S02 36C24525Q0183 teleradiology final.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

AWARDED:

EFFECTIVE:

36C24525Q0183

07/09/2025

Sue Lepore, sue.lepore@va.gov (410) 642-2411 Ext.25262 07/31/2025

0800 EST

Department of Veterans Affairs VA Maryland Health Care System George Sherrin, Contracting Officer Sue Lepore, Contracting Specialist P.O. Box 1000, Bldg. 101, Room 26 Perry Point MD 21902

X 100

X

621512

$19 Million

N/A

X

Beckley VA Medical Center 200 Veterans Avenue Beckley, WV 25801

VA Maryland Health Care System Sue Lepore, Contracting Specialist P.O. Box 1000, Bldg. 101C Room 3 Perry Point MD 21902

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

Contractor shall provide off-site Teleradiology Services in support of the Beckley VA Medical Center (BVAMC), 200 Veterans Ave, Beckley, WV 25801.

Period of Performance:

Base year: 09/12/2025 to 09/11/2026 Option Year 1: 09/12/2026 to 09/11/2027

Option Year 2: 09/12/2027 to 09/11/2028 Option Year 3: 09/12/2028 to 09/11/2029 Option Year 4: 09/12/2029 to 09/11/2030

Price/Cost Schedule: pages 7 – 10.

Performance Work Statement: pages 11 – 32.

Required documents and instructions: pages 108 to 109.

X X

X One (1)

Contracting Officer George Sherrin mailto:sue.lepore@va.gov

Table of Contents

SECTION A………………………………………………………………………………………………………….1

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

COMMERCIAL SERVICES…………………………………………………………………………….…1

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 SCHEDULE OF SERVICES

B.3 KEY PERSONNEL

B.4 PERFORMANCE WORK STATEMENT

B.5 IT SECURITY

B.6 CONTRACTOR’S RESPONSIBILITY – CONTRACTORS PERFORMANCE ASSESSMENT

REPORTING SYSTEM (CPARS)

SECTION C - CONTRACT CLAUSES

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

COMMERCIAL SERVICES (NOV 2023)

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

PRODUCTS AND COMMERCIAL SERVICES

C.2 52.204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL (JAN

2011)……………………………………………………………………………………………………….47

C.3 52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION

SYSTEMS (NOV 2021)

C.4 52.216-18 ORDERING (AUG 2020)

C.5 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.6 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.7 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.8 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.9 52.224-1 PRIVACY ACT NOTIFICATION (APR 1984)………………………………………….53

C.10 52.224-2 PRIVACY ACT (APR 1984)……………………………………………………………53

C.11 52.227-17 RIGHTS IN DATA-SPECIAL WORKS (DEC 2007)…………………….………….54

C.12 52.237-3 CONTINUITY OF SERVICES (JAN 1991)

C.13 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.14 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES DEVIATION (FEB 2025)……………………………………………………………..…….54

C.15 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

852.204-70 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL (MAY

2020)……………………………………………………………………………………………….………63

C.16 852.204-70 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL

(MAY 2020)…………………………………………………………………………………………….…62

C.17 852.211-76 LIQUIDATED DAMAGES – REIMBURSEMENT FOR DATA BREACH COSTS

(FEB 2023) ALTERNATE I (FEB 2023)

C.18 852.219-70 VA SMALL BUSINESS SUBCONTRACTING PLAN MINIMUM

REQUIREMENTS (NOV 2022)

C.19 852.219-73 VA NOTICE OF TOTAL SET-ASIDE FOR CERTIFIED SERVICE-DISABLED

VETERAN-OWNED SMALL BUSINESSES (NOV 2022) (DEVIATION)

C.20 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING - CERTIFICATE OF

COMPLIANCE FOR SERVICES AND CONSTRUCTION (NOV 2022)

C.21 852.222-71 COMPLIANCE WITH EXECUTIVE ORDER 13899 (DEVIATION) (APR 2025) 71

C.22 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)

C.23 852.237-70 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE (OCT 2019)

C.24 852.237-75 KEY PERSONNEL (OCT 2019)

C.25 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 QUALITY ASSURANCE SERVEILLANCE PLAN (QASP)

