S02 - RFQ 36C10B25Q0034.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

36C10B25Q0034 06-04-2025

Samantha McIntyre (512) 981-4474 06-17-2025

09:00AM EST

36C10B Department of Veterans Affairs Office of Procurement, Acquisition and Logistics Technology Acquisition Center 23 Christopher Way Eatontown NJ 07724

X 100

X

Y

518210

$40 Million

N/A

X

See Schedule

36C10B

Department of Veterans Affairs Office of Procurement, Acquisition and Logistics Technology Acquisition Center 23 Christopher Way Eatontown NJ 07724

Y

See website at:

http://www.fsc.va.gov/einvoice.asp

(877) 353-9791

See CONTINUATION Page

Project Title: Home Health E-Signature Software as a Service Platform Solution

See Section B.1 for Schedule of Supplies and Services

SEE CONTINUATION PAGES

See CONTINUATION Page

X X

Peter T. Lewandowski Contracting Officer

Request for Quotation: 36C10B25Q0034

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 SCHEDULE OF SUPPLIES AND SERVICES

19.

ITEM

NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QTY

22.

UNIT

23.

UNIT

PRICE

24.

AMOUNT

Home Health E-Signature SaaS Platform Solution

The Contractor is responsible for providing a digital signature cloud-based Home Health Order E-Signature SaaS platform solution to the Department of Veterans Affairs (VA), Veterans Health Administration, Texas Valley Coastal Bend Veterans’ Health Care System, in accordance with (IAW) the Product Description (PD), dated January 28, 2025.

Inspection/Acceptance:

Destination Period of Performance:

12-months from award.

Importing/Creation of User Accounts and Start of Software Service Within 30 days of FedRAMP and/or VA Authority to Operate (ATO) approvals for delivery and setup.

ARM SN: 193818

PSC: DA10

IFCAP Purchase Order No.: TBD

Primary Point of Contact:

To be provided at award

FedRAMP Authorization and/or VA FedRAMP Authorization ATO

For Deliverables: Unless otherwise noted, the days listed below are calendar days. Deliverables with due dates that falls on a weekend or holiday shall be submitted the next Government workday following the weekend or holiday.

Government approval of invoices for payment shall be subject to contractor’s successful completion of task requirements and associated deliverables required by the PD.

0001 Description FedRAMP approval for Home Health E-Signature Software as a Service (SaaS) Platform Solution, Moderate Impact – Solution is NOT FedRAMP Authorized or VA FedRAMP Authorized. *

*If a vendor’s solution is not FedRAMP Authorized or VA FedRAMP Authorized the vendor shall complete CLIN 0001 and Sub-Line Item Numbers (SLIN)

0001AA – 0001AE.

CLINs 0002 and 0003 and associated SLINs shall be $0.00.

1 LOT

(LO)

Not Separately

Priced

(NSP)

NSP

0001AA Description FedRAMP System Security Plan (SSP) and required Attachments IAW PD Section 1.2.1.

Due 75 calendar days after contract award.

*10% of the FedRAMP Approved Solution Value.

1 LO *$______ *$________

19.

ITEM

NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QTY

22.

UNIT

23.

UNIT

PRICE

24.

AMOUNT

VA does not pay for FedRAMP Authorization fees and/or vendor acquired costs.

Electronic submission to: VA Project Manager (PM), Contracting Officer Representative (COR) and Contracting Officer (CO)

0001AB Description VA Implementation Diagram (VAID) IAW PD Section

1.2.1. This is a VA specific architecture diagram

demonstrating the proposed implementation of this system at VA.

Due within 10 calendar days of contract award.

Electronic submission to: VA PM, COR, and CO

1 LO NSP NSP

0001AC Description Third Party Assessment Organization (3PAO) Security Assessment Plan (SAP) IAW PD Section 1.2.1.

Due within 90 calendar days after the SSP is accepted by VA.

Electronic submission to: VA PM, COR, and CO

*10% of the FedRAMP Approved Solution value. VA does not pay for FedRAMP Authorization fees and/or vendor acquired costs.

1 LO *$______ *$________

0001AD Description 3PAO Security Assessment Report (SAR) IAW PD 1.2.1.

Due within 90 calendar days of contract award.

Electronic submission to: VA PM, COR, and CO

*10% of the FedRAMP (Moderate Impact) Approved Solution value. VA does not pay for FedRAMP Authorization fees and/or vendor acquired costs.

1 LO *$______ *$________

0001AE Description Plan of Action and Milestones (POAM) Monthly Reports IAW PD 1.2.1.

Due the day after award and on the first day of each month.

Electronic submission to: VA PM, COR, and CO

1 LO NSP NSP

0002 Description FedRAMP approval for Home Health E-Signature SaaS Platform Solution, Moderate Impact – Solution is FedRAMP Authorized but NOT VA FedRAMP Authorized. * *If a vendor’s solution is FedRAMP Authorized but not VA FedRAMP Authorized, the vendor shall

1 LO NSP NSP

19.

ITEM

NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QTY

22.

UNIT

23.

UNIT

PRICE

24.

AMOUNT

complete CLIN 0002 and SLINs 0002AA – 0002AF.

CLINs 0001 and 0003 (and associated SLINs) shall be $0.00.

0002AA Description Incident Response Plan (IRP) Table Top Scenario

IAW PD 1.2.2.

The Contractor shall work with assigned VA Subject Matter Expert to develop a VA specific IRP and perform an IRP Table Top with VA Stakeholders.

