S02_36C24524Q0564.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/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION (REV. 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

36C24524Q0564 06-11-2024

Ethan Mauzy | ethan.mauzy@va.gov Email Only 07-03-2024

11:00 EDT

36C245

Department of Veterans Affairs

Network Contract Office 05

Contracting Officer - Robert O'Keefe Jr.

P.O. Box 1000, Bldg. 101, Room 26

Perry Point MD 21902

X

813920

$23.5 Million

N/A

X

36C132

Department of Veterans Affairs

VA Maryland Health Care System

National Radiation Oncology Program

**See Statement of Work for Details**

36C245

Department of Veterans Affairs

Network Contracting Office 05

Contracting Officer - Ethan Mauzy

P.O. Box 1000, Bldg. 101C Room 3

PAYMENT WILL BE MADE BY

FSC e-Invoice Payment

Invoice must be submitted electronically http://www.fsc.va.gov/einvoice.asp

Invoice Setup Information 1-877-489-6135

See CONTINUATION Page

The Purpose of this Request for Quote (RFQ) Solicitation is for the VHA National Radiation Oncology Program Practice

Accreditation in accordance with the Statement of Work (SOW)

The Government intends to perform a comparative evaluation of offerors in accordance with FAR 13.106-2(b)(3) to deter-mine the best benefit to the Government. The contract is an

Indefinite Delivery Requirements Contract (IDRC) with a Five

(5) Year Individual Pricing Periods.

Period of Performance: 01 September 2024 - 31 August 2029

Questions Due NLT: 18 June 2024 at 11:00AM Eastern Time

Quotes Due NLT: 03 July 2024 at 11:00AM Eastern Time

See Supplemental Instructions to Offerors for more details.

IAW with VHA Privacy Policy Regulations: A Business

Associates Agreement(BAA) will be required at time of award.

The contractor shall be responsible for a BAA within 15 days post award.

See CONTINUATION Page

X X

X 1

Robert O'Keefe Jr.

36C24524Q0564

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 STATEMENT OF WORK

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

SECTION C - CONTRACT CLAUSES

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

COMMERCIAL SERVICES (NOV 2023)

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 52.216-21 REQUIREMENTS (OCT 1995)

C.6 52.228-5 INSURANCE—WORK ON A GOVERNMENT INSTALLATION (JAN 1997)

C.7 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.8 VAAR 852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 2022)

C.9 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.10 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)

C.11 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

C.12 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES

OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (FEB

2024)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SEE ATTACHED DOCUMENT: S02_BUSINESS ASSOCIATE AGREEMENT

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (SEP 2023)

E.2 SUPPLEMENTAL INSTRUCTIONS TO OFFERORS

E.3 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

E.4 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO

SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.5 52.204-29 FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT ORDERS—

REPRESENTATION AND DISCLOSURES (DEC 2023)

E.6 52.216-1 TYPE OF CONTRACT (APR 1984)

E.7 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.8 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.9 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV

2021)

E.10 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES (FEB 2024)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT:

Contracting Officer 36C245

Department of Veterans Affairs

Network Contract Office 05

Contracting Officer - Robert O'Keefe Jr.

P.O. Box 1000, Bldg. 101, Room 26

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

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

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] MONTHLY IN 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.

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the

Solicitation numbered and dated as follows:

B.2 STATEMENT OF WORK

1. Title of Project: VHA Radiation Oncology Practice Accreditation

2. Scope of Work: The contractor shall provide all resources necessary to accomplish the deliverables described in the performance work statement, except as may otherwise be specified. To continue a comprehensive accreditation process by a national recognized external accrediting body for all VHA Radiation

Oncology Programs. The contractor shall provide accreditation surveys to (41) VHA Radiation Oncology

Programs to include a thorough third party, impartial peer review and evaluation of patient care. The off-site and onsite surveys include at a minimum review of following data;

• Staffing levels, qualifications and credentials of radiation oncologist(s) and medical physicist(s), staff roles and responsibilities, and on-going training of staff.

• On-site availability of Radiation Oncologist(s) and medical physicist(s),

• Radiation treatment management data that include history & physical/consultation, treatment sections, patient evaluation, care coordination, treatment summary and follow-up from cases randomly selected and anonymized on electronic submission,

• Medical Physics operation that include treatment chart documentation, treatment simulation, treatment planning, treatment plan evaluation, and patient-specific QA .

• Quality Control Program: instrumentations, simulation/treatment machine/quality assurance, treatment planning and general quality assurance and quality management, culture of safety, radiation safety, and Information Management and integration of Systems.

