C03_36C25527D0004_Risen Video.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. UEI: EFT:

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/CONTRA CTOR 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. NOV 2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

36C25527D0004 10-13-2026 36C25526Q0259

SHOWERS, STEPHEN stephen.showers@va.gov 785-350-3111 Ext 52487

36C255

Department of Veterans Affairs

Network Contracting Office (NCO) 15

3450 S 4th Street Trafficway

Leavenworth, KS 66048

X 100

X

621399

$10 Million

N/A

X

Kansas City VA Medical Center

4801 Linwood Boulevard

Kansas City, MO

64128-2226

36C255

Department of Veterans Affairs

Network Contracting Office (NCO) 15

3450 S 4th Street Trafficway

Leavenworth KS 66048

8MQY5

RISEN VIDEO PRODUCTION, LLC

20571 HATTERAS ST

WOODLAND HILLS CA 91367

L4EFRBEMENC4

36C255

Department of Veterans Affairs

Financial Services Center http://www.fsc.va.gov/einvoice.asp

Austin TX

877-353-9791 512-460-5429

See CONTINUATION Page

The purpose of this contract is to award Intraoperative

Neurophysiologic Monitoring (IONM) Services and instrumentation in accordance with the Performance

Work Statement (PWS) and the terms, conditions, and the prices as stated herein.

Services will be performed at the Kansas City Veterans

Medical Center, Kansas City, MO.

Schedule of Services begins on page 5.

($912,450.00)Estimate $0.00

See CONTINUATION Page

To be funded by individual Task Orders.

X X

X 1 X 36C25526Q0259 05-04-2026

Leah Thurman

VA-VHA-RPOC-2025-0067

Dion, Junius Owner

10/13/2026

36C25527D0004

Table of Contents

SECTION A

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

AND COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 SCHEDULE OF SERVICES AND PRICE

B.3 PERFORMANCE WORK STATEMENT

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (OCT 2025) (DEVIATION)

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

C.3 52.216-18 ORDERING (AUG 2020)

C.4 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.5 52.216-22 INDEFINITE QUANTITY (NOV 2025) (DEVIATION)

C.6 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.7 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) ... 48

C.8 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.9 FAR 52.222-90 ADDRESSING DEI DISCRIMINATION BY FEDERAL

CONTRACTORS (APR 2026)

C.10 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR

1984)

C.11 52.240-91 SECURITY PROHIBITIONS AND EXCLUSIONS (NOV 2025)

(DEVIATION)

C.12 VAAR 852.204-71 INFORMATION AND INFORMATION SYSTEMS SECURITY

(FEB 2023)

C.13 VAAR 852.204-72 Personnel Vetting and Credentialing (MAY 2026)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

36C25526Q0259

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:Name of Company: Risen Video Production, LLC Point of Contact: Junius J. Dion, Jr.

Title: Owner/CEO Address: 20571 Hatteras Street, Woodland Hills, CA 91367-5312 Email: dion@risenvideo.com Phone Number: 747-888-3080 Unique Entity ID (UEI): L4EFRBEMENC4

b. GOVERNMENT: Contracting Officer (90C)

Leah Thurman Department of Veterans Affairs Network Contracting Office (NCO) 15

3450 S 4th Street Trafficway Leavenworth, KS 66048 leah.thurman@va.gov

SECURE FAX - Please review VA Handbook 6500 that requires the following statement on all fax cover sheets be included:

“This fax is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential, or protected by law. All others are hereby notified that the receipt of this fax does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribution, or copying of this communication is prohibited. If you have received this fax in error, please notify this office immediately at the telephone number listed above.”

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor should be mailed to the following address:

[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 ARREARS

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. The latest information shall be used for invoicing payments and may change during the Period of Performance of this acquisition. Current invoicing information is located at http://www.fsc.va.gov/einvoice.asp.

mailto:leah.thurman@va.gov http://www.fsc.va.gov/einvoice.asp

5. POST AWARD ORIENTATION:

The Contracting Officer may schedule a post award orientation for contract orientation purposes in accordance with FAR 42.502.

