HT940624R0041.pdf

SEE ADDENDUM

(No Collect Calls)

HT940624R0041 13-Sep-2024

b. TELEPHONE NUMBER

726-203-0103

8. OFFER DUE DATE/LOCAL TIME

10:00 AM 17 Oct 2024

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA X ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

HT94069. ISSUED BY

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

CHRISTINE L RUSSMAN

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

1 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.X

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED ORX

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

DHA CONTRACTING OFFICE TIDEWATER HT9406

7700 ARLINGTON BLVD

FALLS CHURCH VA 22042

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE HT0242 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

NAVAL MEDICAL CENTER PORTSMOUTH VA

TIMOTHY GOEHLE

NAVAL MEDICAL CENTER PORTSMOUTH

620 JOHN PAUL JONES CIRCLE

PORTSMOUTH VA 23708

TEL: 757 953-3447 FAX:

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$16,000,000

NAICS:

621111

X

OFFER DATED

29. AWARD OF CONTRACT: REF.

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

HT940624R0041

Section SF 1449 - CONTINUATION SHEET

REQUEST OF QUOTE

COMBINED SYNOPSIS/SOLICITATION

Solicitation #HT940624R0041

Intraoperative Neuromonitoring Services Naval Medical Center Portsmouth, VA (NMCP)

This is a combined synopsis/solicitation for commercial services prepared in accordance with FAR Subparts 12.6 and 13.5, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation, quotes are being requested, and a solicitation will be issued through SAM.gov and is being procured via full and open competition.

The associated North American Industrial Classification System (NAICS) code is 621111 – Offices of Physicians (except Mental Health Specialists), with a small business size of $16 million, and the PSC is Q510 - Neurology. All qualified vendors are encouraged to submit a quotation. It is the contractor’s responsibility to be familiar with the applicable FAR and DFARS clauses and provisions. The FAR and DFARS clauses may be accessed in full text at this address: https://www.acquisition.gov/browse/index/far.

The main operating room at Naval Medical Center Portsmouth (NMCP) requires Intra-Operative Neuromonitoring for surgical cases. The Contractor shall provide real time or live intraoperative neuro monitoring services by a Neurologist on an as needed basis. This service will include a technician and equipment to be brought to the facility (see PWS for detailed information). The scope of the requirement is outlined in the Performance Work Statement (PWS). NMCP requests responses from qualified sources capable of providing services outlined in the Performance Work Statement (PWS).

INSTRUCTIONS TO OFFERORS

**Addendum to FAR 52.212-1, Instructions to Offerors – Commercial Products and Commercial Services

(SEP 2023) **

1. SPECIFIC REQUIREMENTS: This requirement is for commercial, non-personal services and will result in a Firm Fixed-Price type contract. Performance requirements are provided in Attachment I – Performance Work Statement (PWS) of this solicitation which also includes the Quality Assurance Surveillance Plan (QASP) that indicates how the Contractor will be assessed throughout contract performance by the Government.

This section specifies the format and content that Offerors shall use in response to this Request for Quote (RFQ).

Offerors shall submit a response that is legible and comprehensive enough to provide the basis for a sound evaluation by the Government. Any quote which does not provide, as a minimum, that which is required in the RFQ may be determined to be substantially incomplete and not warrant any further consideration.

2. PERIODS OF PERFORMANCE:

Base Period: 01 January 2025 – 31 December 2025 Option Period 1: 01 January 2026 – 31 December 2026 Option Period 2: 01 January 2027 – 31 December 2027 Option Period 3: 01 January 2028 – 31 December 2028 Option Period 4: 01 January 2029 – 31 December 2029

3. PROPOSAL SUBMISSION INSTRUCTIONS:

a) POINT OF CONTACT (POC):

POC: Christine Russman, Contract Specialist https://www.acquisition.gov/browse/index/far

Quotes shall be submitted electronically to christine.l.russman.civ@health.com referencing Solicitation

#HT940624R0041.

The Offeror is responsible for ensuring receipt by the POC.

b) PROPOSAL DUE DATE: no later than 10:00 AM ET on 17 October 2024

c) ELECTRONIC SUBMISSIONS: Quote information shall be electronically submitted to the POC listed above. Proposal content shall be no smaller than Times New Roman font 12 pitch; Exhibits, graphics, charts, captions, etc., shall be no smaller than Times New Roman font 10 pitch. Your submission as a minimum, shall show –

All Quoters shall provide the following company details:

• Complete company name and address

• Company Point of Contact (POC)

• Email

• Phone Number

• Cage Code

• DUNS number

• Place of Manufacture

• Size status of Business

Quoters shall provide a complete quote no later than the stated closing time. Quotes shall include:

1. Solicitation #HT940624R0041, signed Form 1449

2. Coversheet

3. Table of Contents

4. Signatory official/contractor POCs

5. Technical Capability - maximum three (3) page limit

6. Price and any discount terms (if applicable)

1) Technical Factors-

a. Conformance to Performance Work Statement:

The Offeror MUST provide a written proposal that clearly reflects the technical capability to perform the services and their understanding of the requirements set forth in the performance work statement (PWS). Proposal MUST be clear, coherent, and prepared in sufficient detail for effective evaluation of the Offeror’s proposal against the evaluation criteria. The Government will evaluate only one (1) proposal from the prime Offeror and maximum page limited for Technical Capability is three (3) pages.

