Schedule B.pdf

75H70520Q00024, Radiology Technician Services

SECTION B - SUPPLIES OR SERVICES AND PRICE/COSTS

B.1 CONTRACT ADMINISTRATION DATA

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

CONTRACTOR NAME AND ADDRESS:

TAX ID#_________________________

DUNS # _________________________

GSA # _________________________

Phone___________________________

E-Mail _________________________

Person responsible for Contractor Performance Assessment Reporting System (CPARS), reporting if different from above:

Name: _________________________________

Title: _________________________________

Email: _________________________________

CONTRACTOR REGISTRATION: All required information must be in the System for Award Management (SAM) at www.beta.sam.gov.

GOVERNMENT:

Jennifer Richardson Indian Health Service 522 Minnesota Ave.

Bemidji, MN 56601

Jennifer.Richardson@IHS.Gov

NAICS:

The associated North American Industrial Classification System (NAICS) code for this procurement is 561320 with a small business size standard of $13.5M

CONTRACT TYPE: Firm-Fixed Price

B.2 INVOICES: In accordance with the Prompt Payment Act, payment will be due 30 days after receipt of services or receipt of a proper invoice, whichever is later.

INVOICE INSTRUCTIONS:

Contractor shall provide all invoices to –

Indian Health Service Attn: Jennifer Richardson Contract Administrator 522 Minnesota Ave NW Bemidji, MN 56601 Jennifer.richardson@ihs.gov and/or BEM_AOInvoices@ihs.gov

At a minimum, a properly prepared invoice shall include:

1) Name and address of the Contractor.

2) Invoice date and invoice number. (The Contractor should date invoices as close as possible to the date of the mailing or transmission.)

3) IHS Contract No.

4) Description, quantity, unit of measure, unit price, and extended price of supplies delivered or services performed.

5) Shipping and payment terms (e.g., shipment number and date of shipment, discount for prompt payment terms). Bill of lading number and weight of shipment will be shown for shipments on Government bills of lading.

6) Name and address of Contractor official to whom payment is to be sent (must be the same as that in the contract or in a proper notice of assignment).

7) Name (where practicable), title, phone number, and mailing address of person to notify in the event of a defective invoice.

8) Contractor Taxpayer Identification Number (TIN).

9) Contractor Dun & Bradstreet Number (DUNS).

Improperly prepared invoices or statements shall be returned to the contractor and may delay payment.

B.3 PLACE OF PERFORMANCE:

Indian Health Service Red Lake Health Center 24760 Hospital Drive Red Lake, MN 56671

B.4 PERIOD OF PERFORMANCE:

Government anticipates a Base + 4 (1 year) options

YEAR PERIOD OF PERFORMANCE ANNUAL TOTAL

BASE YEAR 26 JUL 2020 – 25 JUL 2020

OPTION YEAR 1 26 JUL 2021 – 25 JUL 2022

OPTION YEAR 2 26 JUL 2022 – 25 JUL 2023

OPTION YEAR 3 26 JUL 2023 – 25 JUL 2024

OPTION YEAR 4 26 JUL 2024 – 25 JUL 2025

FAR 52.237-7 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE.

It is expressly agreed and understood that this is a non-personal services contract, as defined in Federal Acquisition Regulation (FAR) 37.101, under which the professional services rendered by the Contractor are rendered in its capacity as an independent contractor. The Government may evaluate the quality of professional and administrative services provided, but retains no control over professional aspects of the services rendered, including by example, the Contractor’s professional medical judgment, diagnosis, or specific medical treatments. The Contractor shall be solely liable for and expressly agrees to indemnify the Government with respect to any liability producing acts or omissions by it or by its employees or agents. The Contractor shall maintain during the term of this contract liability insurance issued by a responsible insurance carrier of not less than the following amount(s) per specialty per occurrence: amount normally prevailing within the local community for the medical specialty concerned.

B.5 PERFORMANCE WORK STATEMENT

Diagnostic Radiologic Technologist Service Red Lake

A. Purpose of Contract:

The purpose of this contract is to obtain Registered Radiologic Technologist coverage for weekends, Federal holidays and periods of temporary staffing needs at the Red Lake Hospital. Work is to be performed in the Radiology Department, Emergency Department and Inpatient Department of the Red Lake Hospital. The work consists of obtaining and transmitting x-ray images as ordered by the medical provider. The Technologist is responsible for general radiography, EKG’s, related clerical work, general maintenance, and Quality Assurance duties that may be a part of Department Technologist functions.

B. Objective/description of need:

It is the goal of this procurement to obtain general x-ray coverage (services) by a registered Diagnostic Radiologic Technologist(s) for 100% of the weekends and federal holidays. It is also the goal to obtain coverage for 100% of requests for additional coverage, as needed, given a minimum of 4 hours advance notice.