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

AMENDMENT NO DATE

0001 6/4/2026

6. Mandatory Written Disclosures: Mandatory written disclosures required by FAR clause

52.203-13 to the Department of Veterans Affairs, Office of Inspector General (OIG) must be made electronically through the VA OIG Hotline at https://www.vaoig.gov/hotline/online-forms and clicking on “Submit a Complaint”. If you experience difficulty accessing the website, call the Hotline at 1-800-488-8244 for further instructions.

https://www.vaoig.gov/hotline/online-forms https://www.vaoig.gov/hotline/online-forms

B.2 SCHEDULE OF SERVICES AND PRICE

The Contractor shall furnish all personnel to provide services necessary to perform On-site

Intraoperative Neuromonitoring services as identified herein to eligible beneficiaries of the

Department of Veterans Affairs, Kansas City Veterans Medical Center, Kansas City, MO. The

VAMC is located at 4801 Linwood Boulevard Kansas City, MO 64128-2226.

This is a firm-fixed-price, indefinite-delivery, indefinite-quantity contract since it is impossible to determine with any certainty the amount of services that will be required under this contract. The period of performance for this contract will be for a Base Year plus four (4) Option Years. There is no guarantee that option years will be exercised. The minimum value of services and maximum value of services to be provided under this contract during each contract year are as follows:

A. The prices provided in the Schedule of Services shall be inclusive of all Contract Line

Items Number(s) (CLIN(s)) defined in the PWS.

B. In accordance with FAR Clause 52.216-22, Indefinite Quantity, the guaranteed minimum is $1,500.00. and is only applicable during the base period of the fiscal year in which award was made. The contract maximum amount is $1.500,000.00.

Task Order Issuance Procedures:

The terms that apply to the issuance of Task Orders under this contract are set forth below:

a. Once a need arises, the Contracting Officer or his/her authorized designated COR will notify the contractor.

b. Representative (COR) will notify the contractor that a requirement exists.

c. The Contracting Officer will then issue a task order.

d. Orders may be issued electronically via e-mail, facsimile, or other authorized electronic means. The performance period for performance of each task shall be set forth in each task order.

e. Task order shall not exceed the total amount obligated.

CLIN DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT

UNIT

PRICE

AMOUNT

Complete Intraoperative Neuromonitoring (IONM) Services in accordance with the Performance Work Statement (PWS). Base Year: Period of Performance (POP) 10/01/2026 – 09/30/2027

0001A Base Year – During Normal Business Hours 450.00 HR $395.00 $177,750.00

0001B Base Year – Outside Normal Business Hours 12.00 HR $395.00 $4,740.00

BASE YEAR TOTAL $182,490.00

CLIN DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT

UNIT

PRICE

AMOUNT

Complete Intraoperative Neuromonitoring (IONM) Services in accordance with the Performance Work Statement (PWS). Option Year 1: POP 10/01/2027 – 9/30/2028

1001A Option Year 1 – During Normal Business Hours 450.00 HR $395.00 $177,750.00

1001B Option Year 1 – Outside Normal Business Hours 12.00 HR $395.00 $4,740.00

Option Year 1 Total $182,490.00

Complete Intraoperative Neuromonitoring (IONM) Services in accordance with the Performance Work Statement (PWS). Option Year 2: POP 10/01/2028 – 9/30/2029

2001A Option Year 2 – During Normal Business Hours 450.00 HR $395.00 $177,750.00

2001B Option Year 2 – Outside Normal Business Hours 12.00 HR $395.00 $4,740.00

Option Year 2 Total $182,490.00

Complete Intraoperative Neuromonitoring (IONM) Services in accordance with the Performance Work Statement (PWS). Option Year 3: POP 10/01/2029 – 9/30/2030

3001A Option Year 3 – During Normal Business Hours 450.00 HR $395.00 $177,750.00

3001B Option Year 3 – Outside Normal Business Hours 12.00 HR $395.00 $4,740.00

Option Year 3 Total $182,490.00

Complete Intraoperative Neuromonitoring (IONM) Services in accordance with the Performance Work Statement (PWS).

Option Year 4: POP 10/01/2030 – 9/30/2031

4001A Option Year 4 – During Normal Business Hours 450.00 HR $395.00 $177,750.00

4001B Option Year 4 – Outside Normal Business Hours 12.00 HR $395.00 $4,740.00

Option Year 4 Total $182,490.00

CLIN DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT

UNIT

PRICE

AMOUNT

Grand Total $912,450.00

B.3 PERFORMANCE WORK STATEMENT

1. GENERAL

1.1. Services Provided: The contractor shall provide VA and Joint Commission Certified Intraoperative Monitoring services that meet the standards of the Department of Veterans Affairs (VA) and The Joint Commission. Services shall be delivered in accordance with the specifications outlined in this Performance Work Statement (PWS) to beneficiaries of the Department of Veterans Affairs (VA) and Kansas City VA Medical Center (herein, known as KCVAMC).