• Practice’s Policy and Procedures, Peer review of clinical processes, Performance Measurement and Outcomes Reporting, and Practice’s Continuous Quality Improvement initiatives.

• Clinical data backup storage and recovery policies

Recommendations of findings shall be based on nationally recognized guidelines, including American College of Radiology (ACR) technical standards, ACR Appropriateness Criteria, American Society for Radiation

Oncology (ASTRO) white papers, and the American Association of Physics in Medicine (AAPM) Task Group reports and technical standards.

The surveyors shall consist of board-certified radiation oncologists and board-certified medical physicists, and act as data collectors only. All data from the survey application and the on-site survey shall be compiled and submitted for final recommendations regarding accreditation to a review committee of the contractor, which at a minimum shall be composed of experienced board-certified radiation oncologists and medical physicists.

In addition to the accreditation survey report, the contractor shall provide individualized Practice Quality

Improvement (PQI) report to all full-time VHA radiation oncology physicians and VHA medical physicists employed by Veterans Affairs Medical Centers (VAMC) at no additional charge. If any corrective action measures are identified, the final report will request additional documentation that demonstrates that these have been appropriately addressed. When this documentation is submitted and reviewed, a certificate of satisfactory completion of the PQI project will be issued to each participating radiation oncologist and medical physicist.

3. Background: The Under Secretary for Health requested on-site accreditation inspections of all VHA facilities providing radiation oncology services. In response to this request, Specialty Patient Care Services contracted with the American College of Radiology to conduct a second round of accreditation surveys.

Initiated after January 1, 2008, these surveys were completed over a three-year period ending in FY2011. The product was to have a 3-year accreditation or recommendations for improvement in practice and patient outcomes to meet or exceed national standards and ensure high quality healthcare in all VHA Radiation

Oncology program for all Veterans. The re-accreditation process goes in 3-year cycles

The accreditation process shall be designed to promote quality and be educational in nature, it shall include at a minimum an on-site survey performed by a board-certified radiation oncologist and board-certified medical physicist.

The contractor shall review one Practice Quality Improvement (PQI) project for each VHA radiation oncologist(s) and medical physicist(s) during on-site survey to determine that it fulfills, “Improvement in Medical

Practice requirement for Maintenance of Certification(MOC) for the American Board of Radiology (ABR). The

PQI assessment will not require the submission of any additional data by the site.

Following the survey, a final report and certificate of satisfactory completion of PQI project shall be issued to each participating radiation oncologist and medical physicist. If any recommended action measures are identified, the final report shall request additional documentation that demonstrates that such measures have been appropriately addressed.

4. Performance Period: The period of performance is a 5 year ordering periods projected to begin 01

September 2024, with a completion date of 31 August 2025 with an ultimate completion date of 31 August

2029. Work at the government site shall not take place on Federal holidays or weekends unless directed by the Contracting Officer (CO).

5. Projected Type of Contract: Indefinite Delivery Requirements Contract with a 5 Year Ordering Period

6. Place of Performance: VHA Radiation Oncology Programs applying for accreditation, or re-accreditation prior to initial accreditation expiration, must submit an application through the Contractor’s secure website.

The application should consist of submission of facility treatment and equipment information, staffing levels and qualifications, policies and procedures for patient care, and physics Quality Assurance/Quality Control documentation. If deficiencies are noted or missing items identified, the facility will be contacted so that any missing items can be submitted before the on-site survey is scheduled.

When the application is complete, the date of the on-site survey will be confirmed. At this time, the facility will receive a notice to submit cases (Census Data Form) from which 10 (or more) will be selected for review during the site visit. The on-site survey is conducted over one business day (for a single facility)

B. GENERAL REQUIREMENTS

1. For every task, the contractor shall identify in writing all necessary subtasks (if any), associated costs by task, and together with associated sub milestone dates. The contractor's subtask structure shall be reflected in the technical proposal and detailed project management plan (PMP).

2. All written deliverables will be phrased in layperson language. Statistical and other technical terminology will not be used without providing a glossary of terms.

3. When survey date is confirmed, The Contractor staff will ask the facility to submit a list of definitively treated patients who have recently completed treatment at applying facility and have had at least one follow up visit. The Contractor will send an email message that will prompt the Radiation Oncology Center to complete the appropriate census data sheets when facility receives confirmation of the survey dates. During the on-site survey, 10 cases will be reviewed. ID numbers, not patient names, will be submitted for 5 breast, 5 prostate, 5 head and neck, 5 lung and 5 “generic” disease sites (Colo-rectal, seminoma, brain, Hodgkin’s disease, cervix, etc.) on the census data sheets provided. If facility does not have 5 cases from a disease site

(such as head and neck), additional generic cases may be submitted. To ensure that all physicians in the practice are reviewed, physician initials must be included with patient ID numbers. A minimum of 2 cases per physician will be reviewed. In addition, cases selected should include all treatment modalities offered at applying facilities, such as intensity modulated radiotherapy (IMRT), prostate seed implants, stereotactic radiosurgery, etc. For all cases, patient records including simulation information, DRRs, port films (hard copies if appropriate), and CT planning documentation will be made available for the surveyors. If the facility has electronic images and/or medical records, facility will provide electronic access to this information.

