S02 RFP BT RAD ONC SVC - 36C24526R0044.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

36C24526R0044 12/30/2025

Paschal L. Dawson, NCO 5 Branch Chief 410-691-7798 01/16/2026

1000 EST EDT

Department of Veterans Affairs

VAMC

NCO 5 CONTRACTING OFFICE (19ACQ)

849 International Drive, Suite 200

Linthicum MD 21090

Paschal L. Dawson, Contracting Officer

CO, Healthcare Resources Team x

621111

$16 Million

N/A

X

Department of Veterans Affairs

VA Maryland Health Care System

Radiation Oncology Services

10 North Greene Street

Baltimore MD 21201

36C245

Department of Veterans Affairs

VAMC

Paschal L. Dawson, Contracting Officer

849 International Drive, Suite 200

Linthicum MD 21090

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 to provide Onsite Chief Therapeutic Medical

Physicist (CTMP), Staff Therapeutic Medical Physicist, and

Dosimetrist services at the Baltimore VA Medical Center, Baltimore, Maryland 21201.

Schedule of Services, pp. 7-12

Performance Work Statement, pp. 13-42

Contractor shall be responsible for correct wages, titles, compliance with all applicable wage and hour laws.

Period of Performance (POP): 02/01/2026 - 01/31/2027 with four

(4) one-year option periods.

Offerors’ submission instructions, specified in Addendum to

FAR provision 52.212-1, are provided on pp. 117-121.

All questions must be submitted in writing by 1400 EST on

08 January 2026 at 1000.

$0.00

See CONTINUATION Page

X X

X 01

PASCHAL L. DAWSON, FAC-C (PROFESSIONAL)

CONTRACTING OFFICER, HCR TEAM

36C24526R0044

Table of Contents

SECTION A

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

AND COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 SCHEDULE OF SERVICES

B.3 PERFORMANCE WORK STATEMENT (PWS)

B.4 IT CONTRACT SECURITY

SECTION C - CONTRACT CLAUSES

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

AND COMMERCIAL SERVICES (NOV 2023)

C.2 52.203-16 PREVENTING PERSONAL CONFLICTS OF INTEREST (JUN 2020) ...59

C.3 52.204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL

(JAN 2011)

C.4 52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR

INFORMATION SYSTEMS (NOV 2021)

C.5 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

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

C.7 52.223-5 POLLUTION PREVENTION AND RIGHT-TO-KNOW INFORMATION

(MAY 2024)

C.8 52.228-5 INSURANCE—WORK ON A GOVERNMENT INSTALLATION (JAN 1997)

C.9 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.10 52.229-3 FEDERAL, STATE, AND LOCAL TAXES (FEB 2013)

C.11 52.237-2 PROTECTION OF GOVERNMENT BUILDINGS, EQUIPMENT, AND

VEGETATION (APR 1984)

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

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

C.14 VAAR 852.204-71 INFORMATION AND INFORMATION SYSTEMS SECURITY

(FEB 2023)

C.15 VAAR 852.208-70 SERVICE-DISABLED VETERAN-OWNED AND VETERAN-

OWNED SMALL BUSINESS EVALUATION FACTORS – ORDERS or BPAs (JAN 2023)

(DEVIATION)

C.16 VAAR 852.208-71 SERVICE-DISABLED VETERAN-OWNED AND VETERAN-

OWNED SMALL BUSINESS EVALUATION FACTOR COMMITMENTS-ORDERS AND

BPAS (JAN 2023) (DEVIATION)

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

BREACH COSTS (FEB 2023) ALTERNATE I (FEB 2023)

C.18 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2018)

C.19 VAAR 852.237-70 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE

(OCT 2019)

C.20 VAAR 852.237-72 CRIME CONTROL ACT—REPORTING OF CHILD ABUSE

(OCT 2019)

C.21 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

C.22 VAAR 852.239-76 INFORMATION AND COMMUNICATION TECHNOLOGY

ACCESSIBILITY (FEB 2023)