D.2 CONTRACTOR RULES OF BEHAVIOR

D.3 CONTRACTOR CERTIFICATION: IMMIGRATION AND NATIONALITY ACT OF 1952, AS

AMENDED

D.4 CONTRACTOR CONFLICT OF INTEREST CERTIFICATION STATEMENT

SECTION E – SOLICITATION PROVISION

E.1 52.201-1 ACQUISITION 360: VOLUNTARY SURVEY (SEP 2023)

E.2 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (SEP 2023)

ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES

E.3 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998) 93

E.4 52.204-7 SYSTEM FOR AWARD MANAGEMENT (NOV 2024)

E.5 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND

VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.6 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.7 52.216-1 TYPE OF CONTRACT (APR 1984)

E.8 52.233-2 SERVICE OF PROTEST (SEP 2006)

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 (MAY 2024) DEVIATION (FEB 2025)

E.11 852.201-70 CONTRACTING OFFICER’S REPRESENTATIVE (DEC 2022)

E.12 852.209-70 ORGANIZATIONAL CONFLICTS OF INTEREST (OCT 2020)

E.13 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION (SEP 2018).119

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:

BUSINESS NAME

ADDRESS

CITY/STATE/ZIP CODE

UEI

POINT OF CONTACT

EMAIL ADDRESS

TELEPHONE NUMBER

b. GOVERNMENT: Contracting Officer 36C245

George Sherrin, Contracting Officer Department of Veterans Affairs VA Maryland Health Care System NCO 5 Contracting Office PO Box 1000, Bldg. 101, Room 26 Perry Point, MD 21902 George.Sherrin@va.gov

Sue Lepore, Contracting Specialist Department of Veteran Affairs VA Maryland Health Care System NCO 5 Contracting Office PO Box 1000, Bldg. 101, Room 26 Perry Point, MD 21902 Sue.Lepore@va.gov

(410) 642-2411 Ext. 25262

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.

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 mailto:George.Sherrin@va.gov mailto:Sue.Lepore@va.gov

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

AMENDMENT NO DATE

5. CONTRACT MODIFICATIONS: The Contractor is advised that only the Contracting Officer, acting within the scope of the contract and his/her duties and responsibilities and after advice and consultation with the Contracting Officer’s Representative (COR), has the authority to make changes that will affect contract prices, quantity, quality, delivery terms and conditions, or the terms of the contract. In no event shall any understanding or agreement, modification, change order, or other matters in deviation from the terms of this contract between Contractor and a person other than the Contracting Officer be effective or binding upon the Government. All such actions must be formalized by the proper contractual document executed by the Contracting Officer.

6. CONTRACTING OFFICER REPRESENTATIVE: The Contractor shall be provided a copy of the letter of delegation authorizing the Contracting Officer Representative (COR) at the commencement of the term of this contract. No other person shall be authorized to act in such capacity unless appointed in writing by the Contracting Officer.

7. CONTRACT PERFORMANCE: Contractor shall be required to begin providing Teleradiology Services under the contract awarded as a result of this solicitation beginning on the first date of the base period listed in the Schedule of Services. Failure to understand the contract requirements shall not relieve the Contractor from performing in accordance with the strict meaning and intent of the specifications. The Government will not reimburse any costs not incorporated into the Contractor’s price.

8. SOLICITATION/CONTRACT: This solicitation and resulting contract adheres to the format defined in Federal Acquisition Regulation (FAR) Part 13, Simplified Acquisition Procedures. An official copy of the FAR can be obtained at https://www.acquisition.gov/far/ .

9. POST AWARD ORIENTATION: The Contracting Officer may schedule a post-award orientation for contract orientation purposes as required by VA regulations.

10. STATUS AS INDEPENDENT ENTITIES: None of the provisions of this contract are intended to create or shall be deemed or construed to create any relationship between VA and the Contractor other than that of independent entities contracting with each other solely for the purpose of effecting the provisions of this contract. Neither VA nor the Contractor, nor any of their respective agents, employees or representatives, shall be construed to be the agent employee or representative of the other.

11. NON-SOLICITATION: Neither the Contractor nor any employee, agent or subcontractor of the Contractor shall solicit or attempt to convince or otherwise persuade any veteran not to participate or to discontinue participation in the services provided under this contract.