The Government will not accept alternative proposals. Pages MUST be numbered consecutively throughout the document and not by sections.

2) Price - The Offeror’s proposed price will be evaluated/analyzed separately from Technical Capability. Offeror MUST propose pricing for all CLINs and a total contract price (all line items). The offeror shall provide pricing by providing a unit price on all the CLINs listed, by filling in the unit price and the amounts for each CLIN. Quotes will be evaluated for Completeness (all CLINS are priced). Quoters shall submit firm-fixed pricing for all above requirements.

Adequate competition is anticipated for this acquisition. The government anticipates award of a Firm Fixed Price Contract. Offeror’s quote must include a statement that the pricing shall remain valid for a minimum of ninety (90) calendar days from the date of submission. The offeror shall also provide acknowledgement of the RFQ and any amendments.

Price will be evaluated in accordance with FAR 12.209 and 13.106-3 for fair and reasonableness in terms of:

mailto:christine.l.russman.civ@health.com

- Pricing is proposed based on level of effort within the solicitation

- Pricing is proposed for all CLINs

Other Administrative Instructions:

System for Award Management (SAM). Offerors must be registered in the SAM database to be considered for award. Registration is free and can be completed on-line at https://www.sam.gov/portal/public/SAM/ ; provide DUNS number; Cage Code and TIN.

The following clauses shall be completed:

a. FAR 52.204-17 b. FAR 52.204-20

c. FAR 52.204-24 d. FAR 52.204-26

e. FAR 52.209-2 f. FAR 52.209-5

g. FAR 52.209-11 h. FAR 52.212-3 Alt I

i. FAR 52.222-22 j. FAR 52.222-25

k. FAR 52.223-22 l. FAR 52.229-11

m. DFARS 252.204-7016 n. DFARS 252.204-7017

o. DFARS 252.239-7009

EVALUATION CRITERIA

**Addendum to FAR 52.212-2, Evaluation—Commercial Products and Commercial Services (Nov 2021) **

(a) The Government will award a contract resulting from this solicitation to the Offeror conforming to the solicitation when price and technical capability are considered. The following factors shall be used to evaluate the offer:

Order of Importance:

(i) Technical Capability,

(ii) Price

Basis for Award: Award of this requirement will be made on a sole source best value basis and who meets or exceeds the technical acceptability standard. The Government intends to award without discussions. The Government reserves the right to hold discussions, if deemed necessary. The Offeror MUST provide their best complete proposal upon initial submission.

The Government evaluator(s) will not assume that the Offeror possess any capability or knowledge unless it is specified in the proposal. If Technical Capability received an individual rating of “unacceptable” the collective overall rating will also be “unacceptable.” Only a proposal receiving an overall rating of “acceptable” will be considered for award.

Factor 1: Technical Capability Technical Capability will be evaluated to the degree to which Offer demonstrates overall ability to perform the services and their understanding of the requirements set forth in the performance work statement (PWS).

Ratings Description Acceptable Proposal meets requirements and indicates an adequate approach and understanding of the requirements, and risk of unsuccessful performance is low.

Unacceptable Proposal does not meet requirements of the solicitation, and thus, contains one or more deficiencies, and/or risk of unsuccessful performance is high.

https://www.sam.gov/portal/public/SAM/

Factor 2: Price

(a) Price will be evaluated/analyzed separately from Technical Capability. Price will be evaluated in accordance with FAR 12.209 and 13.106-3 for fair and reasonableness in terms of:

- pricing is proposed based on level of effort within the solicitation

- pricing is proposed for all CLINs

(b) Price will be evaluated for:

- Reasonableness: The offeror’s proposed line-item prices will be evaluated to determine the degree to which the line-item prices compare to the prices a reasonable prudent person would expect to incur for the same or similar service.

- Completeness: Offeror’s have included pricing for all line items, are registered in SAM at time of award and have provided acknowledgement of all amendments (if applicable).

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

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Intraoperative Neuromonitoring

FFP

The contractor shall provide intraoperative neuromonitoring services in support of the Naval Medical Center Portsmouth, VA on behalf of the Government in accordance with the terms and conditions and the performance work statement contained in this contract. Each subCLIN includes an estimated number of procedures/occurrences. The quantities listed in the subCLINs are based on historical data and projected need. The contractor shall only be paid for services and quantities provided. Each subCLIN is billable at a per procedure rate depending on the procedure length. Procedure length is defined as the start time of the procedure to the completion time of the procedure. Procedure length will not be extended to include equipment set-up/removal time, wait time, equipment check-in time, etc.

NET AMT

0001AA 90 Each Intraoperative Neuromonitoring Services

FFP

Scheduled Procedures, duration up to 4:59 hours Fixed price for each procedure is for billing purposes.