C.23 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

C.24 52.212-5 CONTRACT TERMS AND CONDITIONS BY-REFERENCE CLAUSES 85

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

D.2 CONTRACTOR RULES OF BEHAVIOR

D.3 CONTRACTOR CERTIFICATION: IMMIGRATION AND NATIONALITY ACT OF

1952, AS AMENDED

D.4 WAGE DETERMINATIONS UNDER THE SERVICE CONTRACT ACT

SECTION E - SOLICITATION PROVISIONS

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

COMMERCIAL SERVICES (SEP 2023)

E.2 52.201-1 ACQUISITION 360: VOLUNTARY SURVEY (SEP 2023)

E.3 52.204-20 PREDECESSOR OF OFFEROR (AUG 2020)

E.4 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

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

REPRESENTATION AND DISCLOSURES (DEC 2023)

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

E.7 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

E.8 52.216-1 TYPE OF CONTRACT (APR 1984)

E.9 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.10 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.11 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

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

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

PRIMARY CONTACT POC

PHONE NUMBER

EMAIL ADDRESS

UEI NUMBER

b. GOVERNMENT: Paschal L. Dawson, Contracting Officer (90C)

NCO 5 Branch Chief, Healthcare Resources Team

NCO 5 Contracting Office (90C)

849 International Drive, Suite 200 Linthicum, MD 21090 Paschal.Dawson@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, 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 Invoices must be submitted electronically.

http://www.fsc.va.gov/einvoice.asp Invoice Setup Information 1-877-489-6135

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

mailto:Paschal.Dawson@va.gov

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 term 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 Onsite Radiation Oncology Support 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. CONTRACT: This contract adheres to the format defined in Federal Acquisition Regulation (FAR) Parts 12 and 15, VA Directive 1663 and 38 U.S.C. 8153. An official copy of the FAR can be obtained at https://www.acquisition.gov/far/.

9. POST AWARD ORIENTATION (Awards over $1M): The Contracting Officer will schedule a post award orientation for contract orientation purposes as required by VA Acquisition Manual, Part M842.503-2.

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. 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.”

12. 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 https://www.acquisition.gov/far/ 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 in accordance with the contracted services. Failure to comply with applicable statutes and regulations 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.

13. Please note: System updates may lag policy updates. The System for Award Management (SAM) may continue to require entities to complete representations based on provisions that are not included in agency solicitations, including 52.223-22, Public Disclosure of Greenhouse Gas Emissions and Reduction Goals—Representation, and paragraph (t) of 52.212-3, Offeror Representations and Certifications— Commercial Products and Commercial Services. Contracting officers will not consider these representations when making award decisions or enforce requirements. Entities are not required to, nor are they able to, update their entity registration to remove these representations in SAM.

B.2 SCHEDULE OF SERVICES

The Contractor shall furnish all personnel to provide services necessary to perform care/work onsite Board-Certified Chief Therapeutic Medical Physicist (CTMP), onsite Board-Certified

Therapeutic Medical Physicist (TMP), and onsite Certified Medical Dosimetrist (CMD) Support

Services to eligible beneficiaries of the Department of Veterans Affairs Medical Center

(hereinafter referred to as VAMC). The contractor’s services shall cover the range of Radiation

Oncology services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of services shall be of a quality, meeting (or exceeding) currently recognized national standards.

All VHA Radiation Oncology Services are accredited by a nationally recognized accrediting body contracted through the National Radiation Oncology Program (NROP). As such, any

Contractor providing radiation oncology services must adhere to all the policies and procedures herein and as listed in B.3, Section 1.2; practice standards, guidelines, patient care operations;

patient safety; quality assurance and quality management of radiotherapy planning, equipment, and delivery; and continuous quality improvement initiatives promulgated by the American

College of Radiology, American Society for Radiation Oncology and American Association for

Physicist in Medicine.

Place of Performance: Services shall be provided at the Radiation Oncology Clinical Care

Center (ROCCC), VA Maryland Health Care System (VAMHCS) Baltimore VA Medical Center

(VAMC) located at 10 N. Greene Street, Baltimore, Maryland 21201.

