S02 - (RFQ) - 36C26121Q0907 - IMAGING EQUIPMENT INSPECTION AND TESTING.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. DUNS: DUNS+4:

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. 2/2012)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 64

612-21-2-6152-0016

36C26121Q0907 07-15-2021

Jason T. Hill 925-372-2386 07-22-2021

3:00 PM PDT

Department of Veterans Affairs

VA Sierra Pacific Network (VISN 21)

VA Northern California HealthCare System

150 Muir Road

Martinez CA 94553-4668

X 100

X

541690

$16.5 Million

N/A

"See Delivery Schedule"

VA Sierra Pacific Network (VISN 21)

VA Northern California HealthCare System

FMS-VA-2(101) Financial Services Center

PO Box 149971

Austin TX 78714-9971

See CONTINUATION Page

This requirement is for the following:

Imaging Equipment Inspection Services

Order #:

Obligation #:

Period of Performance:

8/1/2021 - 7/31/2022

Applicable Wage Determination(s):

(WD-ALAMEDA-CONTRA COSTA) - 2015-5623 - Rev.14 -06.17.

(WD-SACRAMENTO) - 2015-5631 - Rev. 12.20.2020

See CONTINUATION Page

Jason T. Hill

Contracting Officer

36C26121Q0907

Table of Contents

SECTION A

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

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

PERFORMANCE WORK STATEMENT

SECTION C - CONTRACT CLAUSES

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

2018)

C.2 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.3 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) ...23

C.4 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

C.5 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND

COMPLIANCE (JUL 2018)

C.6 VAAR 852.219-75 SUBCONTRACTING COMMITMENTS MONITORING AND

COMPLIANCE (JUL 2018)

C.7 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.8 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JAN 2021) (JUL 2020)

(DEVIATION)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (JUN 2020) 36

E.2 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

E.3 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (OCT 2020)

E.4 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.5 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL ITEMS (FEB 2021) (JUL 2020) (DEVIATION)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

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

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C261 Jason T. Hill

Department of Veterans Affairs VA Sierra Pacific Network (VISN 21) VA Northern California HealthCare System

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.

• Tungsten e-Invoice Setup Information: 1-877-489-6135

• Tungsten e-Invoice email: VA.Registration@Tungsten-Network.com

• FSC e-Invoice Contact Information: 1-877-353-9791

• FSC e-invoice email: vafsccshd@va.gov

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

AMENDMENT NO DATE

mailto:VA.Registration@Tungsten-Network.com mailto:vafsccshd@va.gov

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1.00 yr

Radiographic and Fluoroscopic Equipment Inspection and Testing Services in accordance with Performance Work Statement

Contract Period: Base POP Begin: 08-01-2021 POP End: 07-31-2022

TOTAL

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1.00 yr

Radiographic and Fluoroscopic Equipment Inspection and Testing Services in accordance with Performance Work Statement

Contract Period: Option Year 1 POP Begin: 08-01-2022 POP End: 07-31-2023

TOTAL

Contract Total_________________________

PERFORMANCE WORK STATEMENT

Scope of Work

The Contractor shall provide all labor, material, supplies, equipment, transportation, software and qualified personnel, to provide medical physicist services in support of the Veterans Affairs Northern California Health Care System, (VA NCHCS) Radiation

Safety Program, headquartered at the VA Medical Center Sacramento at Mather, California. Satellite offices are located at the VA Outpatient Clinic in Martinez, Redding, Oakland, Mare Island and McClellan California. All work is performed on site at the VA facilities within the Veterans Affairs Northern California Health Care

System.

Qualifications

Prior to commencing work all contractor employees shall meet certain criteria to perform work under this contract as a Medical Physicist. Qualification documents must be submitted to the RSO or his/her designee and be approved. All qualifications are subject to review by the VA NCHCS Chief of Staff and approval by the VA NCHCS Facility

Director.

1. Medical Physicists shall meet the following education, certification, and qualification standards:

1. Hold a Master’s Degree in Medical Physics, Health Physics or a related field.

2. Hold current Board Certification in Diagnostic Radiological Physics by the

American Board of Radiology and or American Board of Medical Physics.