1.2. Place of Performance: Contractor shall furnish services at the KCVAMC. Address:

Kansas City VA Medical Center, 4801 Linwood Boulevard, Kansas City, MO 64128- 2226.

1.3. Authority: Title 38 U.S.C. § 8153, Sharing of Health-Care Resources (HCR) Authority and FAR Part 12.

1.4. Policy/Directives/Handbooks: The contractor shall be subject to the following policies, including any subsequent updates during the period of performance. The policies listed below can be accessed electronically at the following: VA Publications VHA Publications:

1.4.1. VHA Directive 1100.18: Reporting And Responding To State Licensing Boards:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9174

1.4.2. VHA Directive 1100.21(1) Privileging

https://www.va.gov/vhapublications/publications.cfm?pub=1

1.4.3. VHA Directive 1100.20(2) Credentialing of Health Care Providers:

https://www.va.gov/vhapublications/publications.cfm?pub=1

1.4.4. VHA Directive 1192.01: Seasonal Influenza Prevention Program:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5472

1.4.5. VHA Directive 1605.01: Privacy and Release of Information:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3233

1.4.6. VHA Directive 1907.01: VHA Health Information Management and Health Records:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9235

1.4.7. Privacy Act of 1974 (5 U.S.C. 552a) as amended:

http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.4.8. Joint Commission: http://www.jointcommission.org/standards/

1.4.9. HHS OIG Website: http://oig.hhs.gov/exclusions/index.asp

1.4.10. American Journal for Infection Control - AJIC 1998; 26:289-354:

http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf

1.5. Acronyms/Definitions: - Terms used in this contract shall be interpreted as follows unless the context expressly requires a different construction and/or interpretation. In https://www.va.gov/vapubs/ https://www.va.gov/vhapublications/index.cfm https://www.va.gov/vhapublications/index.cfm https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9174 https://www.va.gov/vhapublications/publications.cfm?pub=1 https://www.va.gov/vhapublications/publications.cfm?pub=1 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5472 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3233 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9235 http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm http://www.jointcommission.org/standards/ http://oig.hhs.gov/exclusions/index.asp http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf case of a conflict in language between the Definitions and other sections of this contract, the language in this section shall govern.

1.5.1. ABNS: American Board of Neurological Surgery

http://www.abns.org/content/default.asp.

1.5.2. ABRET: American Board of Registration of Electroencephalographic and Evoked Potential Technologists

1.5.3. ACLS: Advanced Cardiac Life Support

1.5.4. IONM: Intraoperative Neuromonitoring.

1.5.5. BLS: Basic Life Support

1.5.6. CDC: Centers for Disease Control and Prevention

1.5.7. CDR: Contract Discrepancy Report

1.5.8. CEU: Certified Education Unit

1.5.9. CME: Continuing Medical Education

1.5.10. Contracting Officer (CO): The person executing this contract on behalf of the Government with the authority to enter into and administer contracts and make related determinations and findings.

1.5.11. Contracting Officer’s Representative (COR): A person appointed by the CO to take necessary action to ensure the contractor performs in accordance with and adheres to the specifications contained in the contract and to protect the interest of the Government. The COR shall report to the CO promptly any indication of non-compliance in order that appropriate action can be taken.

1.5.12. COS: Chief of Staff

1.5.13. CPARS: Contractor Performance Assessment Reporting System

1.5.14. CPRS: Computerized Patient Recordkeeping System, an electronic health record system used by the VA.

1.5.15. Credentialing: Credentialing is the systematic process of screening and evaluating qualification and other credentials, including licensure, required education, relevant training and experience and current competence and health status.

1.5.16. DNEPs: Descending neurogenic evoked potential

1.5.17. DEA: Drug Enforcement Agency

1.5.18. EEG (intraoperative): Electroencephalogram

1.5.19. FSMB: Federation of State Medical Boards

1.5.20. ED: Emergency Department

http://www.abns.org/content/default.asp

1.5.21. EHR: Electronic Health Record - electronic health record system used by the VA

1.5.22. FPIS: Functional Performance Improvement System

1.5.23. HHS: Department of Health and Human Services

1.5.24. HIPAA: Health Insurance Portability and Accountability Act

1.5.25. ISO: Information Security Officer

1.5.26. Medical Emergency: a sudden onset of a medical condition manifesting itself by acute symptoms of sufficient severity that the absence of immediate medical attention could reasonably result in: Permanently placing a patient's health in jeopardy, causing other serious medical consequences, causing impairments to body functions, or causing serious or permanent dysfunction of any body-organ or part.