The surveyors will need to have their own laptops with wireless internet access for data collection on site.

Each VHA Radiation Oncology Center will provide a designated “navigator” for the physician and medical physicist surveyors for electronic medical records/digital imaging systems chart review. All surveyors shall complete VA TMS Training: VA Privacy Awareness, Information Security Training, and Rules of Behavior, and

Privacy and HIPAA Training prior to their initial survey, and update annually. All surveyors must provide training certificates to both point of contact designated by the contractor and the National Radiation Oncology

Program Office Contracting Officer’s Representative (COR).

4. During the visit, the surveyors will tour the facility, verify the information submitted in the facility’s application, conduct an interview with the Chief/Medical Director of Radiation Oncology, the chief physicist, department administrator, chief therapist, dosimetrist, nurse and other key personnel, and collect information about the facility’s patient treatment policies and procedures, safety initiatives and review the selected cases.

The radiation oncologist and medical physicist will review charts and document responses to a set of questions developed by the contractor. Chart reviews should include components such as complete and signed prescriptions, consent forms, pathology reports, history and physical, physician management during treatment and follow up, appropriateness of treatment, simulation/treatment planning and dosimetry activities.

At the end of the day, the surveyors will again meet with the group for a brief “exit” interview. This is primarily to clarify any issues prior to their departure; the team may not provide their recommendations at this time since that will be the Contractor’s Review Committee decision, which will be made following review of the results of the survey.

A comprehensive review of the facility’s physics program will be included as part of the application process and verified during the on-site survey. The Chief Therapeutic Medical Physicist is responsible for the design and implementation of the physics quality management program at VA. The following areas will require documentation submitted with the application:

• Documentation of compliance with appropriate AAPM/ACR/ASTRO recommendations and technical practice standards.

• Documentation of treatment planning system quality assurance program based on AAPM technical standards

• Independent Verification of Output of each clinical beam

• Documentation of end-to-end testing of all advanced procedures such as, IMRT, SBRT, and SRS.

In addition, during the on-site survey, the qualified medical physicist’s documentation of the following will be reviewed:

• Procedures for instrument calibration and periodic instrument constancy checks

• Procedures to verify the manufacturer’s specifications and to establish baseline performance values for radiation therapy equipment,

• Interconnectivity and interoperability of equipment used for radiation treatment planning, delivery, and quality assurance,

• Quality management program for radiation therapy equipment, simulators,

• treatment planning systems, and monitor unit calculation algorithms

• Monitor units’ calculation procedures and protocols

• Physics chart check protocol for reviewing treatment planning and delivery

• Procedures for checking the integrity of mechanical and electrical patient care devices

• Radiation protection program as it pertains to radiation oncology.

• Calculations related to patient dosimetry and/or physics measurements when such needs arise or per clinician’s requests.

• Equipment repair/maintenance records and follow up actions

• New equipment acquisition plan

C. SPECIFIC MANDATORY TASKS AND ASSOCIATED DELIVERABLES

Description of Tasks and Associated Deliverables: The Contractor shall provide the specific deliverables described below within the performance period stated in Section A.4 of this PWS. To meet the needs of the

National Oncology Office, on average fourteen sites (14) sites will be completed per ordering year period.

Task One: This contract is subject to the completion of existing 41 radiation oncology site surveys or any additional site(s) added in the 3-year accreditation cycle. Each on-site survey visits shall be completed in one day. Fourteen (14) sites shall undergo the accreditation process (off-site and on-site review) for Ordering Year

Period 1, and fourteen (14) for Ordering Year Period 2, until all sites have undergone the assessment. The

COR will monitor performance in order to ensure compliance with the requirements of the contract.

Deliverable One: Accrediting body will award a three-year certificate to sites that meet established radiotherapy practice standards and/or recommendations for practice improvement to be addressed by site through a Corrective Action Plan for sites that receive provisional accreditation or denial. A decision and final report will be completed within 12 weeks of the survey date and sent to the Medical Center Director, Service

Chief/Medical Director of Center’s Radiation Oncology Service/Section and COR for the National Radiation

Oncology Program.