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

https://www.acquisition.gov/far/

13. PRIVACY AND CONFIDENTIALITY: Contractors to the Department of Veterans Affairs may be exposed to sensitive information. Information may be overheard, seen on documents or electronic devices, or observed that could potentially violate the privacy and confidentiality of our Veterans, employees, volunteers and their families. Regulations such as, but not limited to the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Freedom of Information (FOIA) and Privacy Act of 1974 have been enacted to protect sensitive information from being improperly disclosed. Information should not be divulged or released to anyone unless specifically authorized by this contract or its attached documents accordance with the contracted services. Failure to comply with applicable statutes and regulation can result in the termination of this contract and civil and criminal penalties, including fines and imprisonment. All suspected or actual breeches of privacy and confidentiality should be reported immediately to the Contracting Officer, Contracting Officer Representative (COR) or the Facility Privacy Officer.

B.2 SCHEDULE OF SERVICES

The Contractor shall furnish all key personnel to provide services necessary to perform Board- Certified Tele-Radiology Physician Services to eligible beneficiaries of the Department of Veterans Affairs, Beckley VA Medical Center.

The VA Radiology Services follow the standards & guidelines set forth by American College of Radiology (ACR). A contractor providing Tele-radiology services shall provide services that meet or exceed the American College of Radiology Guidelines https://www.acr.org/- /media/ACR/Files/Practice-Parameters/IRClin-Prac-Mgmt.pdf.pdf.

Place of Performance: Services shall be performed remotely via secure access to VA systems. No on-site presence is required.

Pricing Instructions:

Offerors must fill out the cells in the following columns in the Price Schedule for each Contract Line-Item Number (CLIN).

The quantities listed are estimated only and are not guaranteed.

This is a Fixed Price, Indefinite-Delivery Indefinite- Quantity Contract (FP IDIQ). Accordingly, funds are not obligated to this contract at award; rather, funds are obligated via task orders issued against this contract. Task orders shall only be issued by a warranted VA Contracting Officer (CO). VA CO will issue task orders to the Contractor authorizing services via Standard Form 1449. Each task order shall clearly identify the dollar amount authorized under the individual task order and the period of performance of the individual task order. When a task order period of performance is completed, additional services shall not be provided unless a new task order is issued in accordance with the contract.

The minimum dollar amount guaranteed under this contract for the performance period of twelve

(12) months is $22,022.50. The maximum dollar amount or contract ceiling for this contract is $1,000,000. The maximum amount is not guaranteed. The combined total of all orders placed against this contract cannot exceed the maximum amount/ceiling of this contract. The minimum guarantee will be awarded by task order concurrently with the award of the contract.

Period of Performance: 09/12/2025 to 09/11/2030 with one six (6) month option period that we may or may not exercise.

Base year: 09/12/2025 to 09/11/2026 Option Year 1: 09/12/2026 to 09/11/2027

Option Year 2: 09/12/2027 to 09/11/2028 Option Year 3: 09/12/2028 to 09/11/2029 Option Year 4: 09/12/2029 to 09/11/2030 http://www.cpars.gov/?url=https%3A%2F%2Fwww.acr.org%2F-%2Fmedia%2FACR%2FFiles%2FPractice-Parameters%2FIRClin-Prac-Mgmt.pdf&data=05%7C01%7C%7Cfbebfe3d62c64c22e31408dae41f5b2a%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C638073120564733355%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=v68r5%2F8MYnkdMH%2B28jJ%2FS%2BVar75uNMInK03HRFw53OY%3D&reserved=0 http://www.cpars.gov/?url=https%3A%2F%2Fwww.acr.org%2F-%2Fmedia%2FACR%2FFiles%2FPractice-Parameters%2FIRClin-Prac-Mgmt.pdf&data=05%7C01%7C%7Cfbebfe3d62c64c22e31408dae41f5b2a%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C638073120564733355%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C3000%7C%7C%7C&sdata=v68r5%2F8MYnkdMH%2B28jJ%2FS%2BVar75uNMInK03HRFw53OY%3D&reserved=0

