42 U.S.C. 7671, et seq.).

(45) 52.223-21, Foams (MAY 2024) (42 U.S.C. 7671, et seq.).

(46) 52.223-23, Sustainable Products and Services (MAR 2025) (DEVIATION 2025-O0004)) (7

U.S.C. 8102, 42 U.S.C. 6962, 42 U.S.C. 8259b, and 42 U.S.C. 7671l).

(47)

(i) 52.224-3 Privacy Training (JAN 2017) (5 U.S.C. 552 a).

(ii)…