Pricing Instructions:

The Offeror is instructed to edit the number of SUB-LIN Items to correspond with the number of key personnel submitted for the line-item number (LIN). Other commercial health care Offerors shall identify by title/position or level of experience the key personnel submitted. Also, renumber

SUB-LINs if adding or removing Key Personnel.

A Contractor’s onsite Board-Certified Chief Therapeutic Medical Physicist (CTMP) for 0.5 FTEE;

an onsite Board Certified Therapeutic Medical Physicist (TMP) on a 1.0 basis; and an onsite

Certified Medical Dosimetrist (CMD) for 1.0 FTEE. Key personnel must be credentialed and be available for scheduling to meet the requirements of the contract.

The dates on which the contract personnel will be present at the facility will be provided one quarter in advance. Specific personnel shall be provided no later than the tenth (10th) business day of the month prior to the scheduled need.

The Contractor shall propose key personnel to be credentialed and be available for scheduling to meet the requirements of the contract.

BASE YEAR: 02/01/2026 to 01/31/2027

LIN

No.

SLIN

Description Qty. Unit Unit Cost

Total Annual Cost

0001 None Board Certified Therapeutic Medical Physicist (Chief) Services

1040 Hours

DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 0001a

Board Certified Therapeutic Medical Physicist (Chief)

NAME:

TITLE/LEVEL OF EXPERIENCE:

Hours $______/hr. $________

LIN 0001 TOTAL FOR BASE TERM

Hours

Total Annual Cost

0002 None Board Certified Therapeutic Medical Physicist Services

2080 Hours

DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 0002a

Board Certified Therapeutic Medical Physicist

NAME: ____________

LIN 0002 TOTAL FOR BASE TERM

Annual Cost

0003 None Board Certified Medical Dosimetrist Services

2080 Hours

DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 0003a

Board Certified Medical Dosimetrist

Hours $______/hr. $_________

LIN 0003 TOTAL FOR BASE TERM

ALL LINS TOTAL for BASE TERM: $_______________________

OPTION YEAR 1: 02/01/2027 to 01/31/2028

Cost

1001 None Board Certified Therapeutic Medical Physicist (Chief) Services

1040 Hours

DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 1001a

Board Certified Therapeutic Medical Physicist (Chief)

LIN 0001 TOTAL FOR OPTION YEAR 1

Annual Cost

1002 None Board Certified Therapeutic Medical Physicist Services

2080 Hours

DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 1002a

Board Certified Therapeutic Medical Physicist

LIN 0002 TOTAL FOR OPTION YEAR 1

Annual Cost

1003 None Board Certified Medical Dosimetrist Services

2080 Hours

DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 1003a

Board Certified Medical Dosimetrist

LIN 1003 TOTAL FOR OPTION YEAR 1

ALL LINS TOTAL for OPTION YEAR 1: $_______________________

OPTION YEAR 2: 02/01/2028 to 01/31/2029

Cost

2001 None Board Certified Therapeutic Medical Physicist (Chief) Services

1040 Hours

DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 2001a

Board Certified Therapeutic Medical Physicist (Chief)

LIN 2001 TOTAL FOR OPTION 2

Annual Cost

2002 None Board Certified Therapeutic Medical Physicist Services

2080 Hours

DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 2002a

Board Certified Therapeutic Medical Physicist

LIN 0002 TOTAL FOR OPTION YEAR 2

Annual Cost

2003 None Board Certified Medical Dosimetrist Services

2080 Hours

DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 2003a

Board Certified Medical Dosimetrist

LIN 2003 TOTAL FOR OPTION YEAR 2

ALL LINS TOTAL for OPTION YEAR 2: $_______________________

OPTION YEAR 3: 02/01/2029 to 01/31/2030

Cost

3001 None Board Certified Therapeutic Medical Physicist (Chief) Services

1040 Hours

DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 3001a

Board Certified Therapeutic Medical Physicist (Chief)