3. Meet ACR/FDA qualifications for mammography medical physicist.

4. Medical physicist should have experience in:

a) Decommissioning a NRC licensed medical facility

b) All current NRC regulations, VA NHPP Best Practices (1105.04

Fluoroscopy Safety Program), and the State of California Department of

Health Services Radiological Health Branch Radioactive Materials license for sharing agreement.

c) CT Optimization

d) Consulting in NRC license amendments related to the medical use of radiation.

e) Calibration and testing of diagnostic x-ray and Nuclear Medicine equipment.

f) As a consultant to a medical facility licensed by the NRC to perform nuclear medicine and biomedical research.

2. Medical Physicist duties shall not be reassigned to a Technologist or any other individual without written approval by the VA Radiation Safety Officer or his/her designee.

3. Medical Physicist must adhere to VHA Handbook 1105.04, Fluoroscopy Safety, dated July 6, 2012. Contractor shall comply with radiation protection standards 29

CFR 1910.1096 and immediately report any unsafe conditions with the potential to adversely impact the facticity radiation workers or patients to the Radiation Safety

Officer (RSO).

General Requirements

1. Contractor shall perform Quarterly, Semi-Annual and Annual QC Testing on existing

Nuclear Medicine and Diagnostic x-ray equipment (Radiographic, Fluoroscopic, PET/CT cameras, Mammographic, CT, DR, CR reader(s), and MRI safety check) to meet the requirements of the VA NCHCS Radiation Safety Program.

2. Reference Attachment 1 for estimated list of equipment to be tested.

3. Additional testing is also required as follows:

a. Acceptance testing of new devices, usually 1 per year.

b. Full inspection of repaired or adjusted equipment that may affect the radiation output or image quality

c. Testing of each replacement X-ray tube prior to patient use.

d. Testing of diagnostic monitors used by Radiologists and Technologists for patient imaging at external contract facility.

4. Contractor is to provide written reports of surveys and test results in a timely manner.

5. Contractor will respond promptly to any discrepancies found from external inspections.

Provide written response to outside agencies when applicable.

6. The qualified medical physicist shall provide consultation for additional services as needed, i.e., safety training, SNM annual phantoms and medical events involving radiation exposure.

7. The qualified medical physicist shall attend the Radiation Safety Meeting, reviewing minutes prior to the meeting and afterwards.

8. The qualified medical physicist shall review al Radiation Safety Policies and Procedures with attention to compliance with regulations, NHPP, JACHO and NRC.

9. Contractor is to submit a list of key personnel with the offer. Define each individual’s education, certification and licensure.

Scheduling and Response Times

1. All quarterly, semi-annual, and annual tests will be scheduled in advance.

2. All testing on new devices or repaired or adjusted equipment requires a four (4) hour response time, in order to maintain functionality and minimize the effect on patient care.

3. A written report of the results shall be provided to the service supervisor or RSO within

Thirty (30) working days after completion of the inspection.

Equipment Performance Evaluation and Quality Control Test

The Contractor shall conduct equipment inspections or quality control surveys of the imaging equipment listed below. The Contractor shall ensure the imaging equipment’s compliance with applicable federal regulations and ACR recommendations, and shall include, but not be limited to, monitoring the following basic performance characteristics:

1. Equipment Inspections

The Contractor shall conduct equipment inspections or quality control surveys of the imaging equipment listed below. The Contractor shall ensure the imaging equipment’s compliance with applicable Federal regulations and ACR recommendations, and shall include, but not be limited to, monitoring the following basic performance characteristics.