Base Year: 09/12/2025 – 09/11/2026

PSC: Q522 Medical – Radiology ; NAICS: 621512 Diagnostic Imaging Centers

CLIN Description Est. Qty Unit Unit Cost

Est. Total Cost

0001 Plain films 7500 EA $_____ $_________ 0002 CT Exams 1750 EA $_____ $_________ 0003 CTA Exams 350 EA $_____ $_________ 0004 CT ABD and Pelvis Exams 750 EA $_____ $_________ 0005 CT ABD Pelvis 1/>Regns 5 EA $_____ $_________ 0006 CT Angio Abdominal Arteries 7 EA $_____ $_________ 0007 Ultrasound Exams 1500 EA $_____ $_________

0008 Ultrasound Head and Neck Thyroid 100 EA $_____ $_________

0009 US Arterial Duplex 200 EA $_____ $_________ 0010 MRI Exams 1150 EA $_____ $_________ 0011 MRI Abdomen Exams 50 EA $_____ $_________ 0012 Nuclear Medicine Exams 900 EA $_____ $_________ 0013 MRI Prostate 50 EA $_____ $_________

0014 PET/CT 60 EA $_____ $_________

0015 MRI Cardiac – CPT Code 75557, 75559, 75561 5 EA $_____ $_________

Total $__________

Option Year 1: 09/12/2026 – 09/11/2027

CLIN Description Est.

Qty Unit Unit

Cost Est. Total

Cost 1001 Plain films 7500 EA $_____ $_________ 1002 CT Exams 1750 EA $_____ $_________ 1003 CTA Exams 350 EA $_____ $_________ 1004 CT ABD and Pelvis Exams 750 EA $_____ $_________ 1005 CT ABD Pelvis 1/>Regns 5 EA $_____ $_________ 1006 CT Angio Abdominal Arteries 7 EA $_____ $_________ 1007 Ultrasound Exams 1500 EA $_____ $_________ 1008 Ultrasound Head and Neck Thyroid 100 EA $_____ $_________ 1009 US Arterial Duplex 200 EA $_____ $_________ 1010 MRI Exams 1150 EA $_____ $_________ 1011 MRI Abdomen Exams 50 EA $_____ $_________ 1012 Nuclear Medicine Exams 900 EA $_____ $_________ 1013 MRI Prostate 50 EA $_____ $_________

1014 PET/CT 60 EA $_____ $_________

1015 MRI Cardiac – CPT Code 75557, 75559, 75561 5 EA $_____ $_________

Option Year 2: 09/12/2027 – 09/11/2028

Qty Unit Unit

Cost Est. Total

Cost 2001 Plain films 7500 EA $_____ $_________ 2002 CT Exams 1750 EA $_____ $_________ 2003 CTA Exams 350 EA $_____ $_________ 2004 CT ABD and Pelvis Exams 750 EA $_____ $_________ 2005 CT ABD Pelvis 1/>Regns 5 EA $_____ $_________ 2006 CT Angio Abdominal Arteries 7 EA $_____ $_________ 2007 Ultrasound Exams 1500 EA $_____ $_________ 2008 Ultrasound Head and Neck Thyroid 100 EA $_____ $_________ 2009 US Arterial Duplex 200 EA $_____ $_________ 2010 MRI Exams 1150 EA $_____ $_________ 2011 MRI Abdomen Exams 50 EA $_____ $_________ 2012 Nuclear Medicine Exams 900 EA $_____ $_________ 2013 MRI Prostate 50 EA $_____ $_________

2014 PET/CT 60 EA $_____ $_________

2015 MRI Cardiac – CPT Code 75557, 75559, 75561 5 EA $_____ $_________

Option Year 3: 09/12/2028 – 09/11/2029

Qty Unit Unit

Cost Est. Total

Cost 3001 Plain films 7500 EA $_____ $_________ 3002 CT Exams 1750 EA $_____ $_________ 3003 CTA Exams 350 EA $_____ $_________ 3004 CT ABD and Pelvis Exams 750 EA $_____ $_________ 3005 CT ABD Pelvis 1/>Regns 5 EA $_____ $_________ 3006 CT Angio Abdominal Arteries 7 EA $_____ $_________ 3007 Ultrasound Exams 1500 EA $_____ $_________ 3008 Ultrasound Head and Neck Thyroid 100 EA $_____ $_________ 3009 US Arterial Duplex 200 EA $_____ $_________ 3010 MRI Exams 1150 EA $_____ $_________ 3011 MRI Abdomen Exams 50 EA $_____ $_________ 3012 Nuclear Medicine Exams 900 EA $_____ $_________ 3013 MRI Prostate 50 EA $_____ $_________