LIN 0001 TOTAL FOR OPTION 3

Annual Cost

3002 None Board Certified Therapeutic Medical Physicist Services

2080 Hours

DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 3002a

Board Certified Therapeutic Medical Physicist

LIN 3002 TOTAL FOR OPTION YEAR 3

Annual Cost

3003 None Board Certified Medical Dosimetrist Services

2080 Hours

DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 3003a

Board Certified Medical Dosimetrist

LIN 3003 TOTAL FOR OPTION YEAR 3

ALL LINS TOTAL for OPTION YEAR 3: $_______________________

OPTION YEAR 4: 02/01/2030 to 01/31/2031

Cost

4001 None Board Certified Therapeutic Medical Physicist (Chief) Services

1040 Hours

DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 4001a

Board Certified Therapeutic Medical Physicist (Chief)

LIN 4001 TOTAL FOR OPTION 2

Annual Cost

4002 None Board Certified Therapeutic Medical Physicist Services

2080 Hours

DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 4002a

Board Certified Therapeutic Medical Physicist

LIN 0002 TOTAL FOR OPTION YEAR 2

Annual Cost

4003 None Board Certified Medical Dosimetrist Services

2080 Hours

DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 4003a

Board Certified Medical Dosimetrist

LIN 4003 TOTAL FOR OPTION YEAR 4

ALL LINS TOTAL for OPTION YEAR 4: $_______________________

TOTAL FOR BASE AND ALL OPTION PERIODS: $________________________

B.3 PERFORMANCE WORK STATEMENT (PWS)

ONSITE CHIEF THERAPEUTIC MEDICAL PHYSICIST (CTMP), ONSITE THERAPEUTIC

MEDICAL PHYSICIST (TMP), AND ONSITE MEDICAL DOSIMETRIST (CMD) SERVICES

1. GENERAL

1.1. SERVICES REQUIRED: The VA Radiation Oncology Services are accredited by a nationally recognized accrediting body (APeX) contracted through NROP. As such any Contractor providing radiation oncology services must adhere to Guidelines & Technical Standards for Radiation Oncology promulgated by the American College of Radiology, American Society for Radiation Oncology and/or American Association for Physicist in Medicine.

1.2. PLACE OF PERFORMANCE: Baltimore VAMC, 10 N. Greene Street, Baltimore, Maryland 21201.

1.3. Authority: Title 38 U.S.C. 513 Sharing of Healthcare Resources in combination with FAR Part 12 and FAR Part 15.

1.4. Policy/Handbooks: 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:

VVHA Notice 2018-34 “Rescission of VHA Directive 2006-041 Veterans Health Care Service Standards”: VA Publications VHA Publications

1.4.1. VA Directive 1663: Health Care Resources (HCR) Contracting—Buying Title 38 U.S.C. 8153

1.4.2. VHA Directive 1003.04: VHA Patient Advocacy

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

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

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

1.4.6. VHA Directive 1100.20: Credentialing of Health Care Providers

1.4.7. VHA Directive 1100.21: Privileging

1.4.8. VHA Directive 1192.01: Seasonal Influenza Vaccination Program for VHA Health Care Personnel

1.4.9. VHA Directive 1220(1): Facility Procedure Complexity Designation Requirements to Perform Invasive Procedures in Any Clinical Setting

1.4.10. VHA Directive 1605.01: Privacy and Release of Information

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

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

1.4.13. VHA Directive 1156 Accreditation of VHA Radiation Oncology Services/Section

1.4.14. VHA Directive 1414 Stereotactic Body Radiotherapy

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

http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm https://www.va.gov/vapubs/ https://www.va.gov/vhapublications/index.cfm http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.4.16. US Nuclear Regulatory Commission for management and use of radioactive materials for medical use and radiation safety requirements, to include (but not limited to) 10 CFR Parts 19, 20, 30, 33, 35, and 71: http://www.nrc.gov/reading-rm.html

