S02_ 36C24821Q0022.pdf

36C24821Q0022

Contract Opportunity

Combined Synopsis/Solicitation Notice

CLASSIFICATION CODE

SUBJECT

CONTRACTING OFFICE'S

ZIP-CODE

SOLICITATION NUMBER

RESPONSE DATE (MM-DD-YYYY)

ARCHIVE DAYS AFTER THE RESPONSE DATE

RECOVERY ACT FUNDS

SET-ASIDE

NAICS CODE

CONTRACTING OFFICE

ADDRESS

POINT OF CONTACT

(POC Information Automatically Filled from User Profile Unless Entered)

DESCRIPTION * See Attachment

AGENCY'S URL

URL DESCRIPTION

AGENCY CONTACT'S EMAIL

ADDRESS

EMAIL DESCRIPTION

ADDRESS

POSTAL CODE

COUNTRY

ADDITIONAL INFORMATION

GENERAL INFORMATION

PLACE OF PERFORMANCE

* = Required Field Contract Opportunity Combined Synopsis/Solicitation Notice

Q999

Intraoperative Neuromonitoring Services | BWCVAMC | Base year period, four (4), one

(1) year option periods. This solicitation is being issued as a competitive procurement using tiered evaluations for small business concerns.

If award cannot be made within tiered evaluation including small business concerns, the solicitation will be cancelled, and the requirement resolicited as unrestricted.

33637

36C24821Q0022

10-23-2020

N

N

621111

Department of Veterans Affairs Network Contracting Office 8 (NCO 8)

8875 Hidden River Pkwy Suite 525 Tampa FL 33637

Mechelle Reaser

Email: Mechelle.reaser@va.gov

Department of Veterans Affairs Bruce W. Carter Department of Veterans Affairs Medical Center 1201 NW 16h Street Miami, FL

33612

United States

Mechelle.Reaser@va.gov

Description

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) subpart 12.6, “Streamlined Procedures for Evaluation and Solicitation for Commercial Items,” as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested, and a written solicitation document will not be issued.

Solicitation (36C24821Q0022) is issued as a Request for Quote (RFQ). The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2020-05.

This solicitation is being issued as a tiered evaluation for small business concerns in accordance with 38 U.S.C. 8127 (i). If no offers are submitted by other small business concerns, or if none of the offers result in award at a fair and reasonable price that offers best value to the government, the solicitation will be cancelled and resolicited as an unrestricted procurement.

The associated North American Industrial Classification System (NAICS) code for this procurement is 621111, Offices of Physicians (except Mental Health Specialists), with a small business size standard of $12 million. The Product Service Code (PSC) is Q999, Medical – Other Medical Services. NAICS code 621111, shall be represented in contractor’ s System for Award Management profile registration prior to award.

The Service Area Office (SAO) East, Network Contracting Office (NCO 8), Tampa, Florida is seeking to acquire on-site Complete Intraoperative Neuromonitoring Service (IONM) to include on-call / call back coverage in support of the Bruce W. Carter Veterans Affairs Medical Center ( hereinafter to referred to as BWCVAMC), Operative Care Department located at 1201 Northwest 16th Street, Miami, FL 33125 from a contractor that can meet/exceed the government’s objectives for the requirement. Required services will be performed at the BWCVAMC. The contractor will be required to provide the equipment, labor, materials, accessories, and supplies necessary for Complete IONM services in support of seven (7) surgical operating rooms. The Complete IONM services are required as scheduled or on an as needed/case-by-case which enables the BWCVAMC to offer IONM options to patients under direct medical care within its operating room. The “umbrella” of IONM services includes, but is not limited to, complex surgical procedures such as: Spine surgery, Neurosurgery, Vascular Surgery, Otolaryngology, Cardiac Surgery, Thoracic Surgery, Orthopedics, and if necessary, Interventional Neuroradiology. The contractor shall be able to provide on-site Complete IONM services during scheduled timeframes, and during emergencies 24 hours a day, seven (7) days a week, & 365 day a year.

All work shall be completed in accordance with the Performance Work Statement (PWS) entitled. The PWS contained within this solicitation is a non-negotiable document. Quotes shall not include edits, revisions, additions, deletions, alterations, or track change comments to the PWS.