Due within 30 calendar days of the SAR being delivered.

Electronic submission to: VA PM, COR, and CO

1 LO *$______ *$________

0002AB Description VAID IAW PD Section 1.2.2.

The Contractor shall develop a VA specific system boundary diagram including any integration and connectivity components that will be known as a VAID demonstrating the proposed implementation of this system at VA.

Due within 10 calendar days of contract award.

Electronic submission to: VA PM, COR, and CO

1 LO *$______ *$________

0002AC Description FedRAMP SSP and required Attachments IAW PD Section 1.2.2.

The Contractor shall provide confirmation of their FedRAMP SSP and required Attachments completion via their repository Identification number and a link for VA to download the SSP and all required artifacts.

Due within 5 calendar days of contract award.

Electronic submission to: VA PM, COR, and CO

1 LO *$______ *$________

0002AD Description 3PAO SAP IAW PD Section 1.2.2.

Due within 10 calendar days of contract award.

Electronic submission to: VA PM, COR, and CO

1 LO *$______ *$________

0002AE Description 3PAO SAR IAW PD Section 1.2.2.

Due within 10 calendar days of contract award.

Electronic submission to: VA PM, COR, and CO

1 LO *$______ *$________

0002AF Description POAM Monthly Reports IAW Section PD 1.2.2.

Due within 30 calendar days of contract award.

Electronic submission to: VA PM, COR, and CO

19.

ITEM

NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QTY

22.

UNIT

23.

UNIT

PRICE

24.

AMOUNT

0003 Description FedRAMP approval for Home Health E-Signature SaaS Platform Solution, Moderate Impact – If Solution is FedRAMP Authorized and VA FedRAMP Authorized. * *In the event that the proposed product is already FedRAMP Authorized and VA FedRAMP Authorized, the proposed pricing is not required, please list $0.00 for CLIN 0001, 0002, and 0003 and associated SLINs.

1 LO NSP NSP

0003AA Description Dates for Current ATO Expiration IAW PD Section 1.2.3.

Due at time of contract award.

Electronic submission to: VA PM, COR and CO

1 LO NSP NSP

0003AB Description 3PAO SAR IAW PD Section 1.2.3.

Due within 10 calendar days of contract award.

Electronic submission to: VA PM, COR and CO

1 LO NSP NSP

0003AC Description Continuous Monitoring Security Artifacts IAW PD Section 1.2.3.

Due monthly or when a request is submitted for the data.

Electronic submission to: VA PM, COR and CO

1 LO NSP NSP

0003AD Description Most Recent POAM Monthly Reports IAW PD Section 1.2.2.

Due at the time of contract award.

Electronic submission to: VA PM, COR and CO

Total for Base Period FedRAMP Authorization and/or VA FedRAMP Authorization: $__________

19.

ITEM

NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QTY

22.

UNIT

23.

UNIT

PRICE

24.

AMOUNT

Base Period Optional Task IAW FAR 52.217-7, “Option for Increased Quantity – Separately Priced Line Item,”

This Optional Task may be exercised one time during the base period of performance once the solution is FedRAMP Authorized and VA FedRAMP Authorized.

If exercised, the Period of Performance shall be up to 12 months.

Work shall not commence until, and unless, a formal modification is issued by the

Contracting Officer.

If the Optional Task is exercised anytime within the Base Period, it will be prorated as follows:

(Unit Price/12 x Number of Months) 0004 Description

FedRAMP – Moderate Impact Approved Solution IAW PD Section 1.2.

*70% of FedRAMP – Moderate Impact Approved Solution.

*100% if Solution is already FedRAMP Authorized and VA FedRAMP Authorized.

12 Month

MO

Total for Base Period Optional Task FedRAMP Authorization and/or VA FedRAMP Authorization:

Total for Base Period and Base Optional Task FedRAMP Authorization and/or VA FedRAMP Authorization:

The Period of Performance for this effort shall be up to 12 months IAW Sections 1.0 through 1.1 of the

PD.

Account Access is required for a minimum of 76 Users, including 1 account for Site Coordinators.

The Home Health E-Signature SaaS Platform Solution usage will be prorated based on FedRAMP and or VA ATO approvals, as shown below:

(Unit Price/12 x Number of Months)

0005 Description Home Health E-Signature SaaS Platform Solution

VA Texas Valley Coastal Bend Locations

Number of Accounts

Implementation and Set-up of Users Fees

Subscription Fee

Total

Harlingen Outpatient Clinic

27 $ $ $

McAllen VA Clinic 16 $ $ $ Larendo VA Clinic 5 $ $ $ Corpus Christi West Point VA Clinic

25 $ $ $

Brownsville VA Clinic 3 $ $ $ Total: $________

12 MO $______ $________

0005AA Description Quality Control Plan IAW PD Section 1.0.

Due when requested by PM and COR.

Electronic submission to: VA PM and COR

1 LO NSP NSP

0005AB Description One-time Two-hour Training Session, including Training Materials IAW PD Section 1.0.

Training date will be determined by the COR

19.

ITEM

NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QTY

22.

UNIT

23.

UNIT

PRICE

24.

AMOUNT

0005AC Description Users’ Manual and Quick Start Guide IAW PD Section 1.0.

Due when requested by the COR.

1 LO NSP NSP

0005AD Description Technical Kickoff Meeting Briefing with Meeting Notes

IAW PD Section 1.0.

Due within 10 calendar days of ATO approval

Meeting Notes due one calendar day after the Technical Kickoff Meeting.