C. Government Furnished Property, Facilities, and Services:

The Hospital shall provide all tools and supplies necessary to provide diagnostic quality radiographs. The Hospital will provide a sleeping room for contractor; since the contractor will be required to be on the hospital grounds at all times during working hours.

D. Contractor Furnished Equipment, Facilities, and Services:

Contractor will be responsible for the management of their own Radiation Safety Program including dosimeter badges, uniforms and meals.

E. Work Schedule:

Weekend coverage’s extends from Saturday at 7:00 am until Sunday at 7:00 pm a.) Holidays include the 10 federally recognized holidays (24 hour coverage).

b.) Short term notice fill-in will be “as needed” with a minimum of (4) four hours advanced noticed.

c.) Fill-in hours will be “as needed” with a (4) four hour advanced notice.

B.6 QUALITY ASSURANCE

Quality Assurance a.) All Contractor supplied Technologists shall provide evidence of ARRT registration.

b.) The Contractor supplied Technologists shall be monitored for image/study quality as well as adherence to established policy.

c.) All Contractor furnished Technologists must adhere to the ALARA (As Low as Reasonably Achievable)

Principal.

d.) Contractor furnished Technologist must complete all Hospital required orientation and have no OIG exclusions.

e.) Contractor must follow all Hospital and Departmental Policies and Procedures.

B.7 REPORTING REQUIREMENTS

It is the goal of this procurement to obtain general x-ray coverage (services) by a registered Diagnostic Radiologic Technologist(s) for 100% of the weekends and federal holidays. It is also the goal to obtain coverage for 100% of requests for additional coverage, as needed, given a minimum of 4 hours advance notice.

B.8 PROFESSIONAL QUALIFICATIONS

PROFESSIONAL QUALIFICATIONS CRITERIA

All contractor supplied Technologists must possess current Registration with American Registry of Radiologic Technologist and be Basic Life Support certified, in accordance with the American Red Cross.

B.9 COMPLIANCE

COMPLIANCE WITH IHS RULES AND REGULATIONS

- All Contractor supplied Technologists shall provide evidence of ARRT registration, vaccination record including annual flu shot, and current driver license.

- All contractors supplied Technologists must possess current Registration with American Registry of Radiologic Technologists and be Basic Life Support certified, in accordance with the American Red Cross.

- The Contractor supplied Technologists shall be monitored for image/study quality as well as adherence to established policy.

- All Contractors furnished Technologists must adhere to the ALARA (As Low as Reasonably Achievable) Principle.

- Contractor must complete all Hospital required orientation and have no OIG exclusions.

- Contractor must follow all Hospital and Departmental Policies and Procedures.

- The contractor supplied Technologist(s) must adhere to all Indian Health Service Rules and Regulations as written in the Indian Health Service Manual, Part 3, Ch. 21.

- All contractors shall follow HIPPA.

- Departmental orientation will be the responsibility of the Contractor.

SPECIAL REQUIREMENTS

- The contract Technologist is required to remain on immediate Hospital premises at all times while on duty.

B.10 DUTIES AND RESPONSIBILITIES

The Contractor shall perform a full range of services in his/her specialty, including the most difficult cases.

Services may include but are not limited to the following.

Major duties

Conducts all general imaging exams such as chest, head, abdominal, spine, upper extremities, and lower extremities.

Independently performs standard examinations. Evaluates the nature of critical and emergency procedures, and rearranges patients scheduled to accommodate them. Maintains records and image files of patients examined. Cross-indexes interesting cases for teaching purposes.

Utilizes a fixed Radiography and Portable Radiography unit.

Conducts EKG exams.

Uses the ALARA principle in 100% of imaging.

Performs Quality Control on radiography units. Troubleshoots malfunctions and makes simple repairs or identifies need for external service.

Is familiar with and follows all written procedures and policies including radiology technical procedures, radiation safety, and infection control.

Participates in radiology proficiency testing.

Participates in the radiology quality assurance program and the clinic’s continuous quality improvement program as necessary.

Completes and file radiology reports.

Assists in keeping radiology area neat and orderly.

Shall be knowledgeable and perform services using infection control practices in accordance with accreditation standards, IHS policy and procedures, and other regulating agencies and laws.

Shall use personal protective equipment to protect patient and personnel from exposure to infectious disease as appropriate.

Professional knowledge of medical terminology concepts, principles, and practices derived through formal education.

Skill in interpreting and evaluating the results of test/examinations in process and upon completion in order to recognize anticipated reactions and departures from the norm. Repeats tests/examinations if results provide improper or imprecise outcomes and reports recurring abnormalities and deviations to the supervisor.