Estimated Quantities and Locations

Description #

Advanced Imaging Devices / Equipment

(CT, PET/CT, Mammography, MRI, Nuclear

Medicine Audits)

Rad/Fluoro/Tomo Tubes

(X-Ray, Digital, Fluoro, C-Arm)

Minor Radiographic Tubes

(Dental, Ultrasound, DEXA)

Consultations 50

* Patient dose evaluation is included

1. VA Outpatient Clinic, 150 Muir Road, Martinez, CA

2. VA Medical Center Sacramento, 10535 Hospital Way, Mather, CA

3. Contra Costa Regional Medical Center (CCRMC), 2300 Alhambra Blvd, Martinez, CA

4. Redding Outpatient Clinic, 351 Hartnell Ave, Redding, CA

5. Chico Outpatient Clinic, 280 Cohasset Road, Chico, CA

6. Oakland Outpatient Clinic, 2221 Martin Luther King Blvd, Oakland, CA

7. Mare Island Outpatient Clinic, Walnut Ave, Bldg. 201, Mare Island, Vallejo, CA

8. McClellan VA Outpatient Clinic, 5342 Dudley Blvd, McClellan Park, CA 95652

A. Radiographic and Fluoroscopic Equipment

Physics inspections of radiographic and fluoroscopic equipment shall comply with the VA

NCHCS Radiation Safety Program and the ACR Technical Standard for Diagnostic Medical

Physics Performance monitoring of Radiographic and Fluoroscopic Equipment. The performance of each radiographic and fluoroscopic unit must be evaluated at least annually.

This evaluation should include, but not be limited to, the following tests (as applicable):

1. Integrity of unit assembly.

2. Collimation and radiation beam alignment.

3. Fluoroscopic system resolution.

4. Automatic exposure control system performance.

5. Fluoroscopic automatic brightness control performance (high-dose-rate, pulsed modes, field-of-view [FOV] variation).

6. Image artifacts.

7. Fluoroscopic phantom image quality.

8. kVp accuracy and reproducibility.

9. Linearity of exposure versus mA or mAs.

10. Exposure reproducibility.

11. Timer accuracy.

12. Beam quality assessment (half-value-layer).

13. Fluoroscopic entrance exposure. Maximum output for all clinically used settings.

14. Image receptor entrance exposure.

15. Equipment radiation safety functions.

16. Patient dose monitoring system calibration.

17. Video and digital monitor performance.

18. Digital image receptor performance.

19. Grids used with portable x-ray units shall be imaged for uniformity.

B. Computed Radiography (CR) and Digital Radiography (DR)

Physics inspections of CR and DR equipment shall comply with American Association of

Physicist in Medicine (AAPM) Report Number 93, Acceptance Testing and Quality Control of

Photostimulable Storage Phosphor Imaging Systems. The performance of CR and DR must be evaluated at least annually. This evaluation should include, but not be limited to, the following tests (as applicable):

1. Component and Imaging Plate Physical Inspection and Inventory

2. Imaging Plate Dark Noise and Uniformity

3. Exposure Indicator Calibration

4. Linearity and Auto-ranging Response

5. Laser Beam Function

6. Limiting Resolution and Resolution Uniformity

7. Noise and Low-Contrast Resolution

8. Spatial accuracy

9. Erasure Thoroughness

10. Aliasing/ Grid Response

11. IP Throughput

12. Positioning and Collimation Errors

C. CT Scanners

The physics inspection shall conform to the 2012 ACR Computed Tomography Quality Control

Manual. The performance of each CT scanner shall be evaluated at least annually. This evaluation should include, but not be limited to, the following tests (as applicable):

1. Review of Clinical Protocols

2. Review CT Optimization at least annually

3. Scout Prescription and Alignment Light Accuracy

4. Image thickness – Axial Mode

5. Table Travel Accuracy

6. Radiation Beam Width

7. Low-Contrast Performance

8. Spatial Resolution

9. CT Number Accuracy

10. Artifact Evaluation

11. CT Uniformity

12. Dosimetry ( the scanner displayed CTDIvol values must be within +/-20% of the measured CTDIvol values)

13. Gray Level Performance of CT Acquisition Display Monitors

D. Dental

The physics inspection shall conform to the Conference of Radiation Control Program Directors

(CRCPD), Quality Control Recommendations for Diagnostic Radiography Volume 1 Dental

Facilities July 2001. The performance of each dental x-ray shall be annually or every 2 years.