PoP: 1 January 2025 - 31 December 2025

FOB: Destination Q510

0001AB 90 Each Intraoperative Neuromonitoring Services

FFP

Scheduled Procedures, duration 5 or more hours Fixed price for each procedure is for billing purposes.

PoP: 1 January 2025 - 31 December 2025

0001AC 10 Each Intraoperative Neuromonitoring Services

FFP

Emergency Procedures, duration up to 4:59 hours Fixed price for each procedure is for billing purposes.

PoP: 1 January 2025 - 31 December 2025

0001AD 10 Each Intraoperative Neuromonitoring Services

FFP

Emergency Procedures, duration 5 or more hours Fixed price for each procedure is for billing purposes.

PoP: 1 January 2025 - 31 December 2025

Intraoperative Neuromonitoring

FFP

The contractor shall provide intraoperative neuromonitoring services in support of the Naval Medical Center Portsmouth, VA on behalf of the Government in accordance with the terms and conditions and the performance work statement contained in this contract. Each subCLIN includes an estimated number of procedures/occurrences. The quantities listed in the subCLINs are based on historical data and projected need. The contractor shall only be paid for services and quantities provided. Each subCLIN is billable at a per procedure rate depending on the procedure length. Procedure length is defined as the start time of the procedure to the completion time of the procedure. Procedure length will not be

1001AA 90 Each OPTION Intraoperative Neuromonitoring Services

FFP

Scheduled Procedures, duration up to 4:59 hours

PoP: 1 January 2026 - 31 December 2026

1001AB 90 Each OPTION Intraoperative Neuromonitoring Services

FFP

Scheduled Procedures, duration 5 or more hours Fixed price for each procedure is for billing purposes.

PoP: 1 January 2026 - 31 December 2026

1001AC 10 Each OPTION Intraoperative Neuromonitoring Services

FFP

Emergency Procedures, duration up to 4:59 hours Fixed price for each procedure is for billing purposes.

PoP: 1 January 2026 - 31 December 2026

1001AD 10 Each OPTION Intraoperative Neuromonitoring Services

FFP

Emergency Procedures, duration 5 or more hours Fixed price for each procedure is for billing purposes.

PoP: 1 January 2026 - 31 December 2026

Intraoperative Neuromonitoring

FFP

The contractor shall provide intraoperative neuromonitoring services in support of the Naval Medical Center Portsmouth, VA on behalf of the Government in accordance with the terms and conditions and the performance work statement contained in this contract. Each subCLIN includes an estimated number of procedures/occurrences. The quantities listed in the subCLINs are based on historical data and projected need. The contractor shall only be paid for services and quantities provided. Each subCLIN is billable at a per procedure rate depending on the procedure length. Procedure length is defined as the start time of the procedure to the completion time of the procedure. Procedure length will not be

2001AA 90 Each OPTION Intraoperative Neuromonitoring Services

FFP

Scheduled Procedures, duration up to 4:59 hours

PoP: 1 January 2027 - 31 December 2027

2001AB 90 Each OPTION Intraoperative Neuromonitoring Services

FFP

Scheduled Procedures, duration 5 or more hours Fixed price for each procedure is for billing purposes.

PoP: 1 January 2027 - 31 December 2027

2001AC 10 Each OPTION Intraoperative Neuromonitoring Services

FFP

Emergency Procedures, duration up to 4:59 hours Fixed price for each procedure is for billing purposes.

PoP: 1 January 2027 - 31 December 2027

2001AD 10 Each OPTION Intraoperative Neuromonitoring Services

FFP

Emergency Procedures, duration 5 or more hours Fixed price for each procedure is for billing purposes.

PoP: 1 January 2027 - 31 December 2027

Intraoperative Neuromonitoring

FFP

The contractor shall provide intraoperative neuromonitoring services in support of the Naval Medical Center Portsmouth, VA on behalf of the Government in accordance with the terms and conditions and the performance work statement contained in this contract. Each subCLIN includes an estimated number of procedures/occurrences. The quantities listed in the subCLINs are based on historical data and projected need. The contractor shall only be paid for services and quantities provided. Each subCLIN is billable at a per procedure rate depending on the procedure length. Procedure length is defined as the start time of the procedure to the completion time of the procedure. Procedure length will not be

3001AA 90 Each OPTION Intraoperative Neuromonitoring Services

FFP

Scheduled Procedures, duration up to 4:59 hours

PoP: 1 January 2028 - 31 December 2028

3001AB 90 Each OPTION Intraoperative Neuromonitoring Services

FFP

Scheduled Procedures, duration 5 or more hours Fixed price for each procedure is for billing purposes.

PoP: 1 January 2028 - 31 December 2028

3001AC 10 Each OPTION Intraoperative Neuromonitoring Services

FFP

Emergency Procedures, duration up to 4:59 hours Fixed price for each procedure is for billing purposes.

PoP: 1 January 2028 - 31 December 2028

3001AD 10 Each OPTION Intraoperative Neuromonitoring Services

FFP

Emergency Procedures, duration 5 or more hours Fixed price for each procedure is for billing purposes.