Electronic submission to: VA PM and COR

1 LO NSP NSP

Total for Base Period Home Health E-Signature SaaS Platform Solution: $________

Total for Base Period, Base Optional Task FedRAMP Authorization and/or VA FedRAMP Authorization, and Home Health E-Signature SaaS Platform Solution:

19.

ITEM

NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QTY

22.

UNIT

23.

UNIT

PRICE

24.

AMOUNT

Home Health E-Signature Platform Solution

The Contractor is responsible for providing a digital signature cloud-based Home Health Order E-Signature SaaS platform solution to VA, Veterans Health Administration, Texas Valley Coastal Bend Veterans’ Health Care System, IAW the PD, dated January 28, 2025.

Inspection/Acceptance:

Destination Period of Performance:

12-Months

ARM SN: TBD

PSC: DA10

IFCAP Purchase Order No.: TBD

Primary Point of Contact:

To be provided at award

Option Period One: Option for an additional 12-month of Home Health E-Signature SaaS Platform Solution

This option may be exercised IAW FAR 52.217-9, “Option to Extend the Term of the Contract.”

1001 Description

Home Health E-Signature SaaS Platform Solution VA Texas Valley Costal Band Locations

Number of Accounts Subscription Fee

Harlingen Outpatient Clinic 27 $ McAllen VA Clinic 16 $ Larendo VA Clinic 5 $ Corpus Christi West Point VA Clinic 25 $ Brownsville VA Clinic 3 $ Total: $_____________

12 MO $_______ $________

Total for Option Period One: $________

19.

ITEM

NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QTY

22.

UNIT

23.

UNIT

PRICE

24.

AMOUNT

Home Health E-Signature Platform Solution

The Contractor is responsible for providing a digital signature cloud-based Home Health Order E-Signature SaaS platform solution to VA, Veterans Health Administration, Texas Valley Coastal Bend Veterans’ Health Care System, IAW the PD, dated January 28, 2025.

Inspection/Acceptance:

Destination Period of Performance:

12-Months

ARM SN: TBD

PSC: DA10

IFCAP Purchase Order No.: TBD

Primary Point of Contact:

To be provided at award

Option Period Two: Option for an additional 12-month of Home Health E-Signature SaaS Platform Solution

This option may be exercised IAW FAR 52.217-9, “Option to Extend the Term of the Contract.”

2001 Description

Home Health E-Signature SaaS Platform Solution VA Texas Valley Costal Band Locations

Number of Accounts Subscription Fee

Harlingen Outpatient Clinic 27 $ McAllen VA Clinic 16 $ Larendo VA Clinic 5 $ Corpus Christi West Point VA Clinic 25 $

Total: $______________

Total for Option Period Two: $________

19.

ITEM

NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QTY

22.

UNIT

23.

UNIT

PRICE

24.

AMOUNT

Home Health E-Signature Platform Solution

The Contractor is responsible for providing a digital signature cloud-based Home Health Order E-Signature SaaS platform solution to VA, Veterans Health Administration, Texas Valley Coastal Bend Veterans’ Health Care System, IAW the PD, dated January 28, 2025.

Inspection/Acceptance:

Destination Period of Performance:

12-Months

ARM SN: TBD

PSC: DA10

IFCAP Purchase Order No.: TBD

Primary Point of Contact:

To be provided at award

Option Period Three: Option for an additional 12-month of Home Health E-Signature SaaS Platform Solution

This option may be exercised IAW FAR 52.217-9, “Option to Extend the Term of the Contract.”

3001 Description

Home Health E-Signature SaaS Platform Solution VA Texas Valley Costal Band Locations

Number of Accounts Subscription Fee

Harlingen Outpatient Clinic 27 $ McAllen VA Clinic 16 $ Larendo VA Clinic 5 $ Corpus Christi West Point VA Clinic 25 $

Total for Option Period Three: $________

19.

ITEM

NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QTY

22.

UNIT

23.

UNIT

PRICE

24.

AMOUNT

Home Health E-Signature Platform Solution

The Contractor is responsible for providing a digital signature cloud-based Home Health Order E-Signature SaaS platform solution to VA, Veterans Health Administration, Texas Valley Coastal Bend Veterans’ Health Care System, IAW the PD, dated January 28, 2025.

Inspection/Acceptance:

Destination Period of Performance:

12-Months

ARM SN: TBD

PSC: DA10

IFCAP Purchase Order No.: TBD

Primary Point of Contact:

To be provided at award

Option Period Four: Option for an additional 12-month of Home Health E-Signature SaaS Platform Solution

This option may be exercised IAW FAR 52.217-9, “Option to Extend the Term of the Contract.”