This evaluation should include, but not be limited to, the following tests (as applicable):

1. Collimation

2. Beam quality (half value layer)

3. Timer Accuracy and Reproducibility

4. kVp Accuracy and Reproducibility

5. mA or mAs Linearity

6. Exposure Reproducibility

7. Entrance Skin Exposure Evaluation

8. Technique Chart Evaluation

9. Image uniformity (artifact evaluation)

E. Mammography

The qualified diagnostic medical physicist inspection of mammography equipment must meet the qualifications outline in the Mammography Quality Standards Act (MQSA) and shall provide the facility with up to date documentation demonstration the qualified diagnostic medical physicist is MQSA qualified. Inspections of mammography equipment must comply with the latest requirements posted on the ACR website for the manufacturer of the digital mammography unit being inspected. Inspection items may include:

1. Mammographic Unit Assembly Evaluation

2. Collimation assessment

3. Artifact evaluation

4. kVp accuracy and reproducibility

5. Beam quality assessment – HVL measurements

6. Evaluation of system resolution

7. Automatic Exposure Control (AEC) function performance

8. Breast entrance exposure, AEC reproducibility and average glandular dose

9. Radiation output rate

10. Phantom image quality evaluation

11. Signal-to-noise ratio and contrast – to noise ration measurements

12. View box luminance and room luminance

13. Review workstation (RWS) tests

F. MRI

The physics inspection shall conform to the 2004 ACR Magnetic Resonance Imaging Quality

Control Manual. The performance of each MRI scanner shall be annually. This evaluation should include, but not be limited to, the following tests (as applicable):

1. Magnetic field homogeneity

2. Geometric accuracy

3. Inter-slice RF interference

4. Slice position accuracy

5. High contrast resolution

6. RF coil performance

a) Volume coils’ signal to noise ratio

b) Volume coils’ image uniformity

c) Volume coils’ ghosting ratio

d) Phased array coils’ signal to noise ratio

e) Surface coils’ signal to noise ratio

7. Slices thickness accuracy

8. Low contrast detectability

9. Soft copy displays

10. Technologist’s QC program

11. Site phantom inventory

12. Site RF coil inventory

G. PET

The physics inspection shall conform to the ACR PET Phantom Instructions for Evaluation of

PET Image, ACR Nuclear Medicine Accreditation Program PET Module. The Performance of each PET scanner shall be evaluated at least quarterly. For PET/CT units the CT must be inspected at least annually per item C above. This evaluation should include, but not be limited to, the following tests (as applicable):

1. Uniformity

2. Spatial resolution

3. SUV analysis

H. Nuclear Medicine

The physics inspection shall conform to the ACR annual performance tests for nuclear medicine cameras. The qualified diagnostic medical physics shall also perform the quarter testing as outlined by the ACR. This evaluation should include, but not be limited to, the following tests

(as applicable):

1. Intrinsic Uniformity: fail criteria: > 5.0%

2. System Uniformity: fail criteria: > 5.0%

3. Intrinsic or System Spatial Resolution: fail criteria: > 3.5 mm bars

4. Relative Sensitivity: fail criteria: COV> 2.5%

5. Energy Resolution: fail criteria: > 12%

6. Count Rate Parameters: fail criteria:

7. Overall System Performance for SPECT

8. System Interlocks

9. Dose Calibrators (Geometry, Accuracy)

10. Thyroid Uptake and Counting System

I. Ultrasound

The physics inspection shall conform to the ACR performance tests for ultrasound. On an ongoing basis (at least semiannually), the following tests should be done for each ultrasound unit. Testing should be done using two transducers commonly used with any unit employing more than one transducer. Data should be taken from testing of the transducers which are used for the most frequently occurring examination(s) at the site. It is recommended that these be of different scan formats such as one linear (or curvilinear array), and one sector (mechanical, phased, or vector).

1. System Sensitivity/Penetration

This test should be done with the following settings:

• maximum transmit power

• proper receiver gain and TGC that allows echo texture to be visible in the deep region

• transmit focus at the deepest depth

The maximum depth of visualization is determined by comparing the gradually weakening echo texture to electronic noises near the bottom of the image.

2. Image Uniformity

Adjust the TGC controls and other sensitivity controls to obtain an image as uniform as possible.