3014 PET/CT 60 EA $_____ $_________

3015 MRI Cardiac – CPT Code 75557, 75559, 75561 5 EA $_____ $_________

Option Year 4: 09/12/2029 – 09/11/2030

Qty Unit Unit

Cost Est. Total

Cost 4001 Plain films 7500 EA $_____ $_________ 4002 CT Exams 1750 EA $_____ $_________ 4003 CTA Exams 350 EA $_____ $_________ 4004 CT ABD and Pelvis Exams 750 EA $_____ $_________ 4005 CT ABD Pelvis 1/>Regns 5 EA $_____ $_________ 4006 CT Angio Abdominal Arteries 7 EA $_____ $_________ 4007 Ultrasound Exams 1500 EA $_____ $_________ 4008 Ultrasound Head and Neck Thyroid 100 EA $_____ $_________ 4009 US Arterial Duplex 200 EA $_____ $_________ 4010 MRI Exams 1150 EA $_____ $_________ 4011 MRI Abdomen Exams 50 EA $_____ $_________ 4012 Nuclear Medicine Exams 900 EA $_____ $_________ 4013 MRI Prostate 50 EA $_____ $_________

4014 PET/CT 60 EA $_____ $_________

4015 MRI Cardiac – CPT Code 75557, 75559, 75561 5 EA $_____ $_________

Total for base performance period and all option years: $_________________________

B.3 KEY PERSONNEL

Per VAAR 852.237-75 (refer to Section C.20, page 63), the key personnel specified in this contract are considered to be essential to work performance. The key personnel are:

Key Personnel Official Title National Provider Identifier Number

The key personnel list will be updated as needed.

B.4 PERFORMANCE WORK STATEMENT

1. GENERAL:

1.1. Services Provided: The Contractor shall provide board certified Radiology Physician Services in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Beckley VA Medical Center (VAMC). The VA Radiology Services follow the standards & guidelines set forth by American College of Radiology (ACR) https://www.acr.org/-/media/ACR/Files/Practice-Parameters/IRClin- Prac-Mgmt.pdf.pdf. A contractor providing tele-radiology services shall provide services consistent with TJC and that meet or exceed VA and the American College of Radiology Guidelines as defined in this document.

1.2. Place of Performance: Contractor shall furnish services for the Beckley VAMC via secure access to the VA systems. No on-site presence is required.

1.3. Authority: Title 38 USC 8153

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

1.4.1. VA Directive 1663: Health Care Resources (HCR) Contracting – Buying Title 38 U.S.C. 8153VHA Directive 1003.04: VHA Patient Advocacy

1.4.2. VHA Directive 1065: Productivity and Staffing Guidance for Specialty Provider Group Practice

1.4.3. VHA Directive 1088(1): Communicating Test Results to Providers and Patients

1.4.4. VHA Directive 1100.18: Reporting and Responding to State Licensing Boards

1.4.5. VHA Directive 1100.20: Credentialing of Health Care Providers

1.4.6. VHA Directive 1100.21: Privileging

1.4.7. VHA Directive 1105.04: Fluoroscopy Safety

1.4.8. VHA Directive 1105.05: Magnetic Resonance (MR) Safety

1.4.9. VHA Directive 1605.01: Privacy and Release of Information

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

1.4.11. VHA Handbook 1100.17: National Practitioner Data Bank (NPDB) Reports

1.4.12. VHA Directive 1129: Radiation Protection For Machine Sources Of Ionizing

Radiation

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

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

1.4.14. 42 Code of Federal Regulations (CFR) Part 482 Conditions of Participation

Hospitals:https://www.ecfr.gov/cgi-bin/text-idx?node=pt42.5.482&rgn=div5

1.5. Acronyms/Definitions: Terms used in this contract shall be interpreted as follows unless the context expressly requires a different construction and/or interpretation. In case of a conflict in language between the Definitions and other sections of this contract, the language in this section shall govern.