Task Two: For payment purposes, all VHA Radiation Oncology Centers will be classified within the accrediting body fee schedule. Upon verified receipt of the required report by the COR, and submittal of proper invoices, the accrediting body obligation will be payable whether full, deferred, or denied accreditation is rendered to the VHA Radiation Oncology Center.

Deliverable Two: Reports submitted to COR as required in paragraph D, Deliverable One, and submittal of proper invoices.

Task Three: Assessment of Performance in Practice for the Maintenance of Certification (MOC) program for the American Board of Radiology (ABR) both for the radiation oncologist(s) and medical physicist(s).

Deliverable Three: Final report and certificate of satisfactory completion of practice assessment will be issued to each participating radiation oncologist.

VHA Radiation Oncology Centers

VISN Station Facility

2 528 Albany

11 506 Ann Arbor

7 508 Atlanta

5 512 Baltimore

8 516 Bay Pines

1 523 Boston

3 526 Bronx

3 630 Brooklyn

10 541 Cleveland

17 549 Dallas

10 552 Dayton

11 553 Detroit

6 558 Durham

3 561 East Orange

12 578 Hines

16 580 Houston

11 583 Indianapolis

16 586 Jackson

15 589 Kansas City

22 600 Long Beach

22 691 Los Angeles

12 607 Madison

9 614 Memphis

8 546 Miami

12 695 Milwaukee

23 618 Minneapolis

9 621 Mountain Home, TN

3 632 Northport

16 635 Oklahoma City

8 675 Orlando

4 642 Philadelphia

4 646 Pittsburgh

6 652 Richmond

17 671 San Antonio

8 672 San Juan

20 663 Seattle

16 667 Shreveport

15 657 St. Louis

8 673 Tampa

5 688 Washington

8 548 West Palm Beach

D. SCHEDULE FOR DELIVERABLES

1. The contractor shall complete the Delivery Date for each deliverable specified.

2. If for any reason the scheduled time for a deliverable cannot be met, the contractor is required to explain why (include the original deliverable due date) in writing to the Contracting Officer (CO), including a firm commitment of when the work shall be completed. This notice to the CO shall cite the reasons for the delay, and the impact on the overall project. The CO will then review the facts and issue a response in accordance with applicable regulations.

E. REPORTING REQUIREMENTS

1. The Accrediting Body will ensure the confidentially of all patient and employee information and shall be liable in the event of breach of confidentiality. Any person who discloses confidential information from the VA may be criminally liable for violations under this regulation. All materials are confidential and are protected under the Privacy Act of 1974, Title 38 U.S.C., Sections 5701, 5705 and 7332.

2. The Contractor survey reports are protected under 38.U.S.C. 5705 which provides that records and documents created by VHA as a part of a designed medical quality assurance program are confidential and privileged and may not be disclosed to any person or entity except when specifically authorized by the statute.

3. The Contractor shall provide VHA with the full assurance that security measures have been implemented. Health Insurance Portability and Accountability Act of 1996 (HIPAA) requirements will be exercised in their business dealing with Protected Health Information (PHI). A business associate agreement

(BAA) will ensure that the accrediting team and body will appropriately safeguard the PHI received from the application for accreditation.

4. In addition to deliverables specified above, the Accrediting Body is also required to provide the COR with accreditation process summary reports every three months (quarterly Oct-Nov-Dec, Jan-Feb-Mar, Apr-

May-Jun, Jul-Aug-Sep). The Contractor shall submit quarterly reports to COR by the 15th of the next month after the end of each quarter.

5. The progress report will cover all work completed during the preceding quarter and will present the work to be accomplished during the quarter. The report must identify any problems, which arose, and a statement explains how the problem was resolved.

6. If for any reason a deliverable cannot be delivered as scheduled, the Contractor is required to submit a request for a time extension to the Contracting Officer. This request will cite the reasons for the delay, the impact on the overall project, and the impact on the cost of this project. The CO will consider each request based on its merits, and will, if appropriate, issue a modification to the task order. The Contractor is required to proceed as originally scheduled until such modification is issued

F. TRAVEL

Fully Burdened price for surveys should include cost of travel. VA will not reimburse travel costs.

G. GOVERNMENT RESPONSIBILITIES

Each VHA Radiation Oncology Center will provide, private office/conference room space for on-site visit, telephone service, and procedural guides, reference materials and program documentation as specified in scope of work.

