Inactive Veteran-Owned Small Business Set-Aside (specific to Department of Veterans Affairs)

Description This is a combined synopsis/solicitation for commercial products and commercial services prepared in accordance with the format in Federal Acquisition Regulation (FAR) subpart 12.6, Stream... Description This is a combined synopsis/solicitation for commercial products and commercial services prepared in accordance with the format in Federal Acquisition Regulation (FAR) subpart 12.6, Streamlined Procedures for Evaluation and Solicitation for Commercial Products and Commercial Services, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested, and a written solicitation document will not be issued. This solicitation is issued as an RFQ. The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2023-06. This solicitation is set-aside for 100% Service-Disabled Veteran-Owned Small Business (SDVOSB)/Veteran Owned Small Business (VOSB), IAW VAAR Subpart 819.70, the VA Veterans First Contracting Program. VAAR 819.7001(g) provides that Contracting officers shall ensure awards are made using the VA hierarchy of SDVOSB/VOSB preferences in this subpart. Specifically, the contracting officer will consider preferences for eligible SDVOSBs first, then preferences for other eligible VOSBs. In order to minimize delays in the re-solicitation process, Pursuant to the authority of 38 U.S.C. 8127, this solicitation will adhere to the tiered evaluation procedures in VAAR 819.7010(b), Tiered set-aside evaluation. The associated North American Industrial Classification System (NAICS) code for this procurement is 811210, with a small business size standard of $34.0 Million. The FSC/PSC is J065. The VA Greater Los Angeles Healthcare System (VAGLAHCS), West Los Angeles Medical Center (WLA VAMC), 11301 Wilshire Blvd., Los Angeles, CA 90073-1003, is seeking to purchase on-site diagnostic medical physics support or services. The Contractor shall comply with radiation protection standards in 29 CFR 1910.1096 and 10 CFR Part 20, as applicable; and immediately report any unsafe conditions with the potential to adversely impact the facility radiation workers or patients to the Radiation Safety Officer (RSO), under the terms and conditions stated herein and must adhere to the current version of VHA Directive 1105.04, Fluoroscopy Safety. All interested companies shall provide quotations for the following, using the attached schedule: Supplies/Services Line Item Description QTY UNIT Unit Price Total Price 0001 West Los Angeles Dental Unit (fixed and panoramic) 11 JB 0002 Dental Unit (hand-held & portable) 2 JB 0003 Rad Onc Exact Tract x-ray (two tubes) 2 JB 0004 Rad Onc CBCT/kV Imager 1 JB 0005 Rad Onc OBI 1 JB 0006 IR/EP/Cath Lab 5 JB 0007 Radiation Protection Garments 500 JB 0008 Gamma Camera 2 JB 0009 SPECT/CT (include diagnostic CT) 1 JB 0010 Physician Viewing Monitors 32 JB 0011 Mammography 1 JB 0012 Ultrasound 18 JB 0013 C-arms 11 JB 0014 Portable Radiographic 9 JB 0015 Fixed Rad/Fluoro 8 JB 0016 Computed Tomography 3 JB 0017 PET/CT 2 JB 0018 MRI 2 JB 0019 Ion Chamber/compensated GMs 10 JB 0020 Sepulveda SACC Dental Unit (fixed and panoramic) 4 JB 0021 Dental Unit (hand-held & portable) 4 JB 0022 Radiation Protection Garments 25 JB 0023 Physician viewing monitors 2 JB 0024 Mammography 1 JB 0025 Rad/Fluoro 5 JB 0026 MRI 1 JB 0027 Computed Tomography 1 JB 0028 Los Angeles Ambulatory Care Center (LAACC) Dental Unit (fixed and panoramic) 9 JB 0029 Radiation Protection Garments 20 JB 0030 Rad/Fluoro 3 JB 0031 Bakersfield Dental Unit (fixed and panoramic) 3 JB 0032 Radiation Protection Garments 2 JB 0033 Santa Maria Dental Unit (fixed and panoramic) 6 JB 0034 Radiation Protection Garments 3 JB 0035 Ventura Dental Unit (fixed and panoramic) 5 JB 0036 Radiation Protection Garments 3 JB 0037 Consulting 37 HR 0038 Room Shielding Integrity Survey 10 JB Base Year Total Contract Title Diagnostic & Nuclear Medical Physics Services. Background The VA Greater Los Angeles Healthcare System (VAGLAHCS) requires a contractor to provide all labor, materials, supplies, tools, equipment, parts, software (needed for the general operation of the equipment), travel, ICRA Barriers, and qualified personnel for on-site diagnostic medical physics support or services for the Veterans Health Administration (VHA), under the terms and conditions stated herein and must adhere to the current version of VHA Directive 11.05.04, Fluoroscopy Safety. The services shall comply with this Statement of Work (SOW), all VA, local, state, and Federal policies, and regulations. The Contractor shall comply with radiation