4001 Description

Home Health E-Signature SaaS Platform Solution VA Texas Valley Costal Band Locations

Number of Accounts Subscription Fee

Harlingen Outpatient Clinic 27 $ McAllen VA Clinic 16 $ Larendo VA Clinic 5 $ Corpus Christi West Point VA Clinic 25 $

Total for Option Period Four: $________

Grand Total for Base Period, Base Period Optional Task for FedRAMP Authorization and/or VA FedRAMP Authorization, and Base Period Home Health E-Signature SaaS Platform Solution, Option Period One, Option Period Two, Option Period Three, and

Option Period Four:

B.2 GOVERNING LAW (continuation of Schedule of Supplies and Services above):

Federal law and regulations, including the Federal Acquisition Regulations (FAR), shall govern this Contract/Order. Commercial license agreements may be made a part of this Contract/Order but only if both parties expressly make them an addendum hereto, as permitted by FAR 12.212. If the commercial license agreement is not made an addendum, it shall not apply, govern, be a part of or have any effect whatsoever on the Contract/Order; this includes, but is not limited to, any agreement embedded in the computer software (clickwrap), any agreement that is otherwise delivered with or provided to the Government with the commercial computer software or documentation (shrinkwrap), or any other license agreement otherwise referred to in any document. If a commercial license agreement is made an addendum, only those provisions addressing data rights regarding the Government’s use, duplication and disclosure of data (e.g., restricted computer software) are included and made a part of this Contract/Order, and only to the extent that those provisions are not duplicative or inconsistent with Federal law, Federal regulation, the incorporated FAR clauses and the provisions of this Contract/Order; those provisions in the commercial license agreement that do not address data rights regarding the Government’s use, duplication and disclosure of data shall not be included or made a part of the Contract/Order. Federal law and regulation including, without limitation, the Contract Disputes Act (41 U.S.C. § 7101 et seq.), the Anti-Deficiency Act (31 U.S.C. § 1341 et seq.), the Competition in Contracting Act (41 U.S.C. § 3301 et seq.), the Prompt Payment Act (31 U.S.C. § 3901 et seq.), Contracts for Data Processing or Maintenance (38 USC § 5725), and FAR clauses 52.212-4, 52.227-14, 52.227-19 shall supersede, control, and render ineffective any inconsistent, conflicting, or duplicative provision in any commercial license agreement. In the event of conflict between this clause and any provision in the Contract/Order or the commercial license agreement or elsewhere, the terms of this clause shall prevail. The Contractor shall deliver to the Government all data first produced under this Contract/Order with unlimited rights as defined by FAR 52.227-14.

Claims of patent or copyright infringement brought against the Government as a party shall be defended by the U.S. Department of Justice (DOJ) in accordance with 28 U.S.C. § 516; at the discretion of DOJ, the Contractor may be allowed reasonable participation in the defense of the litigation. Any additional changes to the Contract/Order must be made by modification (Standard Form 30) and shall only be made by a warranted Contracting Officer. Nothing in this Contract/Order or any commercial license agreement shall be construed as a waiver of sovereign immunity.

B.3 SOFTWARE LICENSE, SOFTWARE MAINTENANCE AND

SOFTWARE TECHNICAL SUPPORT:

(1). Definitions.

a) Licensee. The term “licensee” shall mean the U.S. Department of Veterans Affairs (“VA”) and is synonymous with “Government.”

b) Licensor. The term “licensor” shall mean the Contractor having the necessary license or ownership rights to deliver license, software maintenance and support of the computer software being acquired. The term “Contractor” is the party identified in Block 17a on the SF1449. If the Contractor is a reseller and not the Licensor, the Contractor remains responsible for performance under this Contract/Order.

c) Software. The term “software” shall mean the licensed computer software product(s) cited in the Schedule of Supplies/Services.

d) Maintenance. The term “maintenance” is the process of enhancing and optimizing software, as well as remedying defects. It shall include all new fixes, patches, releases, updates, versions, and upgrades, as further defined below.

e) Technical Support. The term “technical support” refers to the range of services providing assistance for the software via the telephone, email, a website or otherwise.

f) Release or Update. The term “release” or “update” are terms that refer to a revision of software that contains defect corrections, minor enhancements, or improvements of the software’s functionality. This is usually designated by a change in the number to the right of the decimal point (e.g., from Version 5.3 to 5.4). An example of an update is the addition of new hardware.

g) Version or Upgrade. The term “version” or “upgrade” are terms that refer to a revision of software that contains new or improved functionality. This is usually designated by a change in the number to the left of the decimal point (e.g., from Version 5.4 to 6).

(2). Software License.

a) Unless otherwise stated in the Schedule of Supplies/Services, the Performance Work Statement or Product Description, the software license provided to the Government is a perpetual, nonexclusive license to use the software.

b) The Government may use the software in a networked environment.

c) Any dispute regarding the license grant or usage limitations shall be resolved in accordance with the Disputes Clause incorporated in FAR 52.212-4(d).

d) All limitations of software usage are expressly stated in the Schedule of

Supplies/Services and the Performance Work Statement/Product Description.

(3). Software Maintenance and/or Technical Support.

a) If the Government desires to continue software maintenance and support beyond the period of performance identified in this Contract/Order, the Government will issue a separate contract or order for maintenance and support. Conversely, if a contract or order for continuing software maintenance and technical support is not received, the Contractor is neither authorized nor permitted to renew any of the previously furnished services.

b) The Contractor shall provide software support services, which includes periodic updates, enhancements and corrections to the software, and reasonable technical support, all of which are customarily provided by the Contractor to its commercial customers to cause the software to perform according to its specifications, documentation or demonstrated claims.

c) Any telephone support provided by Contractor shall be at no additional cost.

d) The Contractor shall provide all maintenance services in a timely manner in accordance with the Contractor’s customary practice or as defined in the Performance Work Statement or Product Description. However, prolonged delay (exceeding two business days) in resolving software problems will be noted in the Government’s various past performance records on the Contractor (e.g., www.cpars.gov).

e) If the Government allows the maintenance and support to lapse and subsequently wishes to reinstate it, any reinstatement fee charged shall not exceed the amounts that would have been charged if the Government had not allowed the subscription to lapse.