H. CONTRACTOR EXPERIENCE REQUIREMENTS – KEY PERSONNEL

These skilled experienced professional and/or technical personnel are essential for successful contractor accomplishment of the work to be performed under this contract and subsequent task orders and options. The

Contractor shall validate the credentials and curriculum vitae of the key personnel in charge of the certification/accreditation for verification that the accreditation program body has the expertise to perform the scope of work. The accrediting team shall consist of the minimum of one board certified Radiation Oncologist and Medical Physicist each with a minimum of 5 years of practice experience, dependent on the survey complexity. The Medical Physicist shall be board certified in Therapeutic Medical Physics by the American

Board of Radiology, or by the American Board of Medical Physics. Upon award, submittal of names, credentials and CVs of key personnel to the COR.

These are defined as key personnel and are those persons whose CV’s were submitted. The contractor agrees that the key personnel shall not be removed, diverted, or replaced from work without approval of the

CO and COR.

Any personnel the contractor offers as substitutes shall have the ability and qualifications equal to or better than the key personnel being replaced. Requests to substitute personnel shall be approved by the COR and the CO. All requests for approval of substitutions in personnel shall be submitted to the COR and the CO within 30 calendar days prior to making any change in key personnel. The request shall be written and provide a detailed explanation of the circumstances necessitating the proposed substitution. The contractor shall submit a complete resume for the proposed substitute, any changes to the rate specified in the order (as applicable) and any other information requested by the CO needed to approve or disapprove the proposed substitution. The CO will evaluate such requests and promptly notify the contractor of approval or disapproval thereof in writing.

B.3 PRICE/COST SCHEDULE

All services to be furnished under this contract shall be ordered by issuance of task orders by any Network

Contract Office 05 Warranted Contracting Officers.

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

14.00 EA __________________ __________________

Radiation Oncology Practice Evaluation Surveys - Base Year Ordering Period

Contract Period: Base POP Begin: 09-01-2024 POP End: 08-31-2025 PRINCIPAL NAICS CODE: 813920 - Professional Organizations PRODUCT/SERVICE CODE: R420 - Support - Professional: Certifications and Accreditations (Other Than Educational Institutions or Info Tech C&A)

28.00 EA __________________ __________________

Assessment of Performance in Practice for the Maintenance of Certification (MOC) program for the American Board of Radiology (ABR) for VHA Radiation Oncology Physicians Contract Period: Base POP Begin: 09-01-2024 POP End: 08-31-2025 PRINCIPAL NAICS CODE: 813920 - Professional Organizations

Assessment of Performance in Practice for the Maintenance of Certification

Program for the American Board of Radiology (ABR) for VHA Medical Physicist(s) Contract Period: Base POP Begin: 09-01-2024 POP End: 08-31-2025 PRINCIPAL NAICS CODE: 813920 - Professional Organizations

Radiation Oncology Practice Evaluation Surveys - Year Two Ordering Period

Contract Period: Base POP Begin: 09-01-2025 POP End: 08-31-2026 PRINCIPAL NAICS CODE: 813920 - Professional Organizations program for the American Board of Radiology (ABR) for VHA Radiation Oncology Physicians Contract Period: Base POP Begin: 09-01-2025 POP End: 08-31-2026 PRINCIPAL NAICS CODE: 813920 - Professional Organizations

ITEM

NUMBER

DESCRIPTION OF

Program for the American Board of Radiology (ABR) for VHA Medical Physicist(s) Contract Period: Base POP Begin: 09-01-2025 POP End: 08-31-2026 PRINCIPAL NAICS CODE: 813920 - Professional Organizations

Radiation Oncology Practice Evaluation Surveys - Year Three Ordering Period

Contract Period: Base POP Begin: 09-01-2026 POP End: 08-31-2027 PRINCIPAL NAICS CODE: 813920 - Professional Organizations program for the American Board of Radiology (ABR) for VHA Radiation Oncology Physicians Contract Period: Base POP Begin: 09-01-2026 POP End: 08-31-2027 PRINCIPAL NAICS CODE: 813920 - Professional Organizations

Program for the American Board of Radiology (ABR) for VHA Medical Physicist(s) Contract Period: Base POP Begin: 09-01-2026 POP End: 08-31-2027 PRINCIPAL NAICS CODE: 813920 - Professional Organizations

Radiation Oncology Practice Evaluation Surveys - Year Four Ordering Period

Contract Period: Base POP Begin: 09-01-2027 POP End: 08-31-2028 PRINCIPAL NAICS CODE: 813920 - Professional Organizations program for the American Board of Radiology (ABR) for VHA Radiation Oncology Physicians Contract Period: Base POP Begin: 09-01-2027 POP End: 08-31-2028 PRINCIPAL NAICS CODE: 813920 - Professional Organizations