protection standards in 29 CFR 1910.1096 and 10 CFR Part 20, as applicable; and immediately report any unsafe conditions with the potential to adversely impact the facility radiation workers or patients to the Radiation Safety Officer (RSO). Objective The objective of this service contract is to ensure that the devices used for patient care are readily available for patient use at the right time, are operational, safe, secure and properly configured to meet the needs of our healthcare environment and are used in an effective way consistent with our standards of care. Scope Performance. All work shall be by, or under the general direction of, a qualified medical physicist. A qualified medical physicist is a person who is certified by the American Board of Radiology, American Board of Medical Physics, the Canadian College of Physicists in Medicine, or has state licensure. Medical physicists that perform testing of nuclear medicine imaging systems must be certified by the American Board of Radiology with the specialty designation of nuclear medical physics (i.e., they must be nuclear medical physicists). Additionally, the nuclear medical physicists handling radioactive material must be specifically named on a radioactive materials license. The radioactive materials license must specifically authorize the testing of nuclear medicine equipment. All persons conducting equipment testing under the Qualified Medical Physicist s supervision must possess at least a bachelor s degree in a science or engineering field (e.g., physics or engineering) or a field related directly to the equipment being worked on (i.e., nuclear medicine). All persons conducting testing of equipment for Items 3A through 3K of this document must be directly employed by the contracting company and not free-lance or subcontracted. The VA Greater Los Angeles Healthcare System Radiation Safety Officer shall approve all persons conducting equipment testing following a review of their documented qualifications. Period of Performance: Base year February 2024 through January 2025 Option Year 1 February 2025 through January 2026 Option Year 2 February 2026 through January 2027 Option Year 3 February 2027 through January 2028 Option Year 4 February 2028 through January 2029 Mandatory Services to be Performed. The physicist(s) shall perform imaging equipment (x-ray equipment, nuclear medicine cameras, and ultrasound units) inspections to ensure compliance with the current American College of Radiology (ACR); Mammography Quality Standards Act (MQSA); and The Joint Commission (TJC) requirements. Any deficiencies or non-conformances discovered during the inspection shall be verbally communicated to the service supervisor or RSO within 72 hours of discovery. Deficiencies or non-conformances which represent unsafe conditions with the potential to adversely impact the facility radiation workers or patients shall be reported to the RSO immediately upon discovery. A written report (hard copy) of the results shall be provided to the RSO within 30 calendar days after completion of all inspections. The physicist(s) shall perform acceptance testing of all new or relocated imaging equipment prior to first clinical use. The acceptance testing shall comply with TJC and ACR or MQSA requirements. Any deficiencies or non-conformances discovered during the inspection shall be verbally communicated to the service supervisor or RSO within 72 hours of discovery. Deficiencies or non-conformances which represent unsafe conditions with the potential to adversely impact the facility radiation workers or patients shall be reported to the RSO immediately upon discovery. A written report of the results shall be provided to the service supervisor or RSO within 5 working days after completion of the inspection. The physicist(s) shall perform a full inspection of imaging equipment after repairs or modifications that may affect the radiation output or image quality. The inspection shall be completed as soon as possible in order to minimize the impact on patient care. As such, the contractor shall be able to respond within 4 hours of notification. Any deficiencies or non-conformances discovered during the inspection shall be verbally communicated to the service supervisor or RSO within 72 hours of discovery. Deficiencies or non-conformances which represent unsafe conditions with the potential to adversely impact the facility radiation workers or patients shall be reported to the RSO immediately upon discovery. A written report of the results shall be provided to the service supervisor or RSO within 5 working days after