1.5. DEFINITIONS/ACRONYMS:

1.5.1. AAPM: American Association of Physics in Medicine

1.5.2. ABR: American Board of Radiology

1.5.3. ACGME: Accreditation Council for Graduate Medical Education

1.5.4. ACO: Administrative Contracting Officer

1.5.5. ACR: American College of Radiology (www.acr.org/)

1.5.6. ALARA: As Low as Reasonably Achievable (least & lowest radiation exposure possible)

1.5.7. AOA: American Osteopathic Association

1.5.8. ARRT(T): American Registry of Radiologic Technologists (T) in Radiation Therapy\

1.5.9. ASTRO/APeX: American Society for Radiation Oncology/Accreditation Program for Excellence ® (https://www.astro.org/Daily-Practice/Accreditation)

1.5.10. BAA: Business Associate Agreement

1.5.11. CAMPEP: Commission on Accreditation of Medical Physics Educational Programs (http://www.campep.org/default.asp)

1.5.12. CDC: Centers for Disease Control and Prevention

1.5.13. CEU: Certified Education Unit

1.5.14. 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 with 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.

1.5.15. CMD: Certified Medical Dosimetrist

1.5.16. CME: Continuing Medical Education

1.5.17. CMS: Centers for Medicare and Medicaid Services

1.5.18. CO: Contracting Officer

1.5.19. COR: Contracting Officer’s Representative

1.5.20. COS: Chief of Staff

1.5.21. CPARS: Contractor Performance Assessment Reporting System

1.5.22. CPRS: Computerized Patient Recordkeeping System- electronic health record system used by the VA.

1.5.23. Credentialing: Credentialing is the process of obtaining, verifying, and assessing the qualifications of a health care provider to provide care or http://www.nrc.gov/reading-rm.html http://www.nrc.gov/reading-rm.html http://www.acr.org/ https://www.astro.org/Daily-Practice/Accreditation http://www.campep.org/default.asp services in or for the VA health care system. Credentials are documented evidence of licensure, education, training, experience, or other qualifications.

1.5.24. DEA: Drug Enforcement Agency

1.5.25. EHR: Electronic Health Record – electronic health record system used by the

VA

1.5.26. FSMB: Federation of State Medical Boards

1.5.27. Full Time Equivalent (FTE): VA’s definition for full time- working the equivalent of 80 hours every two weeks, 2080 hours per year. In calculating FTE, any hours not worked on national holidays shall not be included.

1.5.28. HHS: Department of Health and Human Services

1.5.29. HICPAC: Healthcare Infection Control Practices Advisory Committee- a federal advisory committee made up of 14 external infection control experts who provide advice and guidance to the CDC and the Secretary of HHS regarding the practice of health care infection control, strategies for surveillance and prevention and control of health care associated infections in United States health care facilities.

1.5.30. HIPAA: Health Insurance Portability and Accountability Act

1.5.31. IGRT: Image Guided Radiation Therapy is the process of frequent two and three-dimensional imaging, during a course of radiation treatment, used to direct radiation therapy utilizing the imaging coordinates of the actual radiation treatment plan.

1.5.32. IMRT: Intensity Modulated Radiation Therapy is the process of delivering highly conformal radiotherapy to the tumor while sparing the surrounding normal tissues by varying radiation intensity across treatment portals.

1.5.33. IROC: Imaging and Radiation Oncology Core

1.5.34. ISO: Information Security Officer

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

1.5.36. MU: Monitor Unit is a measure of machine output of a linear accelerator in radiation therapy.

1.5.37. NHPP: National Health Physics Program- NHPP provides regulatory oversight for the Nuclear Regulatory Commission master materials license issued to VHA to include permitting for use of materials, onsite inspections, and investigations of allegations, medical events, and incidents. In addition, we provide oversight for machine sources of ionizing radiation used for radiation therapy. Finally, we provide assistance and technical information for uses of ionizing radiation for healthcare diagnosis and treatment and non-human biomedical research.