1.5.1. ACGME: Accreditation Council for Graduate Medical Education

1.5.2. ACLS: Advanced Cardiac Life Support

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1.5.3. AOD: Administrative Officer of the Day

1.5.4. BLS: Basic Life Support

1.5.5. CDC: Centers for Disease Control and Prevention

1.5.6. CEU: Certified Education Unit

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

1.5.8. CME: Continuing Medical Education

1.5.9. CMS: Centers for Medicare and Medicaid Services

1.5.10. CO: Contracting Officer: The person executing this contract on behalf of the

Government with the authority to enter and administer contracts and make related determinations and findings.

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

1.5.12. COS: Chief of Staff

1.5.13. CPARS: Contractor Performance Assessment Reporting System

1.5.14. Credentialing: Credentialing is the process of obtaining, verifying, and assessing the qualifications of a health care provider to provide care or services in or for the VA health care system. Credentials are documented evidence of licensure, education, training, experience or other qualifications.

1.5.15. DEA: Drug Enforcement Agency

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

1.5.17. FSMB: Federation of State Medical Boards

1.5.18. FTE: Full Time Equivalent VA’s standard definition is for full time working the equivalent of 80 hours every two weeks, 2080 hours per year. However, providers may propose using their standard FTE definition.

1.5.19. HHS: Department of Health and Human Services

1.5.20. HIPAA: Health Insurance Portability and Accountability Act

1.5.21. ISO: Information Security Officer

1.5.22. Key Personnel: The individuals specified in this contract who are essential to work performance.

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

1.5.24. POP: Period of Performance

1.5.25. PPD: Purified Protein Derivative

1.5.26. PWS: Performance Work Statement

1.5.27. QA/QI: Quality Assurance/Quality Improvement

1.5.28. QASP: Quality Assurance Surveillance Plan

1.5.29. QM/PI: Quality Management/Performance Improvement

1.5.30. VETPro: is VHA’s mandatory credentialing software platform to document the credentialing of VHA health care providers. This system facilitates completion of a uniform, accurate, and complete credentials file.

1.5.31. VHA: Veterans’ Health Administration

1.5.32. VISN: Veterans Integrated Services Network

1.5.33. VISTA: Veterans Information Systems Technology Architecture

2. QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. License: Contractor’s physician(s) assigned by the Contractor to perform the services covered by this contract shall have a current license to practice medicine in WV where services are being performed.

All licenses held by the key personnel working on this contract shall be full and unrestricted licenses. Information on state licensing in tele-radiology may be found at this site: Teleradiology | American College of Radiology (acr.org). Contract physician(s) who have current, full and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application will not be considered for the purposes of this contract.

2.1.2. Board Certification: All contractor’s physician(s) shall be board certified. All continuing education courses required for maintaining certification must be always kept up to date. Documentation verifying current certification shall be provided by the Contractor to the VA COR on an annual basis for each year of contract performance.

2.1.3. Credentialing and Privileging: Credentialing and privileging is to be done in accordance with the provisions of VHA Directive 1100.20 and VHA Directive

1100.21 referenced above. The Contractor is responsible to ensure that proposed physician(s) possesses the requisite credentials enabling the granting of privileges.

No services shall be provided by any contract physician(s) prior to obtaining approval by the Facility Medical Executive Board and Medical Center Director.

2.1.3.1 If a contractor’s physician(s) is not credentialed and privileged or has credentials/privileges suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government.

2.1.3.2 When telemedicine services are being provided by contractor’s physician(s) who direct, diagnose, or otherwise provide clinical treatment to a patient via a telemedicine link, the contractor’s physician(s) must be appointed, credentialed, and privileged at the VA facility (facilities) which receive the telemedicine services (patient site), as well as at the site providing the services.

The following requirements apply:

2.1.3.3 Contractor licensed independent practitioners must be credentialed and privileged through the VA facility’s Medical Staff Office in accordance https://www.acr.org/Advocacy-and-Economics/Legislative-Issues/Teleradiology

Credentialing and Privileging Directives 1100.20 and 1100.21 and VHA Directive 1914

2.1.3.4 Separately delineated privileges for telemedicine services must be requested and assigned in this process.

2.1.3.5 In general, the credentialing process should be started at least 60-90 days in advance of estimated entry on duty. The time required for this process may be expedited when patient care needs are urgent.