ITEM

NUMBER

DESCRIPTION OF

Program for the American Board of Radiology (ABR) for VHA Medical Physicist(s) Contract Period: Base POP Begin: 09-01-2027 POP End: 08-31-2028 PRINCIPAL NAICS CODE: 813920 - Professional Organizations

Radiation Oncology Practice Evaluation Surveys - Year Five Ordering Period

Contract Period: Base POP Begin: 09-01-2028 POP End: 08-31-2029 PRINCIPAL NAICS CODE: 813920 - Professional Organizations program for the American Board of Radiology (ABR) for VHA Radiation Oncology Physicians Contract Period: Base POP Begin: 09-01-2028 POP End: 08-31-2029 PRINCIPAL NAICS CODE: 813920 - Professional Organizations

Program for the American Board of Radiology (ABR) for VHA Medical Physicist(s) Contract Period: Base POP Begin: 09-01-2028 POP End: 08-31-2029 PRINCIPAL NAICS CODE: 813920 - Professional Organizations

GRAND TOTAL __________________

SECTION C - CONTRACT CLAUSES

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

COMMERCIAL SERVICES (NOV 2023)

(a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. If repair/replacement or reperformance will not correct the defects or is not possible, the Government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming supplies or services. The Government must exercise its post-acceptance rights—

(1) Within a reasonable time after the defect was discovered or should have been discovered; and

(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

(b) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims Act (31 U.S.C. 3727). However, when a third party makes payment (e.g., use of the Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.

(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.

(d) Disputes. This contract is subject to 41 U.S.C. chapter 71, Contract Disputes. Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause at Federal Acquisition

Regulation (FAR) 52.233-1, Disputes, which is incorporated herein by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

(e) Definitions. The clause at FAR 52.202-1, Definitions, is incorporated herein by reference.

(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence such as, acts of

God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The

Contractor shall notify the Contracting Officer in writing as soon as it is reasonably possible after the commencement of any excusable delay, setting forth the full particulars in connection therewith, shall remedy such occurrence with all reasonable dispatch, and shall promptly give written notice to the Contracting Officer of the cessation of such occurrence.

(g) Invoice.

(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include—

(i) Name and address of the Contractor;

(ii) Invoice date and number;

(iii) Contract number, line item number and, if applicable, the order number;

(iv) Description, quantity, unit of measure, unit price and extended price of the items delivered;

(v) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;

(vi) Terms of any discount for prompt payment offered;

(vii) Name and address of official to whom payment is to be sent;

(viii) Name, title, and phone number of person to notify in event of defective invoice; and

(ix) Taxpayer Identification Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this contract.

(x) Electronic funds transfer (EFT) banking information.

(A) The Contractor shall include EFT banking information on the invoice only if required elsewhere in this contract.

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer—System for

Award Management, or 52.232-34, Payment by Electronic Funds Transfer—Other Than System for Award

Management), or applicable agency procedures.

(C) EFT banking information is not required if the Government waived the requirement to pay by EFT.

(2) Invoices will be handled in accordance with the Prompt Payment Act (31 U.S.C. 3903) and Office of

Management and Budget (OMB) prompt payment regulations at 5 CFR part 1315.

(h) Patent indemnity. The Contractor shall indemnify the Government and its officers, employees and agents against liability, including costs, for actual or alleged direct or contributory infringement of, or inducement to infringe, any United States or foreign patent, trademark or copyright, arising out of the performance of this contract, provided the Contractor is reasonably notified of such claims and proceedings.

(i) Payment.—

(1) Items accepted. Payment shall be made for items accepted by the Government that have been delivered to the delivery destinations set forth in this contract.

(2) Prompt payment. The Government will make payment in accordance with the Prompt Payment Act (31

U.S.C. 3903) and prompt payment regulations at 5 CFR part 1315.

(3) Electronic Funds Transfer (EFT). If the Government makes payment by EFT, see 52.212-5(b) for the appropriate EFT clause.

(4) Discount. In connection with any discount offered for early payment, time shall be computed from the date of the invoice. For the purpose of computing the discount earned, payment shall be considered to have been made on the date which appears on the payment check or the specified payment date if an electronic funds transfer payment is made.

(5) Overpayments. If the Contractor becomes aware of a duplicate contract financing or invoice payment or that the Government has otherwise overpaid on a contract financing or invoice payment, the Contractor shall—

(i) Remit the overpayment amount to the payment office cited in the contract along with a description of the overpayment including the—

(A) Circumstances of the overpayment (e.g., duplicate payment, erroneous payment, liquidation errors, date(s) of overpayment);

(B) Affected contract number and delivery order number, if applicable;

(C) Affected line item or subline item, if applicable; and

(D) Contractor point of contact.