(http://www.patientcare.va.gov/NHPP.asp)

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

1.5.39. NROP: National Radiation Oncology Program

1.5.40. NRSC: National Radiation Safety Committee

1.5.41. POP: Period of Performance

http://www.patientcare.va.gov/NHPP.asp

1.5.42. PPD: Purified Protein Derivative

1.5.43. PWS: Performance Work Statement

1.5.44. QASP: Quality Assurance Surveillance Plan

1.5.45. QMP: Quality Management Program

1.5.46. SPE: Senior Procurement Executive

1.5.47. SRS: Stereotactic Radio Surgery: a minimally invasive form of surgical intervention which makes use of a three-dimensional coordinated system to locate small targets inside the body and to perform on them some action such as ablation, biopsy, lesion, injection, stimulation, implantation, radiosurgery (SRS) etc.

1.5.48. SBRT: Stereotactic Body Radiotherapy

1.5.49. TJC: The Joint Commission

1.5.50. TLD: Thermoluminescent Dosimeter- a device that measures radiation dose

1.5.51. TMP: Therapeutic Medical Physicist

1.5.52. TRT: Therapeutic Radiologic Technologist (Interchangeable Names: Radiologic Therapy Technologist, Radiation Therapist)

1.5.53. VA: Department of Veterans Affairs

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

1.5.55. VHA: Veterans Health Administration

1.5.56. VISN: Veterans Integrated Services Network

1.5.57. VisTA: Veterans Information Systems Technology Architecture

1.5.58. OSLD: Optically Stimulated Luminescence Dosimeter

1.5.59. ROCCC: Radiation Oncology Clinical Care Center

1.5.60. VAMC: Veterans Affairs Medical Center

2. QUALIFICATIONS:

2.1. Board Certification: Board Certification - All contractor provider(s) shall be board certified. All continuing education courses required for maintaining certification 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. All Contractor’s providers in all specialties required to be board certified.

2.1.1. Contractor’s Board-Certified Chief Therapeutic Medical Physicists must be Board Certified in Medical Physics or Therapeutic Medical Physics by the ABR. Certification must be maintained throughout contract POP. In the event Contractor’s medical physicist(s) is/are not directly employed by the Contractor’s treating facility, documentation must be provided to ensure adequate certification.

2.1.2. Contractor’s Board-Certified Therapeutic Medical Physicists must be Board Certified in Medical Physics or Therapeutic Medical Physics by the ABR.

Certification must be maintained throughout contract POP. In the event Contractor’s medical physicist(s) is/are not directly employed by the Contractor’s treating facility, documentation must be provided to ensure adequate certification.

2.1.3. Contractor’s Certified Medical Dosimetrists must be Certified Medical Dosimetrists (CMD) certified by the Medical Dosimetrist Certification Board. In the event the Contractor’s Dosimetrist(s) is/are not directly employed by the Contractor’s treating facility, documentation must be provided to ensure adequate certification.

2.2. Credentialing of Health Care Professionals other than physicians: In accordance with VHA Directive 1100.20, all health care professionals who claim licensure, certification, or registration, as applicable to the position (this applies to all who are appointed or utilized on a full-time, part-time, intermittent, consultant, without compensation, on-station fee-basis, on-station contract, or on-station sharing agreement basis) and who are not currently privileged in accordance with VHA Directive 1100.21, must be credentialed in accordance with this directive.

2.2.1. If a contractor’s physician (s) and/or other contract provider (s) are not credentialed and privileged or have credentials/privileges suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government.

2.3. Contractor’s Providers’ Qualifications:

2.3.1. Contractor’s Board-Certified Chief Medical Physicist–Ph. D Level: Must have at least five (5) years of documented post-board experience after board certification and at least three (3) years of continuous work experience within the last five (5) years to ensure the CTMP’s (post-training) experience is current and relevant. CTMP must also have the following minimum years of experience, expertise, and knowledge on the following procedures, equipment, and software:

2.3.1.1. Five (5) years of experience – Documentation detailing experience in performing QA procedures. Sun Nuclear/SunCheck experience preferred.

2.3.1.2. Three (3) years of experience – Documentation in CV noting Therapeutic Medical Physicists understand ACR or ASTRO APeX Accreditation standards.