performing of the inspection. The physicist(s) shall assist in the development of a comprehensive technical quality assurance (QA) program (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. The qualified diagnostic medical physicist and staff shall review at least annually the QA program. A written report (hard copy) of the results shall be provided to the RSO within 30 calendar days after performing of the inspection. The qualified diagnostic/nuclear medical physicist and staff shall perform, if requested, a follow-up inspection to verify compliance of any necessary corrective action performed to correct deficiencies found. The contractor shall supply all necessary labor and specialized equipment for conducting the required tests including, but not limited to phantoms and radiation meters. Perform and document a radiation area survey in areas adjacent to rooms with x-ray imaging equipment to verify that the areas are below NCRP 147 limits. Perform x-ray room lead shielding continuity and integrity surveys annually of all x-ray rooms using a contractor-supplied cesium-137 (Cs-137) radioactive source of at least 150 mCi. The contractor is responsible for acquiring and maintaining the required radioactive materials license and filing for reciprocity if needed. The contractor is responsible for acquiring the needed radioactive source and transporting it and securing it from unauthorized access or removal while on-site. Perform on-site (at the VA West Los Angeles Medical Center) exposure rate (ion chamber or compensated GM) meter calibrations using a Cs-137 radioactive source of at least 150 mCi. Similar to Item h, the contractor is responsible for the radioactive materials license, transport and security of the radioactive source. The radioactive materials license must specifically authorize the calibration of radiation detection instruments at customer/client sites. The equipment to be tested according to SOW: Section M - Equipment Summary per Location. 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, ACR recommendations, and TJC; and shall include, but not be limited to, monitoring the following basic performance characteristics. Radiographic and Fluoroscopic Equipment Physics inspections of radiographic and fluoroscopic equipment shall comply with 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). Integrity of unit assembly. Collimation and radiation beam alignment. Fluoroscopic system spatial resolution. Automatic exposure control system performance. Fluoroscopic automatic brightness control performance (high-dose-rate, pulsed modes, field-of-view [FOV] variation). Image artifacts. Fluoroscopic phantom image quality. kVp accuracy and reproducibility. Linearity of exposure versus mA or mAs. Exposure reproducibility. Timer accuracy. Beam quality assessment (half-value layer). Fluoroscopic entrance exposure rate (or air kerma rate). Maximum output and output using a phantom representing a standard size patient for all clinically used settings. [The mode of operation [e.g., magnification mode, frame rate, and any other mode selected) must be documented for each measurement.] Fluorographic (image recording) entrance exposure rate (or air kerma rate) for cine imaging, if performed and entrance exposure (or air kerma) for spot images (if performed). Maximum output and output using a phantom representing a standard size patient for all clinically used settings. [The mode of operation (e.g., magnification mode, frame rate, etc.) must be documented for each measurement.] Image receptor entrance exposure. Equipment radiation safety functions. Patient dose monitoring system calibration. This includes, for radiographic systems, the metric of dose to the image receptor (IEC Exposure Index or proprietary index) and, for fluoroscopy systems, the displays of cumulative air kerma and, if available, DAP. Display monitor performance. Digital image receptor performance. Grids used with portable x-ray units shall be imaged for uniformity. For radiographic units, measurement of entrance skin exposure (or air kerma) for a standard size patient for common radiographic projections and comparison to published diagnostic reference levels and achievable doses (e.g., ACR practice parameter.) Note: The information on entrance exposure rates (or air kerma rates) from fluoroscopy and from fluorography, in Items (13) and (14) above, for each fluoroscope, shall be in a format suitable for providing to the physicians who operate the fluoroscope. Computed Radiography (CR) and Digital Radiography (DR) Physics inspections of CR and DR equipment shall comply with the 