• vertical or radially oriented streaks?

• dropouts?

• reduction of brightness near edges of the scan?

• brightness transitions between focal zones?

3. Electrical and Mechanical Safety and Cleanliness

• Are all cords and cables intact (no frays)?

• Are all transducers intact without cracks or delamination?

• Are the transducers cleaned after each use?

• Are the image monitors clean?

• Are the air filters clean?

• Are the wheel locks in working condition?

• Are the wheels fastened securely to the US unit and do the wheels rotate easily?

• Are all accessories (VCR, cameras, etc.) fastened securely to the US unit?

4. Gray Scale Photography (if applicable) – Do either (a), (b), or (c).

(a) For Scanners with a Discrete Bar Pattern

Count the number of distinct gray bar steps on the viewing monitor. Then count the number of steps visualized in the gray bar on the hard copy image.

(b) For Scanners with a Continuous Gray Bar Pattern

Use calipers to measure the length of the black-to-white transition of the gray wedge on the viewing monitor. If the relative length of the black-to-white transition on the hard copy image is less, document how much is missing.

(c) For Laser Imager (Hard Copy Device)

Prior to filming any images, an SMPTE test pattern created by the Society of

Motion Picture and Television Engineers (SMPTE), should be printed using the appropriate window width (WW) and window level (WL). If you are unfamiliar with this procedure, you should review Gray et al., “Test pattern for video display and hard-copy camera,” Radiology 145:519-527 (1985), and then contact your local service engineer for assistance. When printed, the 95% density patch within the 100% square and the 5% density patch within the 0% square should be visible, and there should be no notable distortions or artifacts present. If these criteria are not met, contact your service engineer for laser camera calibration before proceeding with any filming.

5. Hard Copy Output Quality Test (Digital) (if applicable)

This test, or a similar test specifically recommended by the hard copy equipment manufacturer.

Required Test Equipment

• Densitometer

• SMPTE Test Pattern or another similar test pattern or phantom image having a wide range of gray scales.

The same test image should be used each time.

J. Display Monitors

The physics inspection shall conform to the AAPM On-line Report No. 03, Assessment of

Display Perform for Medical Imaging Systems. The performance of each display monitor shall be evaluated initially, acceptance testing, and at least annually thereafter. This evaluation should include, but not be limited to, the following tests (as applicable):

Acceptance testing (Table 7 from AAPM On-line Report No. 03) and (Table 8c form AAPM On-line Report No. 03)

1. Geometric distortions

2. Reflection

3. Luminance response

4. Luminance dependencies

5. Resolution

6. Noise

7. Veiling glare

8. Chromaticity

Equipment

1. Government Furnished Equipment and Software:

The Government will provide the following

1. Radiation detection devices, dose calibrators

2. ACR mammography accreditation phantoms,

3. CT image quality phantoms and ACNP-SNM Nuclear Medicine Accreditation phantoms.

4. SNM Annual Nuclear Medicine Phantom

2. Contractor Furnished Equipment and Software:

The Contractor shall provide all other equipment and software not specifically cited above to perform the requirements of this contract. At a minimum:

1. Testing all diagnostic x-ray equipment

2. CT scanner

3. Digital mammography

4. Nuclear Medicine

5. PET/CT

6. All phantoms for CT (head and body), Radiography, Ultrasound, and

Mammography

Miscellaneous Evaluations (Radiographic, Fluoroscopic, CT, PET/CT, Nuclear Medicine)

1. The qualified diagnostic medical physicist shall provide shielding design calculations for each new, replacement, or relocated x-ray imaging system. The calculations for each shall comply with the National Council for Radiation Protection and Measurements

(NCRP) Report No 147 and, for dental units, NCRP Report No.145 and shall be documented in a written report, which includes a diagram showing adjacent areas. The qualified diagnostic medical physicist shall perform a shielding survey to verify the structural shielding was installed per the shielding design report and complies with the design goals. A written report of the shielding survey shall be provided to the RSO within five (5) workings days after the shielding survey has been completed.