See Wage Determination No. 2105- 4543, Revision No. 14, Dated 05/01/2020 IAW FAR 52.222-41, Service Contract act of 1965, is applicable to the base year.

Reference https://beta.sam.gov/wage- Determination/2015-4543/14/document.

The Wage Determination will be replaced annually.

Table of Contents

SECTION A

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

SECTION B - CONTINUATION OF SF 1449 BLOCK

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE SCHEDULE

B.3 PERFORMANCE WORK STATEMENT

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (OCT 2018)

C.2 52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS (JUN

2016)

C.3 52.216-18 ORDERING (OCT 1995)

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

C.5 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.6 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.7 52.219-14 LIMITATIONS ON SUBCONTRACTING (MAR 2020)

C.8 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.9 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984)

C.10 52.232-35 DESIGNATION OF OFFICE FOR GOVERNMENT RECEIPT OF ELECTRONIC FUNDS

TRANSFER INFORMATION (JUL 2013)

C.11 VAAR 852.215-70 SERVICE-DISABLED VETERAN-OWNED AND VETERAN OWNED SMALL

BUSINESS EVALUATION FACTOR (OCT 2019)

C.12 VAAR 852.215-71 EVALUATION FACTOR COMMITMENTS (OCT 2019)

C.13 VAAR 852.219-10 VA NOTICE OF TOTAL SERVICE-DISABLED VETERAN-OWNED SMALL

BUSINESS SET-ASIDE (JUL 2019) (DEVIATION)

C.14 VAAR 852.219-11 VA NOTICE OF TOTAL VETERAN-OWNED SMALL BUSINESS SET-ASIDE

(JUL 2019) (DEVIATION)

C.15 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING – MONITORING AND COMPLIANCE

(JUL 2018)

C.16 VAAR 852.219-75 SUBCONTRACTING COMMITMENTS MONITORING AND COMPLIANCE (JUL

2018)

C.17 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)

C.18 VAAR 852.237-70 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE (OCT 2019)

C.19 VAAR 852.237-74 NON-DISCRIMINATION IN SERVICE DELIVERY (OCT 2019)

C.20 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

C.21 VAAR 852.270-1 REPRESENTATIVES OF CONTRACTING OFFICERS (JAN 2008)

C.22 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.23 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR

EXECUTIVE ORDERS—COMMERCIAL ITEMS (JAN 2020)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 SOLICTIATION NOTICE OF TIERED EVALUATION

D.2 QUALITY ASSURANCE SURVIEALLANCE PLAN

D.3 ORGANIZATIONAL CONFLICT OF INTEREST

D.4 IMMIGRATION CERTIFICATION

D.5 PAST PERFORMANCE QUESTIONNAIRE

D.6 WAGE DETERMINATIONS

D.7 CONTRACTOR RULES OF BEHAVIOR

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (OCT 2018)

E.2 52.216-1 TYPE OF CONTRACT (APR 1984)

E.3 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.4 VAAR 852.209-70 ORGANIZATIONAL CONFLICTS OF INTEREST (JAN 2008)

E.5 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION (OCT 2018)

E.6 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.7 VAAR 852.270-1 REPRESENTATIVES OF CONTRACTING OFFICERS (JAN 2008)

E.8 VAAR 852.273-72 ALTERNATIVE EVALUATION (JAN 2003)

E.9 VAAR 852.273-74 AWARD WITHOUT EXCHANGES (JAN 2003)

E.10 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

E.11 52.212-2 EVALUATION – COMMERICAL ITEMS (OCT 2014)

E.12 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL ITEMS (OCT

2018)

36C24820Q0423

SECTION B - CONTINUATION OF SF 1449 BLOCK

B.1 CONTRACT ADMINISTRATION DATA

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

CONTRACTOR: _________________________________________

Title: __________________________________________

Address: __________________________________________

Telephone: __________________________________________

Facsimile: _________________________________________

E-mail: __________________________________________

Federal Taxpayer ID Number __________________________________________

Dun and Bradstreet Number __________________________________________

b. GOVERNMENT: Contracting Officer

Mechelle D. Reaser Department of Veterans Affairs Network Contracting Office (NCO) 8 8875 Hidden River Parkway, Suite 525 Tampa, FL 33637 Phone: 813-972-2000 Ext. 7541 Email: Mechelle.Reaser@va.gov

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

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 (NOV 2012).