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). Component and Imaging Plate Physical Inspection and Inventory. Imaging Plate Dark Noise and Uniformity. Exposure Indicator Calibration. Linearity and Auto-ranging Response. Laser Beam Function. Limiting Resolution and Resolution Uniformity. Noise and Low-Contrast Resolution. Spatial Accuracy. Erasure Thoroughness. Aliasing/Grid Response. IP Throughput. Positioning and Collimation Errors. Computed Tomography (CT) Scanners The physics inspection shall conform to the 2012 ACR Computed Tomography Quality Control Manual and its most recent revisions or addendums. The performance of each CT scanner shall include, but not be limited to, the following tests (as applicable). Review of Clinical Protocols. Scout Prescription and Alignment Light Accuracy. Image Thickness Axial Mode. Table Travel Accuracy. Radiation Beam Width. Low-Contrast Performance. Spatial Resolution. CT Number Accuracy. Artifact Evaluation. CT Number Uniformity. Dosimetry (the scanner displayed CTDIvol values must be within +/- 20% of the measured CTDIvol values). Gray Level Performance of CT Acquisition Display Monitors. Measure the CTDIvol produced for the adult brain, adult abdomen, and adult chest protocols. Magnetic Resonance Imaging (MRI) The physics inspection shall conform to the 2004 ACR Magnetic Resonance Imaging Quality Control Manual. The performance of each MRI scanner shall include, but not be limited to, the following tests (as applicable). Magnetic field homogeneity. Geometric accuracy. Inter-slice RF interference. Slice position accuracy. High-contrast resolution RF coil performance. Volume coils signal-to-noise ratio Volume coils image uniformity Volume coils ghosting ratio Phased array coils' signal-to-noise ratio Surface coils signal-to-noise ratio Slice thickness accuracy Low-contrast detectability Soft copy displays Technologist s QC program Site phantom inventory Site RF coil inventory Positron Emission Tomography (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 include, but not be limited to, the following tests (as applicable). Uniformity. Spatial resolution. SUV analysis. 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 dental x-ray inspections shall be annually or every 2 years. This evaluation should include, but not be limited to, the following tests (as applicable). Collimation. Beam quality (half value layer). Timer Accuracy and Reproducibility. kVp Accuracy and Reproducibility. mA or mAs Linearity. Exposure Reproducibility. Entrance Skin Exposure Evaluation. Technique Chart Evaluation. Image uniformity (artifact evaluation). Dental CBCT Acceptance and Performance Testing Acceptance Testing. Acceptance testing and measurements of air kerma at the isocenter for each kVp station for a range of clinically used mAs settings will be performed initially when the CBCT unit is installed, and following any move of the CBCT to another area inside or outside the initial clinical site. This testing is to ensure that the equipment performance is in agreement with the manufacturer s technical specifications. Performance Testing. Each CBCT unit shall undergo periodic quality control tests to ensure that the performance of the machine has not significantly deteriorated and is operating within the manufacturer s technical specifications. This performance testing is performed by a qualified expert annually, at intervals not to exceed 14 months, and after repairs to the CBCT unit that may affect the radiation output or image quality. Some manufacturers provide a phantom and procedures to perform machine specific quality assurance (QA) tests. In cases where the manufacturer provides a phantom and procedures to perform specific tests, but the tests are not included in this SOW, then the manufacturer s machine-specific QA tests shall be performed in addition to the QA tests in this SOW. Acceptance and Annual physics testing for Dental CBCT Radiation output Repeatability Make four measurements of the air kerma at the isocenter at a clinically used setting. The measurements should be less than +/-5% of the average of the five measurements and the measurements should be less than +/- 5% of the previous year s measurement. Radiation Output Reproducibility Measure the air kerma at the isocenter for each kVp station and a range of clinically used mAs setting. Compare the results to the baseline values established at the initial acceptance testing. The values should be +/-5% of the baseline. kVp Accuracy Measure the kVp at all clinically used settings. The measured kVp should be +/-5% of the selected kVp. kVp Repeatability