Knowledge and ability necessary to provide care appropriate to the age of the patients served.

Ability to identify, categorize, and perform radiology services to address each patient’s age-specific needs (pediatric, adolescent, adult, and geriatric) Provides services in a professional and respectful manner when dealing with patients and colleagues.

Must be certified through ARRT Must have current CPR certification.

Other related duties as assigned.

B.11 SCHEDULE OF PRICE /COSTS

The Red Lake IHS Hospital estimates 6,500 general X-ray during the first year of the contract. With each subsequent year the Hospital estimates the number of examinations will increase by two (2) percent. Actual numbers may be more or less than the estimate.

1. BASE YEAR PRICING: 26 Jul 2020 through 25 Jul 2021

Item No. Type Of Service Unit Of Issue

Est Qty

Unit Price Total Amount

0001 Radiological Technician – Weekend Hr. 1900 $ $ 0002 Radiological Technician – Holiday’s Hr. 240 $ $ 0003 Radiological Technician – As Needed Hr. 840 $ $ 0004 Radiological Technician – Fill In Hr. 3,000 $ $ Base Year - Grand Total $

2. OPTION YEAR I: 26 Jul 2021 through 25 Jul 2022

0005 Radiological Technician – Weekend Hr. 1900 $ $ 0006 Radiological Technician – Holiday’s Hr. 240 $ $ 0007 Radiological Technician – As Needed Hr. 840 $ $ 0008 Radiological Technician – Fill In Hr. 3,000 $ $ Option Year 1 - Grand Total $

3. OPTION YEAR II: 26 Jul 2022 through 25 Jul 2023

0009 Radiological Technician – Weekend Hr. 1900 $ $ 0010 Radiological Technician – Holiday’s Hr. 240 $ $ 0011 Radiological Technician – As Needed Hr. 840 $ $ 0012 Radiological Technician – Fill In Hr. 3,000 $ $ Option Year 2 - Grand Total $

4. OPTION YEAR III: 26 Jul 2023 through 25 Jul 2024

0013 Radiological Technician – Weekend Hr. 1900 $ $ 0014 Radiological Technician – Holiday’s Hr. 240 $ $ 0015 Radiological Technician – As Needed Hr. 840 $ $ 0016 Radiological Technician – Fill In Hr. 3,000 $ $ Option Year 3 - Grand Total $

5. OPTION YEAR IV: 26 Jul 2024 through 25 Jul 2025

0017 Radiological Technician – Weekend Hr. 1900 $ $ 0018 Radiological Technician – Holiday’s Hr. 240 $ $

0019 Radiological Technician – As Needed Hr. 840 $ $ 0020 Radiological Technician – Fill In Hr. 3,000 $ $ Option Year 4 - Grand Total $

TOTAL AMOUNT FOR ALL OPTIONS: $_____________________

B.12 ADMINISTRATIVE DATA:

Method of Payment:

a) The IHS Bemidji Division of Finance is designated for payment processing. Payment shall be made by electronic funds transfer (EFT). Payment shall be made in arrears.

b) The Contractor’s rate identified for services described herein is considered as an all-inclusive rate. All-inclusive is defined to include but is not limited to services, travel, lodging, liability insurance, fringe benefits, federal, state and local taxes, and all other costs pertinent to the performance of this contract.

c) Contracting Officer Representative (COR) TBD. The COR will be appointed in writing by the CO after the contract is awarded. The CO will provide a copy of this designation and COR contact information to the Contractor.

The role of program and technical personnel in monitoring the contract is to assist and advise the Contracting Officer, and act as the COR when so designated by the Contracting Officer. The COR does not have the authority to change or alter the order amount, terms and conditions.

COR activities include—

1. Providing technical monitoring during contract performance and advising the Contracting Officer relating to delivery, acceptance, or rejection of deliverables in accordance with the terms of the contract;

2. Assessing contractor performance;

3. Recommending necessary changes to the schedule of work and period of performance to accomplish the objectives of the contract (The COR shall provide the Contracting Officer a written request along with an appropriate justification and a funding document, if additional funds are needed.)

4. Reviewing invoices/vouchers and recommending approval/disapproval by the Contracting Officer, including providing comments regarding anything unusual discovered in the review;

5. Reviewing and recommending approval or disapproval of technical submissions, subcontractors, overtime, travel, and key personnel changes;

6. Assisting the Contractor in the resolution of technical problems encountered during performance; and

7. Participating, as necessary, in various phases of the contract closeout process;

8. Provide receiving authorization within two days of services/items received or invoiced

POINTS OF CONTACT: TBD