2. The qualified medical physicist shall assist in the development of a comprehensive technical quality assurance program (QA) (e.g., technique charts, repeat/reject analysis monitoring, monitoring of exposure indices to radiographic image receptors, QA program for display monitors, QA for CT, monitoring of dose metrics from fluoroscopy studies), which complies with ACR recommendations, for all modalities.

3. The qualified diagnostic medical physicist shall follow up on any discrepancies found on previous inspections including external i.e., ACR, JACHO, NRC, IOG, VORP or internal audits.

4. Travel/Transportation

1. The Contractor shall provide all transportation necessary to perform the requirements of this contract, if included in services.

2. The majority of the work will be accomplished at the Martinez and Mather however, due to the nature of the services required; the Contractor shall be required to travel to all of the sites of Northern California Health Care System.

3. All travel related costs, including lodging or any other miscellaneous costs shall be the sole responsibility of the contractor and shall be included in the finished fixed unit price on the Price Schedule.

4. The Contractor shall not charge the hourly rate for services while in transit to any of the sites.

Regulations

1. The Contractor shall perform services in accordance with VA NHPP and NRC regulations at all locations with the exception of the CCRMC. The CCRMC is licensed by the State of California Department of Health Services Radiological Health Branch.

At CCRMC the VA acts as Radiation Safety Consultant for the portion of the facility operated by the VA. Within VA NCHCS facilities, NRC regulations apply. The

Contractor shall apply the appropriate procedures depending upon the location where the services are being provided.

2. The average frequency of utilization of the medical physicist will be one to two visits per month during time of major facility activation the frequency might increase to three visits per month by the Medical Physicist.

K. RECORDS MANAGEMENT LANGUAGE

1. Records Management Language for Contracts Required

2. The following standard items relate to records generated in executing the contract and should be included in a typical Electronic Information Systems (EIS) procurement contract:

3. Citations to pertinent laws, codes and regulations such as 44 U.S.C chapters 21, 29, 31 and 33; Freedom of Information Act (5 U.S.C. 552); Privacy Act (5 U.S.C. 552a); 36

CFR Part 1222 and Part 1228.

4. Contractor shall treat all deliverables under the contract as the property of the U.S.

Government for which the Government Agency shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest.

5. Contractor shall not create or maintain any records that are not specifically tied to or authorized by the contract using Government IT equipment and/or Government records.

6. Contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected by the Freedom of Information Act.

7. Contractor shall not create or maintain any records containing any Government Agency records that are not specifically tied to or authorized by the contract.

8. The Government Agency owns the rights to all data/records produced as part of this contract.

9. The Government Agency owns the rights to all electronic information (electronic data, electronic information systems, electronic databases, etc.) and all supporting documentation created as part of this contract. Contractor must deliver sufficient technical documentation with all data deliverables to permit the agency to use the data.

10. Contractor agrees to comply with Federal and Agency records management policies, including those policies associated with the safeguarding of records covered by the

Privacy Act of 1974. These policies include the preservation of all records created or received regardless of format [paper, electronic, etc.] or mode of transmission [e-mail, fax, etc.] or state of completion [draft, final, etc.].

11. No disposition of documents will be allowed without the prior written consent of the

Contracting Officer. The Agency and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation.

Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701. Records may not be removed from the legal custody of the Agency or destroyed without regard to the provisions of the agency records schedules.

12. Contractor is required to obtain the Contracting Officer's approval prior to engaging in any contractual relationship (sub-contractor) in support of this contract requiring the disclosure of information, documentary material and/or records generated under, or relating to, this contract. The Contractor (and any sub-contractor) is required to abide by

Government and Agency guidance for protecting sensitive and proprietary information.

SECTION C - CONTRACT CLAUSES

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

ITEMS (OCT 2018)

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

Government must exercise its post-acceptance rights—

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

and

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

(b) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims

Act (31 U.S.C. 3727). However, when a third party makes payment (e.g., use of the

Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.

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

(d) Disputes. This contract is subject to 41 U.S.C. chapter 71, Contract Disputes. Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause at FAR 52.233-1, Disputes, which is incorporated herein by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

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

(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence such as, acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The Contractor shall notify the

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

Contracting Officer of the cessation of such occurrence.