(ii) Provide a copy of the remittance and supporting documentation to the Contracting Officer.

(6) Interest.

(i) All amounts that become payable by the Contractor to the Government under this contract shall bear simple interest from the date due until paid unless paid within 30 days of becoming due. The interest rate shall be the interest rate established by the Secretary of the Treasury as provided in 41 U.S.C. 7109, which is applicable to the period in which the amount becomes due, as provided in (i)(6)(v) of this clause, and then at the rate applicable for each six-month period as fixed by the Secretary until the amount is paid.

(ii) The Government may issue a demand for payment to the Contractor upon finding a debt is due under the contract.

(iii) Final decisions. The Contracting Officer will issue a final decision as required by 33.211 if—

(A) The Contracting Officer and the Contractor are unable to reach agreement on the existence or amount of a debt within 30 days;

(B) The Contractor fails to liquidate a debt previously demanded by the Contracting Officer within the timeline specified in the demand for payment unless the amounts were not repaid because the Contractor has requested an installment payment agreement; or

(C) The Contractor requests a deferment of collection on a debt previously demanded by the Contracting

Officer (see 32.607-2).

(iv) If a demand for payment was previously issued for the debt, the demand for payment included in the final decision shall identify the same due date as the original demand for payment.

(v) Amounts shall be due at the earliest of the following dates:

(A) The date fixed under this contract.

(B) The date of the first written demand for payment, including any demand for payment resulting from a default termination.

(vi) The interest charge shall be computed for the actual number of calendar days involved beginning on the due date and ending on—

(A) The date on which the designated office receives payment from the Contractor;

(B) The date of issuance of a Government check to the Contractor from which an amount otherwise payable has been withheld as a credit against the contract debt; or

(C) The date on which an amount withheld and applied to the contract debt would otherwise have become payable to the Contractor.

(vii) The interest charge made under this clause may be reduced under the procedures prescribed in FAR

32.608-2 in effect on the date of this contract.

(j) Risk of loss. Unless the contract specifically provides otherwise, risk of loss or damage to the supplies provided under this contract shall remain with the Contractor until, and shall pass to the Government upon:

(1) Delivery of the supplies to a carrier, if transportation is f.o.b. origin; or

(2) Delivery of the supplies to the Government at the destination specified in the contract, if transportation is f.o.b. destination.

(k) Taxes. The contract price includes all applicable Federal, State, and local taxes and duties.

(l) Termination for the Government's convenience. The Government reserves the right to terminate this contract, or any part hereof, for its sole convenience. In the event of such termination, the Contractor shall immediately stop all work hereunder and shall immediately cause any and all of its suppliers and subcontractors to cease work. Subject to the terms of this contract, the Contractor shall be paid a percentage of the contract price reflecting the percentage of the work performed prior to the notice of termination, plus reasonable charges the Contractor can demonstrate to the satisfaction of the Government using its standard record keeping system, have resulted from the termination. The Contractor shall not be required to comply with the cost accounting standards or contract cost principles for this purpose. This paragraph does not give the

Government any right to audit the Contractor's records. The Contractor shall not be paid for any work performed or costs incurred which reasonably could have been avoided.

(m) Termination for cause. The Government may terminate this contract, or any part hereof, for cause in the event of any default by the Contractor, or if the Contractor fails to comply with any contract terms and conditions, or fails to provide the Government, upon request, with adequate assurances of future performance.

In the event of termination for cause, the Government shall not be liable to the Contractor for any amount for supplies or services not accepted, and the Contractor shall be liable to the Government for any and all rights and remedies provided by law. If it is determined that the Government improperly terminated this contract for default, such termination shall be deemed a termination for convenience.

(n) Title. Unless specified elsewhere in this contract, title to items furnished under this contract shall pass to the Government upon acceptance, regardless of when or where the Government takes physical possession.

(o) Warranty. The Contractor warrants and implies that the items delivered hereunder are merchantable and fit for use for the particular purpose described in this contract.

(p) Limitation of liability. Except as otherwise provided by an express warranty, the Contractor will not be liable to the Government for consequential damages resulting from any defect or deficiencies in accepted items.

(q) Other compliances. The Contractor shall comply with all applicable Federal, State and local laws, executive orders, rules and regulations applicable to its performance under this contract.

(r) Compliance with laws unique to Government contracts. The Contractor agrees to comply with 31 U.S.C.

1352 relating to limitations on the use of appropriated funds to influence certain Federal contracts; 18 U.S.C.

431 relating to officials not to benefit; 40 U.S.C. chapter 37, Contract Work Hours and Safety Standards; 41

U.S.C. chapter 87, Kickbacks; 49 U.S.C. 40118, Fly American; and 41 U.S.C. chapter 21 relating to procurement integrity.