1.5.27. MOD: Medical Officer of the Day

1.5.28. National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers).

1.5.29. Non-Contract Provider: any person, organization, agency, or entity that is not directly or indirectly employed by the contractor or any of its subcontractors.

1.5.30. NP: Nurse Practitioner

1.5.31. NPPES: National Plan and Provider Enumeration System

1.5.32. NMEP: Neurogenic motor evoked potential

1.5.33. PA: Physician Assistant

1.5.34. POP: Period of Performance

1.5.35. PWS: Performance Work Statement

1.5.36. Privileging (Clinical Privileging): Privileging is the process by which a practitioner, licensed for independent practice; e.g., without supervision, direction, required sponsor, preceptor, mandatory collaboration, etc.; is permitted by law and the facility to practice independently, to provide specific medical or other patient care services within the scope of the individual’s license, based upon the individual’s clinical competence as determined by peer references, professional experience, health status, education, training and licensure. Clinical privileges must be facility-specific and provider-specific.

1.5.37. Providers of Care: any providers or servicing individuals who enter the VA under the contract, including onsite Technologist.

1.5.38. QA/QI: Quality Assurance/Quality Improvement

1.5.39. QM/PI: Quality Management/Performance Improvement

1.5.40. QASP: Quality Assurance Surveillance Plan

1.5.41. S-EMG: Stimulus Evoked Electromyograph

1.5.42. SSEPS: Somatosensory Evoked Potential

1.5.43. TJC: The Joint Commission

1.5.44. TcMEP: Transcranial motor evoked potential

1.5.45. T-EMG: Triggered Electromyograph

1.5.46. Veterans’ Health Administration (VHA): The central office for administration of the VA medical centers throughout the United States. The VHA is located in Washington, D.C.

1.5.47. Veterans Integrated Services Network (VISN): The regional oversight for the VA medical centers.

1.5.48. VISTA (Veterans Integrated Systems Technology Architecture): A PC based system that will capture and store clinical imagery, scanned documents and other non-textual data files and integrates them into patient’s medical record and with the hospital information system.

1.5.49. VetPro: a federal web-based credentialing program for healthcare providers.

1.5.50. Veterans Affairs Medical Center (VAMC): Unless identified with the name of a different VA Medical Center, for purposes of this contract, this term shall be the Kansas City VA Medical Center, MO.

2. QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. License: Neurologists assigned by the contractor to perform the services covered by this contract shall have a current license to practice medicine in the state of Missouri, or a current, unrestricted medical license in a U.S. state or territory. All licenses held by the personnel working on this contract shall be full and unrestricted licenses. Contractor’s Neurologists who have current, full, and unrestricted Missouri licenses, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application may not be considered for the purposes of this contract.

2.1.1.1. All licenses held by the personnel working on this contract shall be full and unrestricted licenses. Contractor’s physician(s) who have current, full and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application will not be considered for the purposes of this contract.

2.1.2. Board Certification: All Contractor-provided Neurologists must be Board Certified or Board Eligible by the American Board of Psychiatry and Neurology (ABPN).

Documentation verifying current certification must be submitted to the VA Contracting Officer’s Representative (COR) annually throughout the contract period. All continuing education requirements necessary to maintain certification must remain current at all times.

2.1.2.1. All Contractor-provided Electro Neurophysiologic Technologists performing on-site IONM services must have a Certification in Neurophysiologic Intraoperative Monitoring (CNIM) through the ABRET (http://www.abret.org).

This certification is intended for Technologists who work under supervision by a Neurophysiologist or Neurologist. All continuing education requirements necessary to maintain certification must be kept up to date at all times.

Documentation verifying current certification shall be provided by the contractor to the VA Contracting Officer’s Representative (COR) within thirty

(30) days of contract award and annually thereafter for each year of contract performance.

2.1.3. Credentialing and Privileging: Credentialing and privileging shall be conducted in accordance with VHA Directive 1100.20(2), VHA Directive 1100.21(1), Privileging, and all applicable VA policies. The contractor is responsible for ensuring that all proposed personnel meet credentialing requirements prior to performing any services.

2.1.3.1. On-Site Contract Technologists: All Electro Neurophysiologic Technologists performing services on VA premises must complete VA credentialing requirements through VetPro, the VA’s credentialing system. No services shall be provided until credentialing has been approved by the Medical Center Director at KCVAMC. The contractor shall ensure timely submission of all required documentation into VetPro, including verification of education and training, current unrestricted licensure or certification, background checks, and health requirements. The contractor shall maintain compliance with VA re-credentialing schedules and promptly report any changes in status. The VAMC has determined that Smart Card/PIV is required for on-site IONM Technologist.