(4). Disabling Software Code.

The Government requires delivery of computer software that does not contain any code that will, upon the occurrence or the nonoccurrence of any event, disable the software.

Such code includes but is not limited to a computer virus, restrictive key, node lock, time-out, or other function, whether implemented by electronic, mechanical, or other means, which limits or hinders the use or access to any computer software based on residency on a specific hardware configuration, frequency of duration of use, or other limiting criteria. If any such disabling code is present, the Contractor agrees to indemnify the Government for all damages suffered as a result of a disabling caused by such code, and the contractor agrees to remove such code upon the Government’s request at no extra cost to the Government. Inability of the Contractor to remove the disabling software code will be considered an inexcusable delay and a material breach of contract, and the Government may exercise its right to terminate for cause. In addition, the Government is permitted to remove the code as it deems appropriate and charge the Contractor for consideration for the time and effort expended in removing the code.

(5). Manuals and Publications.

Upon Government request, the Contractor shall furnish the most current version of the user manual and publications for all products/services provided under this Contract/Order at no cost.

B.4 CONTRACT ADMINISTRATION DATA

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

a. CONTRACTOR: See Block 17a.

b. GOVERNMENT: Contracting Officer 36C10B See Block 31b.

Department of Veterans Affairs Office of Procurement, Acquisition and Logistics Technology Acquisition Center 23 Christopher Way Eatontown NJ 07724

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] Upon Delivery and Acceptance of Services by Government Personnel on a monthly basis.

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.

See website at:

http://www.fsc.va.gov/einvoice.asp

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

AMENDMENT NO DATE

B.5 ACCOUNTING AND APPROPRIATION DATA

Funds in the amount of $TBD are obligated on IFCAP Order Number TDB to fund CLIN TBD. The contractor shall reference the IFCAP Order Number on each invoice submitted for payment.

B.6 PRODUCT DESCRIPTION

PRODUCT DESCRIPTION (PD)

DEPARTMENT OF VETERANS AFFAIRS

Veteran’s Health Administration Veterans Integrated Services Network 17

Texas Valley Coastal Bend Health Care System (740)

Home Health E-Signature Platform

Date: 01/28/2025

VA-24-00056551

PD Version Number: 1.1

1.0 PRODUCT REQUIREMENTS

All parties hereby acknowledge and understand that the Government’s Schedule of Supplies and Services is comprised of this Product Description. Accordingly, regardless of their placement during the negotiation phase of this action (e.g., as an attachment or addenda), and if there are any inconsistencies in the Solicitation or Final Contract, the parties hereby agree that the aforementioned documents are incorporated into the Government’s Schedule of Supplies and Services and therefore, deemed first in the order of precedence as defined by the applicable Federal Acquisition Regulation.

I. Background: The Department of Veterans Affairs (VA), Veterans Health Administration (VHA) currently has many vendors and providers submitting documents for electronic signature which require repeated routing for reviews and multiple emails.

This is an administrative burden VHA is seeking to reduce through a streamlined process.

Patient Care/Home Health Orders are signed by the clinician to meet the Center for Medicare and Medicaid Services requirements. This was originally completed by sending the orders through interoffice mail and the provider wet signing the documents.

The documents were then routed back to the Geriatrics Program Support Assistant (PSA) who mailed them back to the vendor. VHA then moved to a digital process using Adobe Acrobat, secured folders in the S drive, and encrypted email. This process is cumbersome.

1. Two file clerks receive the orders, review them for accuracy, add a digital signature, log it into a tracker, and place them in the clinician’s folder.

2. The providers experience several Host Function Table errors during the digital signature process.

3. The Program Support Assistants review the documents to ensure they are signed, drop them into the Health Information Management Service (HIMS) folder for upload to the Computerized Patient Record System, email the documents back to the vendor, and update the tracker.

The PSAs currently spend 100 minutes weekly reviewing the documents for signature, updating the tracker, and returning to the vendor. While they will still need to pull the documents for upload to HIMS, the rest of the time they were previously spending can be reallocated to Outcome and Assessment Information Set uploads and other administrative duties for the Community Nursing Home and Care Coordination Teams.

VA is seeking to eliminate the majority of this workload to be able to absorb requesting Release of Information documents for our Home-Based Primary Care (HBPC) and Geriatric Patient Aligned Care Team (GERIPACT) patients that are currently being completed by the HBPC and GERIPACT Registered Nurses (RN). This will allow the RNs to provide more appointments within their scope of practice.

Home Health/Patient Care Order Signature Cloud based platform for Texas Valley Coastal Bend Veterans’ Health Care System (TXVCBHCS)

II. Requirements: VA requires a digital signature cloud-based platform. The Contractor shall provide the specific deliverables described below within the current performance period.

Account access is required for a minimum of 76 users, including 1 account for site coordinators.

Table 1 – Veterans Integrated Services Network (VISN) 17 Facilities/Locations for the Home Health E-Signature Platform Software as a Service (SaaS)

VISN 17 Facility Name Address Number of Accounts

Harlingen Outpatient Clinic 2106 Treasure Hills Blvd, Harlingen, TX 78550 and 2601 Veterans Drive, Harlingen, TX 78550

McAllen VA Clinic 901 East Hackberry Avenue, McAllen, TX 78501 16 Laredo VA Clinic 4602 N. Bartlett Ave, Laredo, TX 78501 5 Corpus Christi West Point VA Clinic

925 South Padre Island Drive. Corpus Christi, TX 78416-2536

Brownsville VA Clinic 5700 N Expressway, Texas Coastal Professional Building, Ste 101, Brownsville, TX 78526-4354

The Contractor shall provide the following:

1. Quality Control Plan – The quality control plan shall include 99.9% availability, trouble ticket response times according to severities.