(g) Invoice.

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

(i) Name and address of the Contractor;

(ii) Invoice date and number;

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

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

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

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

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

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

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

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

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

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer—System for Award Management, or 52.232-34, Payment by

Electronic Funds Transfer—Other Than System for Award Management), or applicable agency procedures.

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

(2) Invoices will be handled in accordance with the Prompt Payment Act (31 U.S.C. 3903) and Office of Management and Budget (OMB) prompt payment regulations at 5 CFR part 1315.

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

(i) Payment.—

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

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

Payment Act (31 U.S.C. 3903) and prompt payment regulations at 5 CFR part 1315.

(3) Electronic Funds Transfer (EFT). If the Government makes payment by EFT, see 52.212-

5(b) for the appropriate EFT clause.

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

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

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

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

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

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

(D) Contractor point of contact.

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

Officer.

(6) Interest.

(i) All amounts that become payable by the Contractor to the Government under this contract shall bear simple interest from the date due until paid unless paid within 30 days of becoming due. The interest rate shall be the interest rate established by the Secretary of the

Treasury as provided in 41 U.S.C. 7109, which is applicable to the period in which the amount becomes due, as provided in (i)(6)(v) of this clause, and then at the rate applicable for each six-month period as fixed by the Secretary until the amount is paid.

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

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

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

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

(C) The Contractor requests a deferment of collection on a debt previously demanded by the Contracting Officer (see 32.607-2).

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

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

(A) The date fixed under this contract.

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

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

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

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

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

(vii) The interest charge made under this clause may be reduced under the procedures prescribed in 32.608-2 of the Federal Acquisition Regulation in effect on the date of this contract.

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

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

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

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

(l) Termination for the Government's convenience. The Government reserves the right to terminate this contract, or any part hereof, for its sole convenience. In the event of such termination, the Contractor shall immediately stop all work hereunder and shall immediately cause any and all of its suppliers and subcontractors to cease work. Subject to the terms of this contract, the Contractor shall be paid a percentage of the contract price reflecting the percentage of the work performed prior to the notice of termination, plus reasonable charges the

Contractor can demonstrate to the satisfaction of the Government using its standard record keeping system, have resulted from the termination. The Contractor shall not be required to comply with the cost accounting standards or contract cost principles for this purpose. This paragraph does not give the Government any right to audit the Contractor's records. The

Contractor shall not be paid for any work performed or costs incurred which reasonably could have been avoided.

(m) Termination for cause. The Government may terminate this contract, or any part hereof, for cause in the event of any default by the Contractor, or if the Contractor fails to comply with any contract terms and conditions, or fails to provide the Government, upon request, with adequate assurances of future performance. In the event of termination for cause, the Government shall not be liable to the Contractor for any amount for supplies or services not accepted, and the

Contractor shall be liable to the Government for any and all rights and remedies provided by law. If it is determined that the Government improperly terminated this contract for default, such termination shall be deemed a termination for convenience.

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

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

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

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

(r) Compliance with laws unique to Government contracts. The Contractor agrees to comply with 31 U.S.C. 1352 relating to limitations on the use of appropriated funds to influence certain

Federal contracts; 18 U.S.C. 431 relating to officials not to benefit; 40 U.S.C. chapter 37, Contract Work Hours and Safety Standards; 41 U.S.C. chapter 87, Kickbacks; 41 U.S.C. 4712 and 10 U.S.C. 2409 relating to whistleblower protections; 49 U.S.C. 40118, Fly American; and

41 U.S.C. chapter 21 relating to procurement integrity.

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

(1) The schedule of supplies/services.

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

Laws Unique to Government Contracts, and Unauthorized Obligations paragraphs of this clause;

(3) The clause at 52.212-5.

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

(5) Solicitation provisions if this is a solicitation.

(6) Other paragraphs of this clause.

(7) The Standard Form 1449.

(8) Other documents, exhibits, and attachments

(9) The specification.

(t) [Reserved]

(u) Unauthorized Obligations.