2.1.3.2. Off-Site Contract Neurologists: VA privileging is not required for off -site Neurologists, as their work is technical in nature, does not involve clinical decision-making, and does not include direct patient care. Remote Neurologists shall be board-certified with unrestricted licenses and credentialed and privileged by the contractor or its affiliates. The contractor shall provide written verification that each Neurologist is licensed, credentialed, and privileged in accordance with applicable standards. All services shall comply with HIPAA, HITECH, and VA privacy and security requirements. VA reserves the right to audit credentialing documentation at any time. The VAMC has determined that Smart Card/PIV is NOT required for off-site Neurologists.

2.1.4. Technical Proficiency: The contractor must be capable of providing real-time data and shall utilize the most recent technology and hardware. The contractor will work closely with surgeons, nursing staff, schedulers, Clinical Engineering, and Sterilization and Processing Service to support surgical procedures. All equipment provided must function with the current electrical power supply at KCVAMC.

Remote Neurologists will provide real-time monitoring via HIPAA- and HITECH-compliant telemedicine platforms. The contractor shall provide scheduled services throughout the contract period and ensure qualified replacement personnel at no http://www.abret.org/ additional cost to the Government in the event of absence. All replacement personnel must meet VA credentialing and technical requirements prior to performing services. The contractor shall implement a comprehensive Quality Assurance (QA) program that monitors and tracks performance, successes, and complications. QA reports shall be submitted to the COR no later than the 10th day of the month following the end of each quarter.

2.1.4.1. Intraoperative Neurophysiologic Monitoring (IONM): The contractor shall provide qualified Electro Neurophysiologic Technologists to perform on-site intraoperative neurophysiologic monitoring (IONM) services. Monitoring shall include, but is not limited to: Somatosensory Evoked Potential (SSEPS), Transcranial motor evoked potential (TcMEP), stimulus evoked electromyograph (s-EMG), Triggered Electromyograph (T-EMG), spinal cord mapping including D- Waves, Descending neurogenic evoked potential (DNEPs), Neurogenic motor evoked potential (NMEPs), Cortical, motor, sensory, language mapping, white matter tract and brainstem nuclei mapping, brainstem auditory evoked responses, visual evoked potentials, cranial nerve monitoring, and intraoperative EEG. All monitoring shall be performed in real time with continuous communication to the surgical team.

2.1.4.2. Electro Neurophysiologic Technologists shall possess the necessary skills to meet Government requirements to speak, understand, read and write fluently in English. They will test and adjust equipment as needed, select appropriate electrode combinations, obtain standard recordings, and report the patient’s nervous system status to the surgeon during procedures. After each procedure, they will remove electrodes and return or remove equipment in accordance with VAMC or contractor guidelines.

2.1.4.3. Data Integrity and Communication: Technologists shall recognize artifacts in the data, differentiate them from evoked potential patterns, and take appropriate steps to eliminate them. They shall translate test results from computer files into hard copy reports for interpretation by the Neurologist and immediately notify the attending surgeon if there is any indication that possible damage may occur to the patient.

2.1.4.4. Contractor shall provide documents upon request of the COR to verify current and ongoing competency and skills upon completion. Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all Electro Neurophysiologic Technologists. Electro Neurophysiologic Technologists shall be responsible for abiding by the Facility's Medical Staff Bylaws, rules, and regulations (referenced herein) that govern staff behavior.

2.1.4.5. The Electro Neurophysiologic Technologist will recognize artifacts in the data, differentiate them from evoked potential patterns and take appropriate steps to eliminate them. They will obtain patient medical information when requested and will translate test results from computer files to a hard copy report for Neurologists interpretation.

2.1.4.6. Contractor’s personnel shall be capable of providing technical and professional direction during surgical procedures and notify the attending surgeon immediately in the event possible damage may occur to the patient.

2.1.5. All Contractor provided Electro Neurophysiologic Technologists who perform on-site IONM services shall be accredited and registered through the American Board of Registered Electro Neurophysiologic Technologist (http://www.abret.org). This technical certification is intended for Technologists who work under supervision by a Neurophysiologist or Neurologist. All continuing education courses required for maintaining certification must be always kept up to date. Documentation verifying current certification shall be provided by the contractor to the VA Contracting Officer’s Representative (COR) within the first thirty (30) days of contract award and shall provide on an annual basis for each year of contract performance.