2. A one-time 2-hour training session for up to 20 personnel using Microsoft Teams or Cisco Webex, which includes training materials.

3. Users’ manual and Quick Start Guide for users to start using system immediately. User guide shall provide reference material for deeper understanding of the product.

4. A Technical Kickoff briefing with meeting notes following the Kickoff meeting at the start of the effort.

Deliverables:

A. Quality Control Plan B. Training materials.

C. Users’ Manual and Quick Start Guide D. Technical Kickoff Meeting Briefing with Meeting Notes

III. Period of Performance: The work shall begin within five calendar days of award.

The period of performance of this contract shall consist of one 12-month base period with four 12-month option periods.

1.1 SALIENT CHARACTERISTICS

1. The cloud-based platform must be able to provide a vendor account for creating and sending home health orders that require clinician signatures.

2. The cloud-based platform must allow users to create an account and log in to review home health orders.

3. The cloud-based platform must be able to reject/return documents to the vendor with the ability to submit comments while allowing the signature process to continue for other documents also in the queue.

4. The cloud-based platform must be capable of electronically signing multiple pages from different vendors with a single click.

5. The cloud-based platform must enable the editing of a clinician’s name in situations where the provider is unavailable to sign due to unforeseen circumstances such as Family Medical Leave Act or VA departure, among others.

6. The cloud-based platform must be able to return signed orders to the vendor with a single click.

7. The cloud-based platform must be able to display the status of the orders sent through the system.

8. The cloud-based platform must be able to download orders in portable document format and upload them to the electronic medical record.

1.2 SAAS AND FEDERAL RISK AND AUTHORIZATION MANAGEMENT

PROGRAM (FEDRAMP) REQUIREMENTS

1.2.1 If the solution is not FedRAMP Authorized:

1. The information system solution selected by the Contractor shall comply with the Federal Information Security Management Act (FISMA).

2. The Contractor shall comply with FedRAMP requirements Moderate Impact as mandated by Federal laws and policies, including making available any documentation, physical access, and logical access needed to support this requirement.

3. The Contractor shall provide a SaaS product as defined by the following criteria:

SaaS is an application delivery model in which the application is hosted on a cloud infrastructure outside the security boundary of VA and is provided to the Cloud Service Customer (CSC) over the internet. The CSC uses the SaaS offering via a thin-client interface, such as a web-browser or a program interface.

The CSC subscribes to the SaaS offering and is only responsible for minor in-app customizations. The Cloud Service Provider (CSP) offering the application is responsible for management of the application, safeguarding of data stored or processed by the application, and all elements of the underlying infrastructure.

Additionally, the CSP is responsible for all on-going compliance. In order to qualify as SaaS for use at VA, and to align with FedRAMP requirements, the hosting for the offering must conform to the NIST 800-145 definition of Cloud Computing and thus contain following key characteristics:

On-Demand Self-Service: The CSP fully automates the provisioning of both the customer interface and the underlying cloud components of the SaaS offering. In some cases, to the CSP may provision internal resources manually, while providing the CSC an automated interface to request and track the service.

Broad Network Access: The SaaS capabilities are available over the internet or over a network that is available from all access points the CSC requires.

The SaaS offering is accessible through common platforms (e.g., mobile phones, tablets, laptops, and workstations).

Resource Pooling: The computing infrastructure supporting the SaaS offering is shared among more than one CSC using a multi-tenant model, and resources are dynamically assigned depending on customer demand.

Rapid Elasticity: Computing capabilities are automatically provisioned and released in a manner that scales with customer demand. In some cases, the scaling of resources may not be fully automated, but it should be fast enough to support the needs of the CSC, which the CSC would have to define.

Measured Service: Resource usage, such as storage, processing, bandwidth, and user activity are measured and reported on in a manner that is relevant to the SaaS offering.

The SaaS offering must be hosted within the United States and data stored/processed/transmitted within the offering must remain within the United States. CSPs should be aware of FedRAMP and ready to partner with VA through the SaaS FedRAMP Authorization process.

4. Following guidance from the Federal CIO, VA will utilize existing Joint Authorization Board Authority to Operate (JAB ATO) or agency ATO issued by another agency as a starting point for FedRAMP requirements. If neither of those exist, VA will sponsor The Cloud Service Provider for a FedRAMP Authorization.

VA will be using the FedRAMP baselines as a starting point, since they are specifically tailored for cloud services.

5. The Contractor shall, where applicable, assist with the VA ATO Process to help achieve agency authorization of the cloud service or migrated application at the impact level required by VA to utilize the product. For this solution the required impact level is: Moderate Impact.

6. The Contractor shall comply with FedRAMP requirements surrounding data location within the Continental United States. FedRAMP specifies data location requirements in the High Baseline as part of control SA-9 (5); however, FedRAMP does not provide or specify data location requirements for other baselines.

7. The Contractor shall complete a FedRAMP System Security Plan (SSP) and supporting documentation including required attachments within 75 calendar days after contract award. (If Data Security Categorization is High Impact, this will be due 94 calendar days after contract award.)