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

AMENDMENT NO DATE

6. CAUTION: Late submissions, modification, and withdrawals: See Provision 52.212-1.

Proposals are subject to all terms and conditions of this solicitation.

7. POST AWARD ORIENTATION: The Contracting Officer will schedule a post award orientation conference for contract orientation purposes as required by information letter (IL) 003A3-12-04.

http://www.va.gov/oal/docs/library/ils/il12-04.pdf

B.2 PRICE SCHEDULE

All interested companies shall provide quotations for the following:

The contractor shall furnish all personnel, equipment, and supplies to provide on-site complete Intraoperative Neuromonitoring services to include on-call /call-back coverage to eligible beneficiaries of BWCVAMC, 1201 NW 16th Street, Miami, FL 33125. The contractor’s technician (s) and physician (s) shall cover the range of complete IONM services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards American Association for Neurological Surgeons (AANS) and American Board of Registration of Electroencephalographic and Evoked Potential Technologists (ABRET).

1. CONTRACT TYPE: The government intends to award a Fixed Price, Indefinite Delivery Indefinite Quantity (IDIQ) contract.

2. AUTHORITY: Title 38 United States Code (U.S.C), 8153 Health Care Resources (HCR) Sharing Authority, FAR Part 12 Acquisition of Commercial Items in conjunction with FAR Part 13.5 Simplified Acquisition Procedure for Certain Commercial Items.

3. PLACE OF PERFORMANCE: Services shall be provided at Bruce W. Carter Department of Veterans

Affairs Medical Center located at 1201 NW 16th Street, Miami, FL 33125.

4. PERIOD OF PERFORMANCE: Base year period and four (4), one (1) year options.

5. TASK ORDER PROCEDURES: In lieu of issuing an individual task order whenever there is a need for service or a patient is placed, one (1) task order will be issued to fund the base period and will be modified to increase or decrease funding as necessary. The task order will be obligated with a Not to Exceed (NTE) amount and the contractor shall not exceed estimated quantities or dollar threshold without the expressed or written consent of the contracting officer. Adjustments made without approval will be considered an unauthorized commitment; violation under Federal Acquisition Regulation, FAR 1.602-3. Should the government choose to exercise any option periods, an individual task order will be issued for each option period at the time of exercising the option. The task order will contain date of order, order number, contract line item number, description, estimated quantity, unit price, performance schedule, place of performance, accounting and appropriation data, and method of payment.

6. MINIMUM AND MAXIMUM GUARANTEED: This solicitation includes a guaranteed minimum of

$250.00 of services for the base year of the contract. The maximum amount to be ordered for this solicitation for the base, and option period (s), if exercised by the government, is $575, 000.00. If the maximum aggregate amount of $575, 000.00 is reached prior to the end date of the final period of performance, no further task orders will be issued on the contract.

7. ESTIMATED QUATITIES: The quantities or dollar threshold listed in the Price Schedule, effective for the periods stated are estimated only, and are not purchased by the resultant contract. Except as this contract may otherwise provide, if the VA’s requirement does not result in orders in the quantities or dollar amount described, that fact shall not constitute the basis for an equitable price adjustment.

8. EVALUATION OF OPTIONS: Except when it is determined in accordance with FAR 17.206 (b) not to be in the government’s best interest, the government will evaluate offers for award purposes by adding the total price for each option period to the total price for the basic requirement. Evaluation of options will not obligate the government to exercise the option (s).

9. PRICING: Price schedule for each Contract Line Item Number (CLIN) for the base year and each option year includes the following: estimated quantity, unit, proposed unit price, proposed total annual price for each CLIN, and the estimated grand total.

PERIOD OF PERFORMANCE: BASE YEAR PERIOD

CLIN Service Estimated Quantity Unit

Proposed Unit Cost

Proposed Total Cost

This price schedule is all inclusive of the following:

Complete IONM Services to include an on-site IONM Technologist and Board- Certified Neurologist remote oversight in accordance with (IAW) the Performance Work Statement (PWS).