2.1.5.1. All On-site Contractor provided personnel shall be certified in BLS. All continuing education courses required for maintaining certification must be always kept up to date. Documentation verifying current certification shall be provided by the contractor to the VA COR every two (2) years of contract

2.1.6. Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements: Contracted Neurologists shall provide the COR copies of current CMEs as required or requested by the VAMC. Contractor’s Neurologists registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current. Contractor shall report CME hours to the credentials office for tracking. These documents are required for both privileging and re-privileging. Failure to provide shall result in loss of privileges for Contractor’s Neurologists.

2.1.7. Training (ACLS, BLS, EHR and VA-MANDATED): Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the contractor’s physician(s) as required by the VA.

Other training may become required. VA will communicate any changes to the training requirement to the contractor:

Training Frequency Annual Hours

VA Privacy and Inf ormation

Security Awareness and Rules of Behavior

Yearly 1 hour

VHA Privacy and HIPAA

Focused Training

Yearly 1 hour

VA Cybersecurity Awareness Yearly 1 hour

Infection Control Yearly 1 hour

OSHA Bloodborne Pathogens Yearly 1 hour

Basic Life Support Every two years 3 hours http://www.abret.org/

*Additional training may be required during the contract period. VA will communicate any changes to the contractor. Completion of all mandatory training is required prior to performing services and must be documented for compliance.

2.1.8. All On-site Contractor provided personnel shall be certified in Basic Life Support (BLS). All continuing education courses required for maintaining certification must be always kept up to date. Documentation verifying current certification shall be provided by the contractor to the VA COR every two (2) years.

2.1.9. STANDARD INFECTION CONTROL MEASURES (PPD, IMMUNIZATIONS,

ETC.): Contractor shall provide proof of the following for physicians within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year.

2.1.9.1. TUBERCULOSIS TESTING: Contractor shall provide proof of a negative reaction to PPD testing for all on-site contractor’s providers of care. A negative chest radiographic report for active tuberculosis shall be provided in cases of positive PPD results. The PPD test shall be repeated annually.

2.1.9.2. RUBELLA TESTING: Contractor shall provide proof of immunization for all on-site contract providers of care for measles, mumps, rubella or a rubella titer of 1.8 or greater. If the titer is less than 1.8, a rubella immunization shall be administered with follow-up documentation to the COR.

2.1.9.3. VARICELLA: Contractors shall provide proof of immunity for all on-site Contractors.

2.1.9.4. ACELLULAR PERTUSSIS: Contractors shall provide proof of 1 dose of Tdap vaccination for all on-site Contractors.

2.1.9.5. INFLUENZA: Contractors shall provide proof that all on-site contractor’s providers of care have received the annual Influenza vaccine unless it is contraindicated. If the contractor’s providers of care have a medical contraindication to the vaccine, they shall be required to wear a mask during the Influenza season. (This is applicable to all health care workers).

2.1.9.6. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO

BLOODBORNE PATHOGENS: Contractor shall provide generic self-study training for all contractor’s providers of care; provide their own Hepatitis B vaccination series at no cost to the VA if they elect to receive it; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident. The VAMC shall notify the contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel ( as published in American Journal for Infection Control - AJIC 1998; 26:289- 354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control.

Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.1.9.7. KCVAMC shall notify the contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel (as published in American Journal for Infection Control - AJIC 1998; 26:289-354 https://stacks.cdc.gov/view/cdc/11563 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control.

Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.1.10. National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. This is applicable to contracted Neurologists providing services. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers). The contractor shall have appropriate NPI and if pertinent, the Taxonomy Code confirmation notice issued by the Centers for Medicare and Medicaid Services (CMS) National Plan and Provider Enumeration System (NPPES). NPIs must be provided to the Contracting Officer with the quote.

2.1.11. Conflict of Interest: The contractor and all contractor’s personnel of care are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of quote and during the entirety of contract performance. At the time of quote, the contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services. The contractor must also provide relevant facts that show how its organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. These statements shall be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest (Jan 2008) and fully outlined in response to the subject Attachment 5 in Section D of the solicitation document.

2.1.12. Citizenship Requirements:

2.1.12.1. The contractor certifies that the contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, as amended; its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or subcontract for the contractor while providing services to Department of Veterans Affairs patient referrals;

2.1.12.2. While performing services for the Department of Veterans Affairs, the contractor shall not knowingly employ, contract or subcontract with an illegal alien; foreign national non-immigrant in violation their status, as a result of their failure to maintain or comply with the terms and conditions of their admission into the United States. Additionally, the contractor is required to comply with all “E-Verify” requirements consistent with “Executive Order 12989” and any related pertinent Amendments, as well as applicable Federal Acquisition Regulations.