8. The Contractor shall develop a VA specific system boundary diagram including any integration and connectivity components that will be known as a VA Implementation Diagram (VAID) demonstrating the proposed implementation of this system at VA. The Contractor shall provide the VAID within 10 calendar days of contract award.

9. The Contractor shall complete a Third-Party Assessment Organization (3PAO) Security Assessment Plan (SAP) within 90 calendar days after contract award. (If Data Security Categorization is High Impact, this will be due after 113 calendar days after contract award.)

10. The Contractor shall complete a 3PAO Security Assessment Report (SAR) within 90 calendar days after the SSP is accepted by VA. (If Data Security Categorization is High Impact, this will be due 113 calendar days after the SSP is accepted by VA.)

11. The Contractor shall work with VA Subject Matter Expert (SME) to test the validity of the Incident Response Plan (IRP) and ensure proper troubleshooting of issues that may arise. This should be completed within 30 calendar days of the SSP being delivered.

12. The Contractor shall afford VA access to the Contractor’s and CSP ‘s facilities, installations, technical capabilities, operations, documentation, records, and databases.

13. If new or unanticipated vulnerabilities are discovered by either VA or the Contractor, or if existing safeguards have ceased to function, the discoverer shall immediately bring the situation to the attention of the other party in accordance with Addendum B, VA Information, and Information System Security/Privacy Language.

14. The Contractor shall comply with data management requirements.

15. Successful issuance of a VA ATO will be required before live VA data can be used in the system.

16. The Contractor shall participate in FedRAMP Continuous Monitoring activities as outlined by FedRAMP’s Continuous Monitoring Strategy Guide found on the FedRAMP website.

17. The Contractor shall participate in monthly Agency and FedRAMP Sustainment meetings following the granting of a VA ATO.

18. The Contract shall provide continuous monitoring activities including, but not limited to scans, security artifacts, and monthly Plan of Action and Milestones (POAM) reports as outlined by VA and FedRAMP requirements.

Deliverables:

A. FedRAMP SSP and required Attachments B. VA Implementation Diagram: This is a VA specific architecture diagram demonstrating the proposed implementation of this system at VA (VAID)

C. 3PAO SAP

D. 3PAO SAR

E. Plan of Action and Milestones Monthly Reports

1.2.2 IF THE SOLUTION IS FEDRAMP AUTHORIZED BUT NOT VA AUTHORIZED:

1. The information system solution selected by the Contractor shall comply with

FISMA.

2. The Contractor shall comply with FedRAMP requirements as mandated by Federal laws and policies, including making available any documentation, physical access, and logical access needed to support this requirement

3. The system must be FedRAMP Authorized at no less than the Moderate Impact.

4. The Contractor shall, where applicable, assist with the VA ATO Process to help achieve agency authorization of the cloud service or migrated application.

5. The Contractor shall provide confirmation of their FedRAMP SSP and supporting documentation completion via their repository ID number and a link for VA to download the SSP and all required artifacts within 5 calendar days of contract award.

6. The Contractor shall work with a VA Subject Matter Expert to develop a VA specific system boundary diagram including any integration and connectivity components for VA use. This will be known as the VAID and demonstrate the proposed implementation of this system at VA. The Contractor shall provide the VAID within 10 calendar days of contract award.

7. The Contractor shall provide the results of their most recent 3PAO SAP within 10 calendar days of contract award.

8. The Contractor shall complete a 3PAO SAR within 10 calendar days after the SSP is accepted by VA.

9. The Contractor shall provide VA with the most recent monthly scans for the production environment within the authorization boundary and their scan upload schedule for FedRAMP within 30 calendar days of contract award.

10. The Contractor shall provide their availability to participate in monthly continuous monitoring meetings to be scheduled following successful VA ATO within 30 calendar days of contract award.

11. The Contractor shall work with VA SMEs to test the validity of the IRP and ensure proper troubleshooting of issues that may arise. This should be completed within 30 calendar days of the SSP being delivered.

12. If new or unanticipated vulnerabilities are discovered by either VA or the Contractor, or if existing safeguards have ceased to function, the discoverer shall immediately bring the situation to the attention of the other party in accordance with Addendum B, VA Information and Information System Security/Privacy Language.

13. The Contractor shall comply with data management requirements.

14. Successful issuance of a VA ATO will be required before live VA data can be used in the system.

15. The Contractor shall participate in FedRAMP Continuous Monitoring activities as outlined by FedRAMP’s Continuous Monitoring Strategy.

16. The Contractor shall participate in monthly Agency and FedRAMP Sustainment meetings following the granting of a VA ATO.

17. The Contractor shall provide continuous monitoring activities including, but not limited to scans, security artifacts, and monthly POAM reports as outlined by VA and FedRAMP requirements.

Deliverables:

A. IRP Table Top Scenario

B. VAID

C. FedRAMP SSP and required Attachments

D. 3PAO SAP

E. 3PAO SAR

F. POAM Monthly Reports

1.2.3 If the solution is FedRAMP Authorized and VA Authorized:

1. The information system solution selected by the Contractor shall comply with FISMA and have a current VA authorization.

2. The Contractor shall comply with FedRAMP requirements as mandated by Federal laws and policies, including making available any documentation, physical access, and logical access needed to support this requirement.

3. The FedRAMP Authorization level and existing VA ATO should be no less than the level required for this use case which has been defined as Moderate Impact.

4. The Contractor shall, where applicable, assist with the VA ATO Sustainment Process to help maintain health and quality of agency authorization of the cloud service or migrated application.