24/7 Week Call Coverage (Mon-Fri)

24/7 Weekend Call Coverage (Sat-Mon)

Rate provided is inclusive of IONM Services, On-call / call back coverage and represents holidays rate.

POP: Base Year Period

126 CS $ $

*CLIN – Contract Line Item Number

*CASE – CS

ESTIMATED BASE YEAR TOTAL: $

PERIOD OF PERFORMANCE: OPTION PERIOD ONE (1)

CLIN Service Estimated Quantity Unit

Proposed Unit Cost

Proposed Total Cost

This price schedule is all inclusive of the following:

Complete IONM Services to include an on-site IONM Technologist and Board- Certified Neurologist remote oversight IAW the PWS.

24/7 Week Call Coverage (Mon-Fri)

24/7 Weekend Call Coverage (Sat-Mon)

Rate provided is inclusive of / represents holidays rate.

POP: Option Period One (1)

128 CS $ $

ESTIMATED OPTION YEAR ONE (1) TOTAL: $

PERIOD OF PERFORMANCE: OPTION PERIOD TWO (2)

CLIN Service Estimated Quantity Unit

Proposed Unit Cost following:

Complete IONM Services to include an on-site IONM Technologist and Board- Certified Neurologist remote oversight IAW the PWS.

24/7 Week Call Coverage (Mon-Fri)

24/7 Weekend Call Coverage (Sat-Mon)

Rate provided is inclusive of / represents

POP: Option Period Two (2)

130 CS $ $

ESTIMATED OPTION YEAR TWO (2) TOTAL: $

PERIOD OF PERFORMANCE: OPTION PERIOD THREE (3)

CLIN Service Estimated Quantity Unit

Proposed Unit Cost following:

Complete IONM Services to include an on-site IONM Technologist and Board- Certified Neurologist remote oversight IAW the PWS.

24/7 Week Call Coverage (Mon-Fri)

24/7 Weekend Call Coverage (Sat-Mon)

Rate provided is inclusive of / represents

POP: Option Period Three (3)

132 CS $ $

ESTIMATED OPTION YEAR THREE (3) TOTAL: $

PERIOD OF PERFORMANCE: OPTION PERIOD FOUR (4)

CLIN Service Estimated Quantity Unit

Proposed Unit Cost following:

Complete IONM Services to include an on-site IONM Technologist and Board- Certified Neurologist remote oversight IAW the PWS.

24/7 Week Call Coverage (Mon-Fri)

24/7 Weekend Call Coverage (Sat-Mon)

Rate provided is inclusive of / represents

POP: Option Period Four (4)

134 CS $ $

ETIMATED OPTION YEAR FOUR (4) TOTAL: $

ESTIMATED GRAND TOTAL INCLUDING OPTION YEARS: $_________________________

B.3 PERFORMANCE WORK STATEMENT

Period of Performance: The anticipated contract period of performance is Base Year Period and four (4), one (1) year options.

Place of Performance:

Department of Veterans Affairs Bruce W. Carter Department of Veterans Affairs Medical Center 1201 Northwest 16th Street Miami, FL 33125 United States

The full text of FAR provisions or clauses may be accessed electronically at http://acquisition.gov/comp/far/index.html.

The following solicitation provisions apply to this acquisition:

1. FAR 52.212-1, Instructions to Offerors–Commercial Items (OCT 2018)

2. FAR 52.216-1, Type of Contract (APR 1984)

3. FAR 52.233-2 Service of Protest (SEP 2006)

4. FAR 52.252-1 Solicitation Provisions Incorporated by Reference (FEB 1998)

5. FAR 52.212-3, “Offerors Representations and Certifications–Commercial Items” www.sam.gov registration is required to be complete at time of submission of response. Offerors must complete annual representations and certifications electronically via the System for Award Management (SAM) website located at https://www.sam.gov/portal in accordance with FAR 52.212-3, “Offerors Representations and Certifications–Commercial Items.” If paragraph (j) of the provision is applicable, a written submission is required.

