H965--medical physicist services | hudson valley

B.4 SCHEDULE OF SERVICES UPDATED SCHEDULE

CONTRACT YEAR 1: October 1, 2022 September 30, 2023

LIN

SUB- LIN

DESCRIPTION OF SERVICES

EST. QTY

UNIT

UNIT PRICE

TOTAL PRICE

0001

MEDICAL PHYSICIST RADIATION SAFETY SERVICES

0001a

Castle Point Campus - Initial, Annual and Emergent Testing, Inspection and Reporting

1

YEAR

0001b

Montrose Campus - Initial, Annual and Emergent Testing, Inspection and Reporting

1

YEAR

YEAR 1 TOTAL:

$

CONTRACT YEAR 2: October 1, 2023 September 30, 2024

LIN

SUB- LIN

DESCRIPTION OF SERVICES

EST. QTY

UNIT

UNIT PRICE

TOTAL PRICE

1001

MEDICAL PHYSICIST RADIATION SAFETY SERVICES

1001a

Castle Point Campus - Initial, Annual and Emergent Testing, Inspection and Reporting

1

YEAR

1001b

Montrose Campus - Initial, Annual and Emergent Testing, Inspection and Reporting

1

YEAR

YEAR 2 TOTAL:

$

CONTRACT YEAR 3: October 1, 2024 September 30, 2025

LIN

SUB- LIN

DESCRIPTION OF SERVICES

EST. QTY

UNIT

UNIT PRICE

TOTAL PRICE

2001

MEDICAL PHYSICIST RADIATION SAFETY SERVICES

2001a

Castle Point Campus - Initial, Annual and Emergent Testing, Inspection and Reporting

1

YEAR

2001b

Montrose Campus - Initial, Annual and Emergent Testing, Inspection and Reporting

1

YEAR

YEAR 3 TOTAL:

$

CONTRACT YEAR 4: October 1, 2025 September 30, 2026

LIN

SUB- LIN

DESCRIPTION OF SERVICES

EST. QTY

UNIT

UNIT PRICE

TOTAL PRICE

3001

MEDICAL PHYSICIST RADIATION SAFETY SERVICES

3001a

Castle Point Campus - Initial, Annual and Emergent Testing, Inspection and Reporting

1

YEAR

3001b

Montrose Campus - Initial, Annual and Emergent Testing, Inspection and Reporting

1

YEAR

YEAR 4 TOTAL:

$

CONTRACT YEAR 5: October 1, 2026 September 30, 2027

LIN

SUB- LIN

DESCRIPTION OF SERVICES

EST. QTY

UNIT

UNIT PRICE

TOTAL PRICE

4001

MEDICAL PHYSICIST RADIATION SAFETY SERVICES

4001a

Castle Point Campus - Initial, Annual and Emergent Testing, Inspection and Reporting

1

YEAR

4001b

Montrose Campus - Initial, Annual and Emergent Testing, Inspection and Reporting

1

YEAR

YEAR 5 TOTAL:

$

YEAR 1 TOTAL

YEAR 2 TOTAL

YEAR 3 TOTAL

YEAR 4 TOTAL

YEAR 5 TOTAL

CONTRACT TOTAL

KEY PERSONELL

None

Primary Board Certified /Board Eligible Medical Physicist

Name:

Title:

None

Alternate Board Certified /Board Eligible Medical Physicist

Name:

Title:

None

Alternate Board Certified /Board Eligible Medical Physicist

Name:

Title:

B.6 VHA SUPPLEMENTAL CONTRACT REQUIREMENTS FOR COMBATTING COVID-19

Contractor employees who work in or travel to VHA locations must comply with the following:

Documentation requirements:

If fully vaccinated, shall show proof of vaccination.

NOTE: Acceptable proof of vaccination includes a signed record of immunization from a health care provider or pharmacy, a copy of the COVID-19 Vaccination Record Card (CDC Form MLS-319813_r, published on September 3, 2020), or a copy of medical records documenting the vaccination.

If unvaccinated and granted a medical or religious exception, shall show negative COVID-19 test results dated within three calendar days prior to desired entry date. Test must be approved by the Food and Drug Administration (FDA) for emergency use or full approval. This includes tests available by a doctor s order or an FDA approved over-the-counter test.

Documentation cited in this section shall be digitally or physically maintained on each contractor employee while in a VA facility and is subject to inspection prior to entry to VA facilities and after entry for spot inspections by Contracting Officer Representatives (CORs) or other hospital personnel.

Documentation will not be collected by the VA; contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.Â

Contractor employees are subject to daily screening for COVID-19 and may be denied entry to VA facilities if they fail to pass screening protocols. As part of the screening process contractors may be asked screening questions found on the COVID-19 Screening Tool. Check regularly for updates.

Contractor employees who work away from VA locations, but who will have direct contact with VA patients shall self-screen utilizing the COVID-19 Screening Tool, in advance, each day that they will have direct patient contact and in accordance with their person or persons who coordinate COVID-19 workplace safety efforts at covered contractor workplaces. Contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.Â

Contractor must immediately notify their COR or Contracting Officer if contract performance is jeopardized due to contractor employees being denied entry into VA Facilities.

For indefinite delivery contracts: Contractor agrees to comply with VHA Supplemental Contract Requirements for any task or delivery orders issued prior to this modification when performance has already commenced.