2.1.12.3. If the contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, http://www.va.gov/vhapublications/ViewPublication.asp

Immigration and Customs Enforcement and the U.S Department of Labor, shall be prohibited from working at the contractor’s place of business that services Department of Veterans Affairs patient referrals; or other place where the contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach.

2.1.12.4. This certification concerns a matter within the jurisdiction of an agency of the

United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001.

2.1.12.5. The contractor agrees to obtain a similar certification from its subcontractors.

The certification shall be made as part of the contractor’s response to the RFQ using the subject Attachment 7 in Section D of the solicitation document.

2.1.13. Annual Office of Inspector General (OIG) Statement: In accordance with

HIPAA and the Balanced Budget Act (BBA) of 1997, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) has established a list of parties and entities excluded from Federal health care programs.

Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs.

2.1.13.1. Therefore, contractor shall review the HHS OIG List of Excluded

Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed contractor’s personnel of care are not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service.

CMP’s may also be imposed against the contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries.

2.1.13.2. By submitting their quote, the contractor certifies that the HHS OIG List of

Excluded Individuals/Entities has been reviewed and that the contractors are and/or firm is not listed as of the date the offer/bid was signed.

2.2. Clinical/Professional Performance: The qualifications of contractor personnel are subject to review by VA Medical Center COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA Directive 1100.21(1). The VAMC Chief of Staff (COS), the applicable Service Chief, or their designee will monitor and review the clinical and professional performance of all clinical personnel covered by this contract to support quality assurance and patient-safety purposes.

2.3. Non-Personal Healthcare Services: The parties agree that the contractor and all contractor’s Neurologists and Electro Neurophysiologic Technologist shall not be considered VA employees for any purpose.

2.4. Indemnification: The contractor shall be liable for, and shall indemnify and hold harmless the Government against, all actions or claims for loss of or damage to http://oig.hhs.gov/exclusions/index.asp property or the injury or death of persons, arising out of or resulting from the fault, negligence, or act or omission of the contractor, its agents, or employees.

2.5. Prohibition Against Self-Referral: Contracted personnel are prohibited from referring VA patients to the contractor or their own practice(s).

2.6. Inherent Government Functions: Contractor and contractor’s personnel of care shall not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non-selection of individuals for Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance, and strategy.

2.7. No Employee Status: The contractor shall be responsible for protecting their personnel furnishing services under this contract. To carry out this responsibility, the contractor shall provide or certify that the following is provided for all their staff providing services under the resultant contract:

• Workers’ compensation

• Professional liability insurance

• Health examinations

• Income tax withholding, and

• Social Security Payments.

2.8. Tort Liability: The Federal Tort Claims Act does not cover the contractor’s providers of care. When a contractor or contractor’s contracted personnel have been identified as a provider in a tort claim, the contractor shall be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a contractor’s (or contractor’s Neurologists or Electro Neurophysiologic Technologist) action or non-action shall be the responsibility of the contractor and/or insurance carrier.

2.9. Key Personnel:

2.9.1. Clinical Personnel Required: The contractor shall provide contracted Neurologists who are competent, qualified per this Performance Work Statement and adequately trained to perform assigned duties. Required to be available daily will be two (2) as defined in the PWS: Hours of Operation.

2.9.2. Clinical Personnel Required: The minimum number of Board Eligible Electro Neurophysiologic Technologist required to be available daily will be two (2) as defined in the Hours of Operation section.

2.9.3. At all times during procedures in the operating room, the ratio of contracted staff to patient will be at a minimum, 1 to 1.

2.10. Personnel Substitutions: During the first ninety (90) calendar days of performance, the contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death or termination of employment. The contractor shall notify the CO, in writing, within three (3) calendar days after the occurrence of any of these events and provide the information required below. After 90 days, the contractor shall submit the information required below to the CO at least 30 calendar days prior to making any permanent substitutions.

2.10.1. The contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the CO. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The CO will notify the contractor within ten (10) calendar days after receipt of all required information of the decision on the proposed substitutes.

The contract will be modified to reflect any approved changes of key personnel.

2.10.2. For temporary substitutions where the key person shall not be reporting to work for three consecutive workdays or more, the contractor shall provide a qualified replacement for the key person. The substitute shall have comparable qualifications to the key person. Any period exceeding two weeks will require the procedure as stated above.