PoP: 1 January 2028 - 31 December 2028

Intraoperative Neuromonitoring

FFP

The contractor shall provide intraoperative neuromonitoring services in support of the Naval Medical Center Portsmouth, VA on behalf of the Government in accordance with the terms and conditions and the performance work statement contained in this contract. Each subCLIN includes an estimated number of procedures/occurrences. The quantities listed in the subCLINs are based on historical data and projected need. The contractor shall only be paid for services and quantities provided. Each subCLIN is billable at a per procedure rate depending on the procedure length. Procedure length is defined as the start time of the procedure to the completion time of the procedure. Procedure length will not be

4001AA 90 Each OPTION Intraoperative Neuromonitoring Services

FFP

Scheduled Procedures, duration up to 4:59 hours

PoP: 1 January 2029 - 31 December 2029

4001AB 90 Each OPTION Intraoperative Neuromonitoring Services

FFP

Scheduled Procedures, duration 5 or more hours Fixed price for each procedure is for billing purposes.

PoP: 1 January 2029 - 31 December 2029

4001AC 10 Each OPTION Intraoperative Neuromonitoring Services

FFP

Emergency Procedures, duration up to 4:59 hours Fixed price for each procedure is for billing purposes.

PoP: 1 January 2029 - 31 December 2029

4001AD 10 Each OPTION Intraoperative Neuromonitoring Services

FFP

Emergency Procedures, duration 5 or more hours Fixed price for each procedure is for billing purposes.

PoP: 1 January 2029 - 31 December 2029

PERFORMANCE WORK STATEMENT

Department of Defense Defense Health Agency

Performance Work Statement

Intra-Operative Neuromonitoring

Naval Medical Center Portsmouth Directorate of Surgical Services

Main Operating Room

Solicitation Number: HT940624R0041

Version: 2 Date: 13 September 2024

PART 1

1.0 GENERAL INFORMATION

1.1 This is a non-personal services contract to provide Intra-Operative Neuromonitoring.

1.2 Description of services/introduction: The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform Intra-Operative Neuromonitoring as defined in this Performance Work Statement (PWS) except for those items specified as government furnished property and services. The contractor shall perform to the standards in this PWS.

1.3 Background: The main operating room at NMC Portsmouth requires Intra-Operative Neuromonitoring for surgical cases. The Contractor shall provide nonpersonal intraoperative neuro monitoring services for Naval Medical Center Portsmouth, VA. This Contract is a nonpersonal health care services contract, under which the Contractor is an independent contractor. The Contractor shall provide real time or live intraoperative neuro monitoring services by a Neurologist on an as needed basis. This service will include a technician and equipment to be brought to the facility (see PWS for detailed information). Contractor shall monitor the patient’s nerves during specific surgeries to keep patients safe and improve surgical outcomes. Based on historical data, we have approximately 200 cases annually which requires neuro-monitoring. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered (e.g., professional judgments, diagnosis for specific medical treatment).

1.4 Objectives: Provide intra-operative neuromonitoring to support surgical services.

1.5 Scope: Intra-operative Neuromonitoring. The current requirement is for neurosurgery, orthopedics, and vascular procedures; however, additional procedures may be added in the future. Procedures are listed below (this is not a definitive list):

• Cervical, Thoracic & Lumbar levels

• Instrumentation Cases, Total Disk Replacement, Scoliosis Correction, Growing Rod, Discectomy/Laminectomy, Corpectomy & Decompressions

• XLIF/LLIF/OLIF/ALIF

• Spinal Cord Stimulator

• Craniotomies: Brain Tumor Removal, Microvascular Decompression, Awake, Acoustic

Neuroma & Skull Base

• Spinal Cord Tumor, Tethered Cord Release & Rhizotomy

• Deep Brain Stimulator

• Tympanoplasty/Mastoidectomy

• Canalplasty

• Cochlear Implants

• Atresiaplasty

• Endolymphatic mastoid shunt

• Encephalocele Repair

• Repair CSF leak

• Micro Vascular decompression

• Glomus Tympanicum/Glomus Jugulare

• Semi Circular Canal Dehiscence repair

• Acoustic Neuroma Removal and other skull base tumors

• Auditory Brainstem Implants

• Carotid Endartectomy

• Brain Aneurysm & Aortic Aneurysm

• EC-IC Bypass

• Trans Carotid Artery Revascularization (TCAR)

• Transcatheter Aortic Valve Replacement (TAVR)

• Arteriovenous Malformation & Arteriovenous Fistula

• Acetabular Fractures & Arthroplasty Revisions

• Open Reduction and Internal Fixation

• Joint Replacement

• Limb lengthening and deformity correction

1.6 Period of Performance (PoP): 01 January 2025 – 31 December 2025 Option year 1: 01 January 2026 – 31 December 2026 Option year 2: 01 January 2027 – 31 December 2027 Option year 3: 01 January 2028 – 31 December 2028 Option year 4: 01 January 2029 – 31 December 2029 6-Month Extension (FAR 52.217-8): 01 January 2030 – 31 June 2030

1.6.1 Transition: Transition-in/transition-out period

1.6.1.1 Transition-in period: Full performance start date is, 1 January 2025. Transition-in performance begins once the contract is awarded, when the awardee shall commence to implement the contract with minimal issues or disruptions to the agency, including extended delay to scheduling upcoming surgeries. During the transition-in period, the contractor shall prepare to meet all contract requirements and ensure incoming personnel are functionally trained and qualified on the full performance start date except cybersecurity requirements, which must be fully adhered during transition and full performance periods. The remaining incoming personnel shall be trained and qualified within 5 days.