2.1.3.6 The VA’s Medical Staff Office or Human Resources Management Service will provide an instruction packet containing forms and a detailed listing of required documentation, including curriculum vitae, current references, signed release of information from the candidate, and statement that the candidate does not have any physical or mental health condition that would adversely affect his/her ability to carry out the assigned duties, and additional credentialing forms. The candidate will also be required to make application through the VetPro internet-based process. The candidate will need to be enrolled in VetPro by the Credentialing Coordinator at the VA or by the Human Resources Management Service designee. The website address is: https://fcp.vetpro.org/Admin/Login/Index

2.1.3.7 It is the Contractor’s responsibility to contact the Beckley VAMC Credentialing Supervisor to request a package and instructions.

2.1.3.8 When contractor’s physician(s) provide only teleconsultation by offering advice that supports care provided by VAs on site licensed independent providers, the Contractor must furnish VA with a copy of the contract physician(s) credentials, verification of credentials, and current clinical privileges. The contract physician(s) providing teleconsultation services do not have to be separately privileged at the VA facility.

2.1.3.9 The Contractor must furnish a copy of its policy and procedures for credentialing and privileging to the Contracting Officer and COR for review to ensure these meet the VA’s requirements for establishment of competence through these mechanisms.

2.1.4. Technical Proficiency - Contractor’s physician(s) shall be technically proficient in the skills necessary to fulfill the government’s requirements, including the ability to speak, understand, read and write English fluently. Contractor shall provide documents upon request from the CO/COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed. Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all contract physician(s) and contract physician(s) shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior. Contractor must establish and maintain compliance with all requirements for full access to the EHR, PACS and Voice Recognition systems.

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

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

Training Frequency Annual Hours

VA Privacy Policy and Security Training

Yearly 1 Hour

HIPAA Training Yearly 1 Hour

2.1.6. STANDARD INFECTION CONTROL MEASURES (PPD, IMMUNIZATIONS,

ETC.): Contractor shall provide statement that all required infection control measures are current, and that the contractor is compliant with OSHA regulations concerning occupational exposure to blood borne pathogens. The Contractor shall also notify the VA of any significant communicable disease exposures, and the VA will also notify the contractor of the same, as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel (as published in American Journal for Infection Control- AJIC 1998; 26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control. Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return. Tests shall be current within the past year.

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

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

2.1.9. Citizenship related Requirements:

2.1.9.1. The Contractor certifies that the Contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended; its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under https://www.cpars.gov/documents/CPARS-Guidance.pdf contract or subcontract for the Contractor while providing services to Department of Veterans Affairs patient referrals;

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

2.1.9.3. If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor, shall be prohibited from working at the Contractor’s place of business that services Department of Veterans Affairs patient referrals; or other place where the Contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach.

2.1.9.4. This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001.

2.1.9.5. The Contractor agrees to obtain a similar certification from its subcontractors.

The certification shall be made as part of the offerors response to the RFQ using the subject attachment in Section D of the solicitation document.

2.1.10. Annual Office of Inspector General (OIG) Statement: In accordance with HIPAA and the Balanced Budget Act (BBA) of 1977, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) has established a list of parties and entities excluded from Federal health care programs. Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs.

2.1.10.1. Therefore, Contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed contract physician(s) are not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP’s may also be imposed against the Contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries.

2.1.10.2. By submitting their proposal, the Contractor certifies that the HHS OIG List of Excluded Individuals/Entities has been reviewed and that the Contractors are and/or firm is not listed as of the date the offer/bid was signed.

2.2. Clinical/Professional Direction: The qualifications of Contractor personnel are subject to review by VA Medical Facility COS or his/her clinical designee and approval by the Medical Facility Director as provided in VHA Directive 1100.20 and VHA Directive https://www.ecfr.gov/cgi-bin/text-idx

1100.21. Clinical/Professional direction of all clinical personnel covered by this contract for quality purposes will be provided by the Facility COS and/or the Chief of the Service or his designee. A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request and/or make changes to the contract during the administration of the resultant contract.