(1) Except as stated in paragraph (u)(2) of this clause, when any supply or service acquired under this contract is subject to any End User License Agreement (EULA), Terms of Service

(TOS), or similar legal instrument or agreement, that includes any clause requiring the

Government to indemnify the Contractor or any person or entity for damages, costs, fees, or any other loss or liability that would create an Anti-Deficiency Act violation (31 U.S.C. 1341), the following shall govern:

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

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

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

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

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

(End of Clause)

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

ITEMS

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

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

C.2 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 30 days.

(End of Clause)

C.3 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR

2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within 30 days; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed two (2) years.

(End of Clause)

C.4 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

(a) The Contractor agrees to comply with any provision or clause that is incorporated herein by reference to implement agency policy applicable to acquisition of commercial items or components. The following provisions and clauses that have been checked by the Contracting

Officer are incorporated by reference.

[X] 852.203–70, Commercial Advertising.

[] 852.209–70, Organizational Conflicts of Interest.

[] 852.211–70, Equipment Operation and Maintenance Manuals.

[] 852.214–71, Restrictions on Alternate Item(s).

[] 852.214–72, Alternate Item(s). [Note: this is a fillable clause.]

[] 852.214–73, Alternate Packaging and Packing.

[] 852.214–74, Marking of Bid Samples.

[X] 852.215–70, Service-Disabled Veteran-Owned and Veteran-Owned Small Business

Evaluation Factors.

[X] 852.215–71, Evaluation Factor Commitments.

[] 852.216–71, Economic Price Adjustment of Contract Price(s) Based on a Price Index.

[] 852.216–72, Proportional Economic Price Adjustment of Contract Price(s) Based on a Price

Index.

[] 852.216–73, Economic Price Adjustment—State Nursing Home Care for Veterans.

[] 852.216–74, Economic Price Adjustment—Medicaid Labor Rates.

[] 852.216–75, Economic Price Adjustment—Fuel Surcharge.

[] 852.219–9, VA Small Business Subcontracting Plan Minimum Requirements.

[] 852.219–10, VA Notice of Total Service-Disabled Veteran-Owned Small Business Set-Aside.

[] 852.219–11, VA Notice of Total Veteran-Owned Small Business Set-Aside.

[] 852.222–70, Contract Work Hours and Safety Standards—Nursing Home Care for Veterans.

[] 852.228–70, Bond Premium Adjustment.

[] 852.228–71, Indemnification and Insurance.

[] 852.228–72, Assisting Service-Disabled Veteran-Owned and Veteran-Owned Small

Businesses in Obtaining Bonds.

[X] 852.232–72, Electronic Submission of Payment Requests.

[] 852.233–70, Protest Content/Alternative Dispute Resolution.

[] 852.233–71, Alternate Protest Procedure.

[] 852.237–70, Indemnification and Medical Liability Insurance.

[] 852.246–71, Rejected Goods.

[] 852.246–72, Frozen Processed Foods.

[] 852.246–73, Noncompliance with Packaging, Packing, and/or Marking Requirements.

[] 852.270–1, Representatives of Contracting Officers.

[] 852.271–72, Time Spent by Counselee in Counseling Process.

[] 852.271–73, Use and Publication of Counseling Results.

[] 852.271–74, Inspection.

[] 852.271–75, Extension of Contract Period.

[] 852.273–70, Late Offers.

[] 852.273–71, Alternative Negotiation Techniques.

[] 852.273–72, Alternative Evaluation.

[] 852.273–73, Evaluation—Health-Care Resources.

[] 852.273–74, Award without Exchanges.

(b) All requests for quotations, solicitations, and contracts for commercial item services to be provided to beneficiaries must include the following clause:

[] 852.237–74, Nondiscrimination in Service Delivery.

(End of Clause)

C.5 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—

MONITORING AND COMPLIANCE (JUL 2018)

(a) This solicitation includes FAR 52.219-6 Notice of Total Small Business Set-Aside.

(b) Accordingly, any contract resulting from this solicitation is subject to the limitation on subcontracting requirements in 13 CFR 125.6, or the limitations on subcontracting requirements in the FAR clause, as applicable.