The following contract clauses apply to this acquisition:

1. FAR 52.212-4, Contract Terms and Conditions–Commercial Items (OCT 2018)

2. FAR 52.204-21 Basic Safeguarding of Covered Contractor Information Systems (JUN 2016)

3. FAR 52.216-18 Ordering (OCT 1995)

4. FAR 52.216-19 Order Limitations (OCT 1995)

5. FAR 52.216-22 Indefinite Quantity (OCT 1995)

6. FAR 52.217-8 Option to Extend Services (NOV 1999)

7. FAR 52.217-9 Option to Extend the Term of the Contract (MAR 2000)

8. Supplemental Insurance Requirements

9. FAR 52.232-19 Availability of Funds for the Next Fiscal Year (APR 1984)

10. FAR 52.232-35 Designation of Office for Government Receipt of Electronic Funds Transfer Information

(JUL 2013)

11. VAAR 852.219-75 Subcontracting Commitments Monitoring and Compliance (JUL 2018)

12. VAAR 852.232-72 Electronic Submission of Payment Requests (NOV 2018)

13. VAAR 852.237-70 Indemnification and Medical Liability Insurance (OCT 2019)

14. VAAR 852.237-74 Non-Discrimination in Service Delivery (OCT 2019)

15. VAAR 852.237-75 Key Personnel (OCT 2019)

16. VAAR 852.270-1 Representatives of Contracting Officers (JAN 2008)

17. FAR 52.252- 2 Clauses Incorporated by Reference (FEB 1998)

18. FAR 52.203-16 Preventing Personal Conflict of Interest (DEC 2011)

19. FAR 52.203-17 Contractor Employee Whistleblower Rights and Requirement to Inform Employees of Whistleblower Rights (APR 2014)

20. FAR 52.204-4 Printed or Copied Double-Sided on Postconsumer Fiber Content Paper (May 2011)

21. FAR 52.204-9 Personal Identity Verification of Contractor Personnel (JAN 2011)

22. FAR 52.204-13 System for Award Management Maintenance (OCT 2018)

23. FAR 52.204-18 Commercial and Government Entity Code Maintenance (JUL 2016)

24. FAR 52.224-1 Privacy Act Notification (APR 1984)

25. FAR 52.224-2 Privacy Act (APR 1984)

26. FAR 52.227-14 Right in Data – General (MAY 2014)

27. FAR 52.228-5 Insurance – Work on a Government Installation (JAN 1997)

28. FAR 52.232-40 Providing Accelerated Payments to Small Business Subcontractors (DEC 2013)

29. FAR 52.242-17 Government Delay of Work (APR 1984)

30. VAAR 852.203-70 Commercial Advertising (May 2018)

31. VAAR 852.219-10 VA Notice of Total Service-Disabled Veteran-Owned Small Business Set-Aside (JUL 2019) (Deviation)

32. VARR 852.291-11 VA Notice of Total Veteran-Owned Small Business Set-Aside (JUL 201) (Deviation)

33. VAAR 852.237-74 Non-Discrimination in Service Delivery

34. FAR 52.212-5, Contract Terms and Conditions Required to Implement Statutes or Executive Orders- Commercial Items (JAN 2020)

The following subparagraphs of FAR 52.212-5 are applicable:

1. (b)(1) (8) (12)(i) (14) (i) (16) (19) (22) (25) (27) (28)(i) (29)(i) (30) (31) (32) (33)(i) (34) (42) (49) (55) (57)

2. (c)(2) (3) (4) (8) (9)

The following FAR or VA provisions/procedures/clauses, and other additional contract requirements, and terms and conditions apply to this acquisition:

1. FAR 52.212-1 Instructions to Offerors – Commercial Items (OCT 2018)

2. FAR 52.216-1 Type of Contract (APR 1984)

3. FAR 53.233-2 Service of Protest (SEP 2006)

4. VAAR 852.209-70 Organizational Conflicts of Interest (JAN 2008)

5. VAAR 852.233-70 Protest Content/Alternative Dispute Resolution (OCT 2018)

6. VAAR 852.233-71 Alternate Protest Procedure (OCT 2018)

7. VAAR 852.270-1 Representatives of Contracting Officers (JAN 2008)

8. VAAR 852.273-72 Alternative Evaluation (JAN 2003)

9. VAAR 852.273-74 Award Without Exchanges (JAN 2003)

10. FAR 52.252-1 Solicitation Provisions Incorporated by Reference (Feb 1998)

11. VAAR 852.273-73 Evaluation-Health Care Resources (JAN 2003)

12. FAR 52.212-3 Offeror Representations and Certifications – Commercial Items (OCT 2018) Award will be based upon a comparative evaluation of quotes in accordance with the Simplified Acquisition Procedures FAR part 13. Comparative evaluation is the side by side pairwise comparison of quotes based on the following decision factors resulting in a Contracting Officer decision for the quote most favorable to the government.