2.3. Non-Personal Healthcare Services: The parties agree that the Contractor and all contract physician(s) shall not be considered VA employees for any purpose.

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

2.5. Prohibition Against Self-Referral: Contractor’s physicians are prohibited from referring VA patients to contractor’s or their own practice(s)

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

2.7. No Employee status: The Contractor shall be responsible for protecting Contractor’s physician(s) furnishing services. To carry out this responsibility, the Contractor shall provide or certify that the following is provided for all their staff providing services under the resultant contract:

2.7.1. Workers’ compensation

2.7.2. Professional liability insurance

2.7.3. Health examinations

2.7.4. Income tax withholding, and

2.7.5. Social security payments.

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

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

2.9.1. Contractor shall submit a listing of proposed key personnel performing technical delivery of services in the following format, Provider Name and Title/Rank.

Curriculum Vitae and qualification documents of each key personnel shall be submitted with the proposal. (Fill out table in B.3 Key Personnel, page 11)

2.10. Emergency Substitutions: During the first ninety (90) calendar days of performance, the Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death or termination of employment. The Contractor shall notify the CO, in writing, within 15 calendar day (s) after the occurrence of any of these events and provide the information required below. After 90 days, the Contractor shall submit the information required below to the CO at least 15 calendar days prior to making any permanent substitutions.

2.10.1. The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the CO. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The CO will notify the Contractor within 15 calendar days after receipt of all required information of the decision on the proposed substitutes. The contract will be modified to reflect any approved changes of key personnel.

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

3. VA HOURS OF OPERATION/SCHEDULING

3.1. Business Hours: Normal business hours Monday-Friday 8:00am to 4:30pm and non-routine business hours Monday-Thursday 4:30pm to 8:00am and Friday 4:30pm to Monday 8:00am and 24-7 coverage on Federal holidays.

3.2. Contractor shall be available to the Facility for consultation and interpretation 24 hours a day, 7 days a week, 52 weeks a year for stat, urgent, and routine exams.

3.3. Federal Holidays: The following holidays are observed by the Department of Veterans Affairs:

• New Year’s Day

• President’s Day

• Martin Luther King’s Birthday

• Memorial Day

• Juneteenth

• Independence Day

• Labor Day

• Columbus Day

• Veterans Day

• Thanksgiving

• Christmas

• Any day specifically declared to be a national holiday.

3.4. Continuity of services under contact: The Contractor recognizes that the services under this contract are vital to the Government and must be continued without interruption and that, upon contract expiration, a successor, either the Government or another contractor, may continue them.

3.4.1. Contractor is responsible for providing qualified personnel to read films. The VA must be informed at least 48 hours in advance if there will be a significant change in contractor’s ability to perform to allow for planning of service coverage and workload distribution. Requirements as noted in attachment B will be provided to all Facilities and maintained by the contractor.

3.4.2. The contractor shall maintain open and professional communication with members of the VISN and Facility Diagnostic Imaging staff. The contractor shall provide up-to-date points of contact to facilitate communication on clinical, technical and administrative issues. Clinical staff will be available by phone and pager 24/7. The Contractor will provide a schedule of radiologists with telephone numbers for consultation by VA technologists and referring physicians. The contractor will provide a FAX number for the transmission of radiographic orders.

3.4.3. The Contractor shall provide a single phone number with a list of individuals who could be contacted to immediately resolve any difficulties experienced during the hours of teleradiology services and STAT studies after hours. The COR will assure up-to-date rosters of staff are provided to the Contractor.

3.4.4. Tele-Communications

3.4.4.1. The contractor will secure and maintain the communications link between the contractor’s facility and the VAMCs’ facilities at the contractor’s expense.

These expenses may be included in contractor’s proposal as a separate item.

The cost to establish and maintain this communication link may be provided if the Government deems it is more cost effective to the Government.

3.4.4.2. Vendor shall have a national Memorandum of Understanding with the Veterans Administration governing network interconnection, virtual private network configuration, DICOM image movement, bi-directional HL7 feed to VA EMR for patent demographic/report updates, and critical alert delivery and escalation.

3.4.4.3. In the event of telecommunications failure, the Government shall package…