1.6.1.1.1 The contractor shall comply with transition-in requirements of the DHA, as listed in paragraph 1.11.1, for contractors needing to be issued Common Access Card (CAC) identification, including Department of Defense (DoD) and DHA-directed training and forms submission, prior to network access.

1.6.1.2 Transition-out period: The transition-out plan shall facilitate the accomplishment of a seamless transition from the incumbent to an incoming contractor/Government personnel at the expiration of the contract. See Part 7, Technical Exhibit 1.

1.6.1.2.1 The contractor shall comply with transition-out requirements of the DHA for contractors who have been issued a CAC or who generate “records”, as defined by DoD (records manual), including DoD-directed disposition of records, and others displayed on the In/Out (I/O) Processing Portal.

1.7 Administrative specifications

1.7.1 Place of performance: The work shall be performed at the Naval Medical Center Portsmouth, Virginia in the main operating room.

1.7.2 Recognized Federal holidays:

New Year’s Day Labor Day Martin Luther King Jr.’s Birthday Columbus Day President’s Day Veteran’s Day Memorial Day Thanksgiving Day Juneteenth Day Christmas Day Independence Day

1.7.3 Hours of operation: Service is required on a case-by-case basis for scheduled procedures.

Procedures are scheduled during the hours of 0650 and1800 Monday through Friday (normal operating hours), exclusive of Federal holidays. The Contractor shall provide service until the end of each procedure, regardless of the time, and shall recognize that there may be instances where procedure will not finish until after 1900 hours. The Government will provide notification to the Contractor when a procedure is scheduled. The Contractor shall recognize that the schedule provided may change. The Contractor shall be responsible for providing a toll-free number where requests for services can be communicated to a live person with a confirmation number communicated to the Government.

1.7.4 Emergency Services: Service for emergency procedures shall be provided at any time Monday through Sunday, including after hours, weekends and Federal holidays. When emergency procedures are scheduled, the Contractor shall be required to report to the MTF no later than 60 minutes after receipt of notification. The Contractor shall be responsible for providing a toll-free number where requests for services can be communicated to a live person with a confirmation number communicated to the Government.

1.8 Contractor travel: There are no travel requirements for this service.

1.9 Other Direct Costs (ODC): Not Applicable (N/A)

1.10 Quality

1.10.1 Quality Control (QC): The contractor shall develop and maintain an effective QC program to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure nonrecurrence of defective services. The contractor’s QC program is the means by which the work complies with stated requirements. The QCP is to be delivered within 30 days after contract award or with the contractor’s proposal if it is an evaluation factor, a comprehensive written QCP shall be submitted to the CO and COR within 5 working days when changes are made thereafter. After acceptance of the Quality Control Plan (QCP) the contractor shall receive the CO’s acceptance in writing of any proposed change to his QC system.

1.10.2 Quality assurance (QA): The government shall evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan provides a systematic method for the Government to evaluate performance and to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s).

1.11 Contractor personnel

1.11.1 CAC requirements: N/A

1.11.2 Contractor onboarding and training. The contractor shall complete all requirements, training, and forms as prescribed in the following requirements:

1.11.2.1 The DHA’s “Onboarding Checklist for Contractor Employees” is located at the DHA Onboarding and Offboarding Portal at https://info.health.mil/cos/admin/hr/IO/SitePages/Home.aspx

1.11.2.2 The DHA’s contractor training instructions embedded at Part 7 Section 7.1.2.

(Government (DHA) requirements development staff must cut/paste onboarding checklist at https://info.health.mil/sites/DOP/OnboardingCtr/Contractor_OnBoarding_Checklist.pdf and embed most up-to-date form in Part 7, Section 7.1.2.)

1.11.2.3 The contractor shall comply with onboarding requirements of the DHA for contractors needing to be issued CAC identification, including DoD- and DHA-directed training and forms submission, prior to network access, as displayed in the In/Out-Processing Portal at:

https://info.health.mil/cos/admin/hr/IO/SitePages/home.aspx (note: Public Key Infrastructure (PKI)-restricted, printed versions available).

1.11.3 Physical Security: The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use. At the close of each work period, government facilities, equipment, and materials shall be secured.

1.12 Key personnel (Contractor): The contractor shall provide a contract manager who shall be responsible for the performance of the work. The name of this person and an alternate who shall act for the contractor when the manager is absent shall be designated in writing to the CO.