a. Factor 1: Technical Capability

b. Factor 2: Past Performance

c. Veterans Involvement

d. Price

The award will be made to the response most advantageous to the government. Responses should contain the Offeror’s best terms, conditions.

To facilitate the award process, all quotes must include a statement regarding the terms and conditions herein as follows:

a. "The terms and conditions in the solicitation are acceptable to be included in the award document without modification, deletion, or addition."

OR

b. "The terms and conditions in the solicitation are acceptable to be included in the award document with the exception, deletion, or addition of the following:"

Quoters shall list exception(s) and rationale for the exception(s), if any.

Options are applicable and will be evaluated at time of award.

Questions about this solicitation shall be accepted up until Friday, October 16, 2020 by 3:00 p.m. EST. Questions (to include requests for additional information/clarification) shall be submitted via e-mail only to Mechelle Reaser, Contracting Officer, Mechelle.Reaser@va.gov.

Submission of your response shall be received not later than Friday, October 23, 2020, 3:00 PM EST. All quotes shall be sent to Mechelle Reaser at mechelle.reaser@va.gov. Late submissions shall be treated in accordance with the solicitation provision at FAR 52.212-1(f).

Any questions or concerns regarding this solicitation should be forwarded in writing via e-mail to the Point of Contact listed below.

Point of Contact: Mechelle Reaser, Contracting Officer, 813-972-2000 Ext. 7541, and Mechelle.reaser@va.gov .

1. GENERAL

1.1. Services Provided: The contractor shall provide as needed on a case-by-case basis complete IONM services for patients under the direct medical care within the operating room of Operative Care Service.

The IONM services shall include but not limited to, complex surgical procedures such as: Spine surgery, Neurosurgery, Vascular Surgery, Otolaryngology, Cardiac Surgery, Thoracic Surgery, Orthopedics, and if necessary, Interventional Neuroradiology. The contractor shall provide experienced personnel to cover scheduled and emergency cases seven (7) days a week, 24 hours per day including federal holidays.

Required services shall also include complete IONM services for monitoring the spinal cords, nerve functioning during surgeries, certified technician (s), Board Certified / Board Eligible Neurologist oversight, IONM System equipment and common supplies (needle electrodes, probes, ground pad, gel electrodes, cortical screw electrodes) in support of BWCVAMC, Operative Care Service.

1.2. Place of Performance: Contractor shall furnish services at Bruce W. Carter Department of Veterans Affairs Medical Center (BWCVAMC) located at 1201 NW 16th Street, Miami, FL 33125.

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

Commercial Items in conjunction with FAR Part 13.5 Simplified Acquisition Procedures for Certain Commercial Items.

1.4. Policy/Handbooks:

1.4.1. VA Directive 1663: Health Care Resources Contracting - Buying https://www1.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2

1.4.2. VHA Directive 2006-041 “Veterans’ Health Care Service Standards” (expired but still in effect pending revision) https://www1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443

1.4.3. VHA Directive 1192 “Seasonal Influenza Prevention Program” https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5472

1.4.4. VHA Handbook 1100.17: National Practitioner Data Bank Reports -https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135

1.4.5. VHA Handbook 1100.18 Reporting and Responding To State Licensing Boards -https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1364

1.4.6. VHA Handbook 1100.19 Credentialing and Privileging -

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910

1.4.7. VHA Handbook 1605.01, Privacy and Release of Information:

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

1.4.8. VHA Handbook 1907.01 Health Information Management and Health Records:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3088

1.4.9. VHA Handbook 1907.01 Health Information Management and Health Records:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3088