(s) Order of precedence. Any inconsistencies in this solicitation or contract shall be resolved by giving precedence in the following order:

(1) The schedule of supplies/services.

(2) The Assignments, Disputes, Payments, Invoice, Other Compliances, Compliance with Laws Unique to

Government Contracts, and Unauthorized Obligations paragraphs of this clause;

(3) The clause at 52.212-5.

(4) Addenda to this solicitation or contract, including any license agreements for computer software.

(5) Solicitation provisions if this is a solicitation.

(6) Other paragraphs of this clause.

(7) The Standard Form 1449.

(8) Other documents, exhibits, and attachments

(9) The specification.

(t) [Reserved]

(u) Unauthorized Obligations.

(1) Except as stated in paragraph (u)(2) of this clause, when any supply or service acquired under this contract is subject to any End User License Agreement (EULA), Terms of Service (TOS), or similar legal instrument or agreement, that includes any clause requiring the Government to indemnify the Contractor or any person or entity for damages, costs, fees, or any other loss or liability that would create an Anti-Deficiency Act violation (31 U.S.C. 1341), the following shall govern:

(i) Any such clause is unenforceable against the Government.

(ii) Neither the Government nor any Government authorized end user shall be deemed to have agreed to such clause by virtue of it appearing in the EULA, TOS, or similar legal instrument or agreement. If the EULA, TOS, or similar legal instrument or agreement is invoked through an “I agree” click box or other comparable mechanism (e.g., “click-wrap” or “browse-wrap” agreements), execution does not bind the Government or any

Government authorized end user to such clause.

(iii) Any such clause is deemed to be stricken from the EULA, TOS, or similar legal instrument or agreement.

(2) Paragraph (u)(1) of this clause does not apply to indemnification by the Government that is expressly authorized by statute and specifically authorized under applicable agency regulations and procedures.

(v) Incorporation by reference. The Contractor’s representations and certifications, including those completed electronically via the System for Award Management (SAM), are incorporated by reference into the contract.

(End of Clause)

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

COMMERCIAL SERVICES

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

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

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

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

https://www.acquisition.gov/browse/index/far https://www.va.gov/oal/library/vaar/

FAR

Number

Title Date

52.203-17 CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS NOV 2023

52.204-4 PRINTED OR COPIED DOUBLE-SIDED ON

POSTCONSUMER FIBER CONTENT PAPER

MAY 2011

52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE OCT 2018

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE

MAINTENANCE

AUG 2020

C.3 52.216-18 ORDERING (AUG 2020)

(a) Any supplies and services to be furnished under this contract shall be ordered by issuance of delivery orders or task orders by the individuals or activities designated in the Schedule. Such orders may be issued from 01 September 2024 through 31 August 2029.

(b) All delivery orders or task orders are subject to the terms and conditions of this contract. In the event of conflict between a delivery order or task order and this contract, the contract shall control.

(c) A delivery order or task order is considered "issued" when—

(1) If sent by mail (includes transmittal by U.S. mail or private delivery service), the Government deposits the order in the mail;

(2) If sent by fax, the Government transmits the order to the Contractor’s fax number; or

(3) If sent electronically, the Government either—

(i) Posts a copy of the delivery order or task order to a Government document access system, and notice is sent to the Contractor; or

(ii) Distributes the delivery order or task order via email to the Contractor’s email address.

(d) Orders may be issued by methods other than those enumerated in this clause only if authorized in the contract.

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

(a) Minimum order. When the Government requires supplies or services covered by this contract in an amount of less than a quantity of one of any single line item, the Government is not obligated to purchase, nor is the Contractor obligated to furnish, those supplies or services under the contract.

(b) Maximum order. The Contractor is not obligated to honor—

(1) Any order for a single item in excess of the estimated quantities in the price schedule;

(2) Any order for a combination of items in excess of heir estimated quantities specified in the price schedule; or

(3) A series of orders from the same ordering office within 365 days that together call for quantities exceeding the limitation in paragraph (b)(1) or (2) of this section.

(c) If this is a requirements contract (i.e., includes the Requirements clause at subsection 52.216-21 of the

Federal Acquisition Regulation (FAR)), the Government is not required to order a part of any one requirement from the Contractor if that requirement exceeds the maximum-order limitations in paragraph (b) of this section.

(d) Notwithstanding paragraphs (b) and (c) of this section, the Contractor shall honor any order exceeding the maximum order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within 3 days after issuance, with written notice stating the Contractor's intent not to ship the item (or items) called for and the reasons.