The contract manager or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The contract manager or alternate shall be available between 7:00 a.m. to 4:30 p.m., Monday thru Friday except Federal holidays or when the government facility is closed for administrative reasons.

https://info.health.mil/cos/admin/hr/IO/SitePages/Home.aspx https://info.health.mil/sites/DOP/OnboardingCtr/Contractor_OnBoarding_Checklist.pdf https://info.health.mil/cos/admin/hr/IO/SitePages/home.aspx

1.13 Data rights: Reserved

1.14 Reporting

1.14.1 Contractor Manpower Reporting (CMR): RESERVED.

1.14.2 Government’s COR: The COR monitors all technical aspects of the contract and assists in contract administration. The COR is authorized to perform the following functions: assure that the contractor performs the technical requirements of the contract; perform inspections necessary in connection with contract performance; maintain written and oral communications with the contractor concerning technical aspects of the contract; issue written interpretations of technical requirements, including Government drawings, designs, specifications; monitor contractor's performance and notifies both the CO and contractor of any deficiencies; coordinate availability of government furnished property; and provide site entry of contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting contract.

1.15 Contractor Identification

1.15.1 Contractor personnel performing services in a contractor capacity in a Government facility are required to possess and wear an identification badge that displays his or her name and the name of their company. All contractor personnel shall identify themselves as contractor support personnel in all forms of communication with all entities with whom DHA/Deputy Assistant Director for Acquisition (DAD-A)/Head of the Contracting Activity (HCA) has business dealings. The contractor shall: Answer all telephone calls and have a personalized voice message with an introductory statement that includes the fact that the person is contractor support personnel. Ensure all those with whom the person interacts in any face-to-face dealings while supporting the DAD-A understands that the person is contractor support personnel.

Include a title block in all emails that states the fact that the person is contractor support personnel. Ensure all those with whom the person interacts in any face-to-face dealings while supporting DHA/DAD-A/HCA understands that the person is contractor support personnel.

1.15.2 Contractor personnel will be required to attend meetings or otherwise communicate with Government and/or other contract representatives to meet the requirements of this order.

Contractor personnel shall make their contractor status known during introductions.

1.15.3 Contractor personnel, while performing in a contractor capacity, are prohibited from using their retired or reserve component military rank or title in any written or verbal communications associated with the contracts in which they provide services.

1.16 Contractor Access to Health Affairs (HA)/DHA Network(s)

1.16.1 FSO/Company's Security POC shall notify the DHA Personnel Security Office after being awarded a contract that requires access to a DoD system. Contractor personnel requiring access to the HA/DHA networks for performance of their tasks require a background investigation and the security awareness training. The contractor shall be prepared for this process as it could take two (2) or more weeks. The FSO/Security POC shall submit a Standard Form (SF) 85/86 to DHA's Personnel Security Office for a background investigation.

1.16.2 Company's FSO/Security POC must notify the Personnel Security Office when the contractor has submitted the SF-85/86. The FSO/Security POC, or the COR must notify the DHA Personnel Security Office in writing of a contractor's termination from the contract, including the termination date.

1.17 Personnel Security

1.17.1 The contractor shall comply with DoD 8570.01-M, “Information Assurance Workforce Improvement Program, CH4” November 10, 2015 as amended; 8500.01, “Cybersecurity”, dated March 14, 2014; DoD Manual (DoDM) 6025.18, “Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule Compliance in DoD Health Care Programs” dated March 3, 2019, Department of Defense Instruction (DoDI) 6025.18 “HIPAA Privacy Rule Compliance in DoD Health Care Programs”, dated March 13, 2019; and DoDM

5200.02 “Procedures for the DoD Personnel Security Program (PSP),” incorporation change 3, effective September 24, 2020. Contractor responsibilities for ensuring personnel security include, but are not limited to, meeting the following requirements:

1.17.1.1 Follow the DHA Personnel Security Office guidelines for submittal of security clearances. Contact the DHA Personnel Security Office for guidance on the appropriate background investigation required for personnel on the contract. The DHA Personnel Security Office can be reached at (703) 275-6038.

1.17.1.2 Initiate, maintain, and document personnel security investigations appropriate to the individual’s responsibilities and required access to Controlled Unclassified Information (CUI).

1.17.1.3 DHA Personnel Security Office does not deny any access to any automated information system (AIS), network, or Controlled Unclassified Information (CUI). If a contractor receives an unfavorable background investigation, the request for access will be sent back to the FSO for further action. Any unfavorable adjudication will result in DHA Personnel Security Office not signing off on any access request.

PART 2

2.0 DEFINITIONS, ACRONYMS, AND APPLICABLE

PUBLICATIONS/INSTRUCTIONS

2.1 Definitions:

2.1.1 Category D: Information Technology (IT) and Telecommunications Services (called D- Services)

2.1.2 Category R: Support (Professional/Administrative/Management) Services (called R- Services)

2.1.3 Contracting Officer (CO): A person with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings.

2.1.4 Contracting Officer’s Representative (COR): An individual, including a contracting officer’s technical representative (COTR), designated, and authorized in writing by the CO to perform specific technical or administrative functions. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.5 Nonpersonal services contract: a contract under which the personnel rendering the services are not subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees.