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

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

1.4.11. VHA Directive 2006-041 “Veterans Health Care Service Standards’ (expired but still in effect pending revision):

http://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=1443

1.4.12. VHA Directive 2009-038: VHA National Dual Care Policy:

http://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=2058

1.4.13. Health Insurance Portability and Accountability Act of 1996 (HIPPA):

https://www.cms.gov/Regulations-and-Guidance/Administrative-Simplification/HIPAA-ACA

1.4.14. VA Publications: http://vaww.va.gov/vapubs/

1.4.15. VHA Publications: http://vaww.va.gov/vhapublications/

1.5. Definitions/Acronyms: 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. AANS: American Association for Neurological Surgeons

http://aans.org/en/Education%20and%20Meetings/Clinical%20Guidelines.aspx

1.5.2. ABNS: American Board of Neurological Surgery http://www.abns.org/content/default.asp

1.5.3. ABRET: American Board of Registration of Electroencephalographic and Evoked Potential Technologist

1.5.4. ACGME: Accreditation Council for Graduate Medical Education

1.5.5. ACLS: Advanced Cardiac Life Support

1.5.6. ANET: American Society of Electroneurodiagnostic Technologist

1.5.7. BLS: Basic Life Support

1.5.8. CDC: Centers for Disease Control and Prevention

1.5.9. CDR: Contract Discrepancy Report

1.5.10. CEU: Certified Education Unit

1.5.11. CME: Continuing Medical Education

1.5.12. CMS: Centers for Medicare and Medicaid Services

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

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

1.5.15. CPARS: Contractor Performance Assessment Reporting System

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

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

1.5.18. FIPS: Federal Information Processing Standards

1.5.19. HHS: Department of Health and Human Services

1.5.20. HIPAA: Health Insurance Portability and Accountability Act

1.5.21. HR: Human Resources

1.5.22. ISO: Information Security Officer

1.5.23. Medical Emergency: a sudden onset of a medical condition manifesting itself by acute symptoms of sufficient severity that the absence of immediate medical attention could reasonably result in:

Permanently placing a patient's health in jeopardy, causing other serious medical consequences, causing impairments to body functions, or causing serious or permanent dysfunction of any body-organ or part.

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

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

1.5.26. NPPES: National Plan and Provider Enumeration System

1.5.27. POP: Period of Performance

1.5.28. PWS: Performance Work Statement

1.5.29. Privileging (Clinical Privileging): Privileging is the process by which a practitioner, licensed for 8independent practice; e.g., without supervision, direction, required sponsor, preceptor, mandatory collaboration, etc.; is permitted by law and the facility to practice independently, to provide specific medical or other patient care services within the scope of the individual’s license, based upon the individual’s clinical competence as determined by peer references, professional experience, health status, education, training and licensure. Clinical privileges must be facility-specific and provider-specific.

1.5.30. QA/QI: Quality Assurance/Quality Improvement

1.5.31. QM/PI: Quality Management/Performance Improvement

1.5.32. QASP: Quality Assurance Surveillance Plan

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

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

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

1.5.36. VETPro: a federal web-based credentialing program for healthcare providers.

2. QUALIFICATIONS

2.1. Staff/Facility

2.1.1. License: The 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 any State, Territory, or Commonwealth of the United States or the District of Columbia) when services are performed onsite on VA property.

All licenses held by the personnel working on this contract shall be full and unrestricted licenses.

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

2.1.2. Board Certification: Contractor’s provider(s) shall be certified/credentialed by ABRET and be currently certified in Basic Life Support (BLS). All continuing education courses required for maintaining certification by ABRET or otherwise must always be 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 Handbook 1100.19 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 Contractor’s physician(s) prior to obtaining approval by the BWCVAMC Professional Standards Board, 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.

2.1.4. 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 of 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 Contractor’s physician(s) and Contractor’s 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.

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 BWCVAMC. 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 office for tracking. These documents are required for both privileging and re-privileging. Failure to provide shall result in loss of privileges for Contractor’s physician(s).

2.1.6. 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 contractor’s physician(s) as required by the VA Other training may become required. VA will communicate any changes to the training requirement to the contractor.

Training Frequency (once a year, etc.) Annual Hours

BLS for Physicians Every two years 1.5

VHA Privacy and HIPAA Focused Training

Once a year .50

VA Privacy and Information Security Awareness and Rules of Behavior

Once a year .50

Active Threat Training

One time only

.50

MIA Fluoroscopy Radiation Safety Once a year .50

2.1.7. Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for physicians within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year.