5. The Contractor shall exclusively provide licenses and/or accounts to FedRAMP authorized and VA authorized environments.

6. The Contractor shall afford VA access to the Contractor’s and CSP’s facilities, installations, technical capabilities, operations, documentation, records, and databases.

7. If new or unanticipated vulnerabilities are discovered by either VA or the Contractor, or if existing safeguards have ceased to function, the discoverer shall immediately bring the situation to the attention of the other party in accordance with Addendum B, VA Information and Information System Security/Privacy Language. VA Privacy and Security deliverables as directed by the VA System owner.

8. The Contractor shall comply with data management requirements.

9. Successful issuance of a VA ATO will be required before live VA data can be used in the system.

10. The Contractor shall participate in FedRAMP Continuous Monitoring activities as outlined by FedRAMP’s Continuous Monitoring Strategy Guide found on the FedRAMP Website.

11. The Contractor shall participate in monthly Agency and FedRAMP Sustainment meetings following the granting of a VA ATO.

Deliverables:

A. 3PAO SAR

B. Continuous Monitoring Monthly Scans C. POAM Monthly Reports.

2.0 NOTICE OF THE FEDERAL ACCESSIBILITY LAW AFFECTING ALL

INFORMATION AND COMMUNICATION TECHNOLOGY (ICT)

PROCUREMENTS (SECTION 508)

On January 18, 2017, the Architectural and Transportation Barriers Compliance Board (Access Board) revised and updated, in a single rulemaking, standards for electronic and information technology developed, procured, maintained, or used by Federal agencies covered by Section 508 of the Rehabilitation Act of 1973, as well as our guidelines for telecommunications equipment and customer premises equipment covered by Section 255 of the Communications Act of 1934. The revisions and updates to the Section 508-based standards and Section 255-based guidelines are intended to ensure that information and communication technology (ICT) covered by the respective statutes is accessible to and usable by individuals with disabilities.

SECTION 508 – INFORMATION AND COMMUNICATION TECHNOLOGY (ICT)

STANDARDS

The Section 508 standards established by the Access Board are incorporated into, and made part of all VA orders, solicitations and purchase orders developed to procure ICT.

These standards are found in their entirety at: https://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-ict-refresh/final-rule/text-of-the-standards-and-guidelines. A printed copy of the standards will be supplied upon request.

Federal agencies must comply with the updated Section 508 Standards beginning on January 18, 2018. The Final Rule as published in the Federal Register is available from the Access Board: https://www.access-board.gov/guidelines-and-standards/communications-and-it/about-the-ict-refresh/final-rule.

The Contractor shall comply with “508 Chapter 2: Scoping Requirements” for all electronic ICT and content delivered under this contract. Specifically, as appropriate for the technology and its functionality, the Contractor shall comply with the technical standards marked here:

E205 Electronic Content – (Accessibility Standard -WCAG 2.0 Level A and AA Guidelines)

E204 Functional Performance Criteria E206 Hardware Requirements E207 Software Requirements E208 Support Documentation and Services Requirements

2.1 COMPATABILITY WITH ASSISTIVE TECHNOLOGY

The standards do not require installation of specific accessibility-related software or attachment of an assistive technology device. Section 508 requires that ICT be compatible with such software and devices so that ICT can be accessible to and usable by individuals using assistive technology, including but not limited to screen readers, screen magnifiers, and speech recognition software.

2.2 ACCEPTANCE AND ACCEPTANCE TESTING

Deliverables resulting from this solicitation will be accepted based in part on satisfaction of the Section 508 Chapter 2: Scoping Requirements standards identified above.

The Government reserves the right to test for Section 508 Compliance before delivery.

The Contractor shall be able to demonstrate Section 508 Compliance upon delivery.

2.3 HIPAA COMPLIANCE

HIPAA compliance is required. The Contractor must adhere to the provisions of Public Law 104-191, Health Insurance Portability and Accountability Act (HIPAA) of 1996 and the National Standards to Protect the Privacy and Security of Protected Health Information (PHI). As required by HIPAA, the Department of Health and Human Services (HHS) has promulgated rules governing the security and use and disclosure of protected health information by covered entities, including the Department of Veterans Affairs (VA). In accordance with HIPAA, the Contractor may be required to enter a Business Associate Agreement (BAA) with VA, but VACO has recognized CNH Facilities as an entity that does not require a BAA if they are conducting health care on VA’s behalf. The CNH care program qualifies as a medical service, so no BAA is required. All non-FAX forms of electronic exchange (for example, by email) will require VA approved encryption of the data and additional approval from the VA Information Security Officer. The Contractor shall immediately report any violations of this security section to the COR. The COR will report any violations of this security section to the VA Privacy Officer and VA Information Security Officer immediately. Business associates must follow VHA privacy policies and practices when applicable. All contractors and business associates must receive privacy training annually.

3.0 INFORMATION TECHNOLOGY USING ENERGY-EFFICIENT PRODUCTS

3.1 EPEAT

EPEAT product compliance is not required in this acquisition.

3.2 ENERGY STAR

Energy Star compliance is not required in this acquisition.

3.3 FEMP

FEMP or FEMP low standby power product compliance is not required in this acquisition.

4.0 SHIPMENT OF HARDWARE OR EQUIPMENT

N/A

5.0 GENERAL REQUIREMENTS

5.1 VA TECHNICAL REFERENCE MODEL

The Contractor shall support the VA enterprise management framework. In association with the framework, the Contractor shall comply with OIT Technical Reference Model (VA TRM).