2.1.6 Quality Assurance Surveillance Plan (QASP): An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance. The Government may either prepare the QASP or require the offerors to submit a proposed quality assurance surveillance plan for the Government’s consideration in development of the Government’s plan.

2.2 Acronyms:

AIS Automated Information System APL Approved Products List APL AQL Acceptable Quality Level ARRT Acquisition Requirements Roadmap Tool ATO Authority to Operate B2B Business-2-Business CAC Common Access Card CAP Cloud Access Point CCEVS Common Criteria Cybersecurity Evaluation and Validation Scheme CDI Covered Defense Information CE Computer Environment

CDRL Contract Data Requirement List CIO Chief Information Officer CJCSM Chairman of the Joint Chiefs of Staff Manual CMMC Cybersecurity Maturity Model Certification CMR Contractor Manpower Reporting CNSSI Committee on National Security Systems Instruction CO Contracting Officer(s) CONUS Continental United States (excludes Alaska and Hawaii) COR Contracting Officer Representative COTR Contracting Officer's Technical Representative CSP Cloud Service Provider CSSP Cyber Security Service Provider CUI Controlled Unclassified Information DAD-A Deputy Assistant Director for Acquisition DC3 DoD Cyber Crime Center DD Form 254 Department of Defense Contract Security Requirement List (if applicable) DB Design-Build DBB Design-Bid-Build DFARS Defense Federal Acquisition Regulation Supplement DHA Defense Health Agency DISA Defense Information System Agency DoD Department of Defense DoDD Department of Defense Directive DoDI Department of Defense Instruction DSAs Data Sharing Agreements DSAA Data Sharing Agreement Application DMZ Demilitarized Zone DoDM Department of Defense Manual DPCLO DHA Privacy and Civil Liberties Office DUA Data Use Agreement eMSM Enhanced Multi-Service Markets EULA End User License Agreement EVM Earned Value Management FAR Federal Acquisition Regulation FCI Federal contract information FE Facilities Enterprise FedRAMP Federal Risk Authorization and Management Program FISMA Federal Information Security Modernization Act FRCS Facility Related Control Systems FSO Facilities Security Officer HA Health Affairs HIPAA Health Insurance Portability and Accountability Act HCA Head of the Contracting Activity HCW Health Care Worker HIT Health Information Technology IGCE Independent Government Cost Estimate

IA Information Assurance IO Initial Outfitting I/O In/Out Processing Portal IPv Internet Protocol Version IS Information System ISP Internet Service Provider IT Information Technology ISCM Information Security Continuous Monitoring IV&V Independent Verification & Validation MedCOI Medical Community of Interest MHS Military Health System MIL-STD Military Standard MTFs Military Treatment Facilities NCR National Capitol Region NDA Non-Disclosure Agreement NIAP National Information Assurance Partnership NIST National Institute of Standards and Technology OCONUS Outside Continental United States (includes Alaska and Hawaii) ODC Other Direct Costs OPM Office of Personal Management OSD Office of the Secretary of Defense P-ATO Personal Authorization to Operate P&R Personnel and Readiness PGI Procedures, Guidance, and Information PDT Project Delivery Team PHI Protected Health Information PII Personally Identifiable Information PIT Platform Information Technology PK Public Key PKI Public Key Infrastructure POA&M Plan of Action and Milestones POC Point of Contact PMO Program Management Office PoP Period of Performance PP Personal Property PPSM Ports, Protocols, and Services Management PRS Performance Requirements Summary PSP Personnel Security Program PWS Performance Work Statement QA Quality Assurance QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Plan RFP Request for Proposal RFQ Request for Quotation

RMF Risk Management Framework SP Special Publication SPRS Supplier Performance Risk System SRM Sustainment, Restoration and Modernization SRG Security Requirements Guides STIG Security Technical Implementation Guides TOS Terms of Service US United States UFC Unified Facilities Criteria VPN Virtual Private Network XML Extensible Markup Language

PART 3

3.0 GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

The Requiring Activity Authority has assessed the need for Government Furnished Property, Equipment, and Services and determined:

3.1 Services: The Government:

☒ Will NOT provide Government Furnished Services in support of this contract/task order. As a result, this paragraph is N/A.

3.2 Facilities: The Government:

☒ WILL provide Facilities in support of this contract/task orders. The Government provided Facilities are described below: The government will provide space within the surgical suite to allow the contractor to set-up and perform intra-operative neuromonitoring during surgical procedures.

3.3 Utilities: The Government:

☒ WILL provide Utilities in support of this contract/task orders. The Government provided Utilities are described below: The government will provide utilities such as electricity, and network connectivity to facilitate proper functioning of intra-operative neuromonitoring equipment.

3.4 Equipment: The Government:

☒ Will NOT provide Equipment in support of this contract/task order. As a result, this paragraph is Not Applicable.

3.5 Materials: The Government:

☒ Will NOT provide Materials in support of this contract/task order. As a result, this paragraph is Not Applicable.

PART 4

4.0 CONTRACTOR FURNISHED ITEMS AND SERVICES

4.1 Services: The Contractor:

☒ WILL provide Contractor Furnished Services required in support of this contract/task orders.