2.1.7.1. Tuberculosis Testing: Contractor shall provide proof of a negative Tuberculosis Skin Test (TST) or interferon-gamma release assays (IGRA) for all Contractor’s physician (s) {This is applicable to all health care workers}. A negative chest radiographic report for active tuberculosis shall be provided in cases of positive TST or IGRA results. The TST or IGRA testing shall be repeated annually.

2.1.7.2. Measles, Mumps, & Rubella Testing: Contractors shall provide proof of immunity for all contractor physicians {This is applicable to all health care workers}.

2.1.7.3. Varicella: Contractors shall provide proof of immunity for all contractor physicians {This is applicable to all health care workers}.

2.1.7.4. Acellular Pertussis: Contractors shall provide proof of 1 dose of Tdap vaccination for all contractor physicians {This is applicable to all health care workers}.

2.1.7.5. Influenza: Contractors shall provide proof that all contractor physicians have received the annual Influenza vaccine unless it is contraindicated. If the contractor physician has a medical contraindication to the vaccine, they shall be required to wear a mask during the Influenza season. {This is applicable to all health care workers}.

2.1.7.6. Osha Regulation Concerning Occupational Exposure To Bloodborne Pathogens: Contractor shall provide evidence of completing and passing generic self-study blood-borne pathogen training for all Contractor’s physician (s) {This is applicable to all health care workers}; provide their own Hepatitis B vaccination series and hepatitis B surface antigen test results following the hepatitis B vaccination series; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident.

2.1.7.7. The BWCVAMC shall notify the contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel ( as published in American Journal for Infection Control- AJIC 1998;

26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control. Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

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

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.

2.1.9. 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 (Jan 2008) and fully outlined in response to the subject attachment in Section D of the solicitation document.

2.1.10. Citizenship related Requirements:

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

2.1.10.2. 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.

2.1.10.3. 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.

2.1.10.4. 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.

2.1.10.5. The Contractor agrees to obtain a similar certification from its subcontractors. The certification shall be made as part of the contractor response to the RFQ using the subject attachment in Section D of the solicitation document.

2.1.11. 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.

2.1.11.1. Therefore, contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed contractor’s 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.

2.1.11.2. 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 Performance: The qualifications of contractor personnel are subject to review by VA Medical Center COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA Handbook 1100.19. Clinical/Professional performance monitoring and review of all clinical personnel covered by this contract for quality purposes will be provided by the VAMC 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 contractor’s 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. Key Personnel:

2.9.1. Contracted IONM Technologist (s) shall provide services on-site.

2.9.2. Contracted physician (s) shall provide services remotely or on-site as determined by the requiring service.

2.9.3. The Contractor shall be responsible for providing coverage to the VA during periods of vacancies of the contractor’s personnel due to sick leave, personal leave, vacations and additional coverage as required. In the event a scheduled physician is unable to complete an assigned case, the contractor shall provide replacement physician coverage within 2 hours and notify the Contracting Office Representative (COR) at the BWCVAMC immediately of the change.

2.9.4. Personnel Substitutions: During the first ninety (90) calendar days of performance, the contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death or termination of employment. The contractor shall notify the CO, in writing, within 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.

2.9.4.1. 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.

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

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

(s) conduct. The final arbiter on questions of acceptability is the CO.

2.9.4.4. Contingency Plan: Because continuity of care is an essential part of VAMC’s medical services, The contractor shall have a contingency plan in place to be utilized if the contractor’s physician

(s) leaves contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract.

3. VA HOURS OF OPERATION/SCHEDULING

3.1. VA Business Hours: BWCVAMC business hours are 6:30 a.m. to 4;30 a.m. E.S.T. Services shall be available from the contractor 24 hours per day, seven (7) days per week, including weekends and federal holidays to accomdate scheduled and emergency procedures . Contractor shall provide coverage for all required shifts, Sunday through Saturday, including federal holidays as outlined in this PWS OR scheduled timeframes by the requiring service.

3.1.1. Patients shall be seen by a contractor’s clinician(s) on-site at…