2.3.1.3. Three (3) years of experience - Varian Linear Accelerators: Edge (or equivalent).

2.3.1.4. Three (3) years of experience -Image Guided Radiation Therapy (IGRT) including Cone Beam CT (following standards of TG-142).

2.3.1.5. Three (3) year of experience - Eclipse treatment planning system; and ARIA record & verify system, including the following treatment modalities: 2D/3D Conformal, SRS, SRT, SBRT, and IMRT/VMAT (following standards of TG-53).

2.3.1.6. Three (3) years of experience - IMRT QA: MapCheck I/II (or equivalent).

2.3.1.7. Three (3) years of experience – Siemens SOMATOM go.Open Pro CT Simulator (or equivalent) (following standards of TG-66).

2.3.1.8. Successfully perform one (1) acceptance testing (i.e., work with vendor to ensure proper working conditions during installation) on a linear accelerator.

2.3.1.9. Successfully perform one (1) commission of (i.e., gathered necessary measurements or data) a linear accelerator for a treatment planning system.

2.3.2. Contractor’s Board-Certified Medical Physicist – MS Level: Candidate can either be master’s Level or PhD. Must be Board Certified with at least two years of continuous working experience within the last three years to ensure TMP’s experience is current and relevant. TMP must also have the following minimum years of experience, expertise, and knowledge on the following procedures, equipment and software:

2.3.2.1. Two (2) years of experience – Documentation detailing experience in performing QA procedures. Sun Nuclear/SunCheck experience preferred.

2.3.2.2. One (1) year of experience – Therapeutic Medical Physics understanding of ACR Accreditation standards or ASTRO APeX accreditation standards.

2.3.2.3. One (1) year of experience - Varian Linear Accelerators: Edge (or equivalent).

2.3.2.4. One (1) year of experience - Image Guided Radiation Therapy (IGRT) including Cone Beam CT (following standards of TG-142).

2.3.2.5. One (1) year of experience - eclipse treatment planning system; and ARIA record & verify system, including the following treatment modalities: 2D/3D Conformal, SRS, SRT, SBRT, and IMRT/VMAT (following standards of TG-53).

2.3.2.6. One (1) years of experience - IMRT QA: MapCheck I/II (or equivalent).

2.3.2.7. One (1) year of experience - Siemens SOMATOM go.Open Pro CT Simulator (or equivalent) and following standards of TG-66.

2.3.2.8. Three (3) years of experience is preferred - VA CPRS Computerized Patient Record System electronic medical record.

2.3.3. Contractor’s Certified Dosimetrist: Must be certified in medical dosimetry by the Medical Dosimetrist Certification Board (MDCB) with at least two years of continuous work experience within the last three years to ensure the CMD’s experience is current and relevant. CMD must also have the following minimum years of experience, expertise and knowledge on the following procedures, equipment and software:

2.3.3.1. Three (3) years of experience - Varian Linear Accelerators: Edge (or equivalent).

2.3.3.2. Three (3) years of experience - Image Guided Radiation Therapy (IGRT) including Cone Beam CT (following standards of TG-142).

2.3.3.3. Three (3) years of experience - Eclipse treatment planning system; and ARIA record & verify system, including the following treatment modalities: 2D/3D Conformal, SRS, SRT, SBRT, and IMRT/VMAT (following standards of TG-53).

2.3.3.4. One (1) year of experience - Siemens SOMATOM go.Open Pro CT Simulator (or equivalent).

2.3.4. Technical Proficiency – The provided contractors 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. This must be confirmed by the contractor. The 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. The provided contractors shall have knowledge of professional care theories, principles, practices, and procedures to serve radiation oncology patient population. The contractors provided shall demonstrate knowledge of growth and development, and pathophysiology of disease processes specific radiation oncology patient population. The contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all contractors provided. The contractors provided shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations and other federal regulations that govern medical staff behavior.

2.4. Continuing CEU Requirements: Contractor shall provide the COR copies of current CEUs as required or requested by the VAMC. Contractors registered or certified by national/medical associations shall continue to meet the minimum standards for CEU to remain current. CEU hours shall be reported to the credential’s office for tracking.