2.10.2.1. The Government reserves the right to refuse acceptance of any contractor personnel at any time after performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representatives. Standards for conduct shall mirror those prescribed by current federal personnel regulations. Should the VA COS or designee show documented clinical problems or continual unprofessional behavior/actions with any Contractor’s Neurologist(s) or Technologist(s), s/he may request, without cause, immediate replacement of said Contractor’s Neurologist(s) or Technologist(s). The CO and COR shall deal with issues raised concerning Contractor’s Neurologist(s) or Technologist(s) conduct. The final arbiter on questions of acceptability is the CO.

2.10.2.2. Contingency Plan: Because continuity of care is an essential part of VAMC’s medical services, the contractor shall have a contingency plan in place to be utilized if the contractor’s Neurologist(s) or Technologist(s) leaves contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract.

3. HOURS OF OPERATION

3.1. VA Business Hours: Normal hours of operations are 7:30 am – 5:00 pm, Monday through Friday. The operating room is open 24 hours/day and a contractor shall be available for procedures 365 days/year, 24/7.

3.1.1. Contractor’s services shall be available and present for all hours of possible scheduled operations, which will be established, and may be revised, as deemed appropriate for patient care by the Chief of Staff. Currently normal operating room hours are 7:30 am – 5:00 pm, Monday through Friday.

3.1.1.1. During normal business hours of operation, contracted staff shall be onsite and ready to perform services 45 minutes prior to the start of surgery.

Equipment and Technologist shall be cleared through Biomedical Engineering

(Biomed) and Sterile Processing Service (SPS) 45 minutes prior to surgical procedure.

3.1.2. Contracted personnel shall be available for procedures outside of normal hours of operations, including evenings, weekends and holidays.

3.1.2.1. Outside of normal business hours, contracted staff should report to the operating room within 60 minutes of being called for surgery.

3.2. Federal Holidays: The following holidays are observed by the Department of

Veterans Affairs:

• New Year’s Day

• President’s Day

• Martin Luther King’s Birthday

• Memorial Day

• Juneteenth

• Independence Day

• Labor Day

• Columbus Day

• Veterans Day

• Thanksgiving

• Christmas

Any day specifically declared by the President of the United States to be a national holiday.

3.3 Cancellations: Contractor will not cancel service for any reason.

3.3.1. Unless a state of emergency has been declared or clinics are otherwise cancelled by the VAMC, the contractor shall be responsible for providing services.

4. CONTRACTOR RESPONSIBILITIES

4.1. The contractor shall furnish all supplies, accessories, equipment, consumables, transportation, delivery, training, and services. The contractor shall provide 24/7 case coverage and scheduling 365 days/year by Key Personnel who are on the key personnel roster. Electro Neurophysiologic Technologists must be available for onsite coverage before and during surgery. Contractor shall coordinate provision of services with the attending surgeon or designee. Contractor shall complete all administrative tasks and required documentation immediately following the procedures.

4.2. Contractors will comply with appropriate and applicable policies, procedures and regulations of the KCVAMC as well as with Centers for Medicare and Medicaid Services (CMS) requirements and complete medical record deficiencies within policy guidelines. Services must meet Joint Commission clinical quality standards for intraoperative monitoring and be FPIS compliant. Quality reports required for quality assurance need to be TJC certified.

4.3. THE CONTRACTOR shall provide, transport, install, participate in the simulations, be available in live surgical cases and test the medical equipment prior to utilization.

4.4. Intraoperative Neuromonitoring (neurophysiology) services: The Electro Neurophysiologic Technologist shall be under direction of the Operating Room Surgeon (OR) and shall perform multiple modality evoked potentials on patients in the operating room at the KCVAMC. Procedures may include stimulate screws and stimulate nerves. The Electro Neurophysiologic Technologist will be responsible for setting up all necessary OR equipment and supplies necessary for neurophysiological intraoperative monitoring and the placement of suitable electrodes on predetermined measured positions on the patient’s body. Technologist must accurately apply all recording and stimulating electrodes. Once connected to the machine in the operating room, data can be interpreted by the Neurophysiologist (on-site) or remotely where the data is transmitted using a secure HIPAA compliant internet connection.

4.5. Intraoperative monitoring modalities needed include: SSEPS, TcMEP, S-EMG, T- EMG, spinal cord mapping including D-Waves, DNEPs, NMEPs, Cortical, motor, sensory, language mapping, white matter tract and brainstem nuclei…