During the term of this Contract, contract employees shall provide, on behalf of the Government, intraoperative monitoring services to active-duty military personnel, their dependents, eligible Navy civilian employees, and other eligible beneficiaries, in accordance with the terms and conditions of the contract. See services/Specific task below.

4.2 General: The contractor shall furnish all supplies, equipment, and services required to perform work listed under Section 5 of this PWS.

4.3 Secret Facility Clearance: Secret clearance is N/A in this circumstance.

4.4 Materials: The Contractor agrees to provide all supplies required to provide intraoperative monitoring services. The Contractor’s price should be inclusive of all cost to include any required, labor, transportation, and consumable items/supplies. The Government will not provide any consumable items/supplies that are required for the operation of Contractor’s equipment or provision of services described herein.

4.5 Equipment: The Contractor shall provide an intraoperative neuro monitoring system capable of providing the services described within this contract. The Contractor shall acquire, maintain, and provide in good working order the dedicated equipment, internet access (if applicable), technology, and software required to provide intraoperative monitoring services. The costs of repair and/or replacement of such equipment, technology or software will be the sole responsibility of the Contractor. The Contractor agrees to abide by the MTF’s policies and procedures regarding the maintenance, use and safety of any clinical equipment utilized on-site at the MTF. The Contractor shall ensure full maintenance of all equipment used in conjunction of the requirements of this Contract. All maintenance records are to be written and available for review by the Government with a minimum five (5) calendar day advance notice.

4.6 Insurance: This is a non-personal service Contract; the Contractor is required to have their own insurance.

4.6.1. AUTOMOBILE LIABILITY INSURANCE.

Before commencing work under this Contract, the Contractor shall certify to the Contracting Officer in writing that the required automobile insurance has been obtained. The following insurance as referenced in Federal Acquisition Regulations (FAR) Clause 28.307, is the minimum insurance required:

Automobile liability insurance written on the comprehensive form of policy. The policy shall provide for bodily injury and property damage liability covering the operation of all automobiles used in connection with performing this Contract. Policies covering automobiles operated in the United States shall provide coverage of at least $200,000 per person and $500,000 per occurrence for bodily injury and $20,000 per occurrence for property damage. The amount of liability coverage on other policies shall be commensurate with any legal requirements of the locality and sufficient to meet normal and customary claims.

4.6.2. WORKERS’ COMPENSATION AND EMPLOYER’S LIABILITY

The Contractor shall comply with applicable Federal and State workers' compensation and occupational disease statutes. If occupational diseases are not compensable under those statutes, they shall be covered under the employer's liability section of the insurance policy, except when contract operations are so commingled with the Contractor's commercial operations that it would not be practical to require this coverage. Employer's liability coverage of at least $100,000 shall be required, except in states with exclusive or monopolistic funds that do not permit workers' compensation to be written by private carriers.

4.6.3. MEDICAL LIABILITY

The Contractor shall comply with applicable requirements of the FAR Clause 52.237-7, Indemnification and Medical Liability Insurance (JAN 1997).

4.6.3.1.

The Contractor shall provide a Certificate of Indemnification and Medical Liability Insurance, as part of the Quote and shall provide an updated Certificate to the COR upon request.

PART 5

5.0 PERFORMANCE REQUIREMENTS

5.1 Intra-Operative Neuromonitoring:

The Contractor shall provide real time or live intraoperative neuro monitoring services by a Neurologist on an as-needed basis. Remote interpretation is allowable with the use of a neuromonitoring technician; however, additional information technology requirements apply, see part 6. Procedure rates shall be inclusive of all remote monitoring/information technology requirements.

• Services required include SSEP, MEP, EMG, EEG, cortical mapping, BAER, brain stem recordings, etc.

• The Contractor shall provide service in operating rooms (ORs). Work shall be performed in a medical setting. Long periods of standing may be required.

• The Contractor shall be prepared to provide service on up to three (3) procedures at the same time.

• Due to the nature of the requirement, services may be cancelled or rescheduled at any time prior to the procedure, including the day of the procedure after the Contractor arrives on-site at the MTF. The Government will not reimburse the Contractor for any fees relating to the cancellation or rescheduling of a procedure.

• The Contractor shall furnish, set up/prepare, operate, troubleshoot, maintain the cleanliness, and perform inspection and maintenance of the intraoperative neurophysiologic monitoring system and supplies in accordance with the manufacturer’s guidelines. The Contractor shall provide evidence of required inspection/maintenance as requested by the Government.

• The Government will provide limited storage space for contractor equipment to remain on-site. For equipment not kept on-site, the Contractor shall report to the MTF approximately one (1) hour prior to the start of each procedure to have their equipment undergo a safety evaluation by biomedical engineering.

• The Contractor shall demonstrate detailed technical knowledge and troubleshooting ability for the intraoperative monitoring system.

• The Contractor shall be present for the positioning of the patient in the operating room (OR), attach electrodes, monitor complex nerve impulses, and provide verbal notification to the surgeon(s), anesthesiologist, and other members of the surgical team regarding any danger to the patient nerve pathways during a surgical procedure.