These documents are required for initial and renewal privileging. Failure to provide shall result in loss of privileges.

2.5. Training (CPRS 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 as required by the VA. Other training may be required.

VA will communicate any changes to the training requirement to the contractor.

Training (The following training is mandatory per VHACO for Contracted Providers)

Frequency

Annual Hours

Government Ethics Once a Year 1 Hour Prevention of Workplace Harassment/No Fear Act

Once a Year 1 Hour

VA Core Values Training (ICARE Recommitment)

Once a Year 0.5

VA Privacy and Information Security Awareness and Rules of Behavior

Once a Year

1 Hour

VHA Privacy and HIPAA Focused Training

Once a Year

1 Hour

Radiation Safety Once a Year 1 Hour

2.6. Standard Infection Control Measures (PPD, Immunizations, 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.

2.6.1. 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.

2.6.2. MEASLES, MUMPS, & RUBELLA TESTING: Contractors shall provide proof of immunity for all Contractor physicians {This is applicable to all health care workers.

2.6.3. VARICELLA: Contractors shall provide proof of immunity for all Contractor physicians {This is applicable to all health care workers.

2.6.4. ACELLULAR PERTUSSIS: Contractors shall provide proof of 1 dose of Tdap vaccination for all Contractor physicians {This is applicable to all health care workers}.

2.6.5. 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.

2.6.6. 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.

2.6.7. The VAMC shall notify the Contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel (as published in American Journal for Infection Control- AJIC 1998; 26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control. Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.7. Conflict of Interest: The Contractor and other contract provider (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.

2.8. Citizenship related Requirements:

2.8.1. 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;

2.8.2. While performing services for the Department of Veterans Affairs, the Contractor shall not knowingly employ, contract or subcontract with an illegal http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf 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.

2.8.3. 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.

2.8.4. 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.

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

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

2.9. 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.

2.9.1. Therefore, Contractor and/or contractor affiliate 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 provider(s) is 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.

2.9.2. 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.

2.10. Clinical/Professional Direction: 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 and VHA Directive 2012-030. Clinical/Professional direction of all clinical personnel covered by this contract 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 http://oig.hhs.gov/exclusions/index.asp consider any contract modification request and/or make changes to the contract during the administration of the resultant contract.

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

2.12. Inherent Government Functions: Contractor and other contract provider (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.

2.13. No Employee Status: The Contractor shall be responsible for protecting the contract provider (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:

2.13.1. Workers’ compensation

2.13.2. Professional liability insurance

2.13.3. Health examinations

2.13.4. Income tax withholding, and

2.13.5. Social security payments.

2.14. Tort Liability: The Federal Tort Claims Act does not cover contract provider (s). When a Contractor and/or other contract provider (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 or other contract provider (s) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

2.15. Key Personnel:

Contractor shall provide the number of qualified staff as is necessary to perform the services required under this contract, at the staffing level determined to be professionally acceptable by the VAMC Chief of Staff and in accordance with American College of Radiology staffing guidelines.

2.15.1. The VA Full Time Equivalency (FTE): FTE is defined by VA as a minimum of 80 hours every two weeks and does not include holidays.

2.15.2. The onsite Board-Certified Chief Medical Physicist is required to be onsite at least 50% of the time, as discussed with the Radiation Oncology Service during each week as defined in Hours of Operation in this section.

2.15.3. The Board-Certified Medical Physicist required to be onsite will be 1.0 FTE as defined in paragraph Hours of Operation in this section.

2.15.4. The number of Certified Medical Dosimetrists required to be on a hybrid schedule (offsite/onsite); offsite schedule pending ability to demonstrate full capacity of work while offsite) is 1.0 FTE as defined in paragraph Hours of Operation in this section.

2.15.5. 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 contract provider is unable to complete an assigned shift, the contractor shall provide replacement contract provider coverage within two (2) hours and notify the Contracting Office Representative (COR) at the VA Maryland Health Care…