Make five kVp measurements each for two clinically used kVp settings. All measured values should be +/-5% of the mean kVp. kVp Reproducibility Measure the kVp at all available kVp settings. The measured values should be +/-5% of the baseline. Beam quality Measure the half value layer (HVL) for aluminum. The minimum shall comply with Section F.4.d of the Suggested State Regulations for Control of Radiation, Conference of Radiation Control Program Directors. Radiation field of view (FOV) Measure the width of the radiation field at the isocenter. The width of the beam should be 3 mm or 30% of the total nominal collimated width. Image Quality Image the phantom provided by the manufacturer or another suitable phantom. Assess high contrast spatial resolution, uniformity of transaxially images, and image noise. Imaging uniformity shall be assessed over the entire range of axial images. Accuracy of Linear Measurements Using images of an appropriate phantom, assess the accuracy of distance measurements. Accuracy of Patient Dose Metric Indication Assess the accuracy of the indicated dose metric (typically DAP). Patient Dose Assessment From a scan or scans using the facility s standard techniques, record the dose metric (typically DAP) and compare to achievable levels and diagnostic reference levels (if available). Review of the technical QA program The qualified expert shall review the technical QA program. The review shall include a trend analysis of the QA data. The results of the technical QA program review shall be included in the written report. Any trends that identify problems shall be included in the report along with recommended corrective actions. Display Monitors Perform a visual analysis of the SMPTE test pattern. Display the test pattern on the imaging console. Set the display window width/level to the manufacturer-specified values for the pattern. Do not set the window/level by eye; doing so invalidates the procedure. Examine the pattern to confirm that the gray level display in the imaging console is subjectively correct. Review the line pair patterns in the center and at each of the corners. Review the black-white transition. Look for any evidence of scalloping (loss of bit depth) or geometric distortion. Use a photometer to measure the maximum and minimum monitor brightness (0% and 100% steps) Measure additional steps within the pattern to establish a response curve. Measure the brightness near the center of the monitor and near all 4 corners (or all 4 sides, depending on the test pattern used). Viewing Conditions Assess the viewing conditions for the area in which the monitor used to evaluation the CBCT studies is located. Mammography The qualified diagnostic medical physicist and/or staff inspecting mammography equipment must meet the qualifications outlined in the MQSA and shall provide the facility with up-to-date documentation demonstrating the qualified diagnostic medical physicist and/or staff is MQSA qualified. Inspections of mammography equipment must comply with the latest requirements posted on the ACR Web site for the manufacturer of the digital mammography unit being inspected. Inspection items may include: Mammographic Unit Assembly Evaluation. Collimation assessment. Artifact evaluation. kVp accuracy and reproducibility. Beam quality assessment HVL measurements. Evaluation of system resolution. Automatic Exposure Control (AEC) function performance . Breast entrance exposure, AEC reproducibility, and average glandular dose. Radiation output rate. Phantom image quality evaluation. Signal to noise ratio and contrast to noise ratio measurements. View box luminance and room illuminance. Review Work Station (RWS) tests. Nuclear Medicine The physics inspection shall conform to the ACR annual performance tests for nuclear medicine cameras. The performance of each nuclear medicine scanner shall be at least annually. This evaluation should include, but not be limited to, the following tests (as applicable). Intrinsic Uniformity System Uniformity Intrinsic or System Spatial Resolution Relative Sensitivity Energy Resolution Count Rate Parameters Formatter/Video Display Overall System Performance for SPECT System Interlocks Ultrasound The physics inspection shall conform to the ACR performance tests for ultrasound as described in the most current revision of ACR TECHNICAL STANDARD FOR DIAGNOSTIC MEDICAL PHYSICS PERFORMANCE MONITORING OF REAL TIME ULTRASOUND EQUIPMENT. On an ongoing basis (at least annually), 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). Qualitative evaluations of Doppler functionality shall also be conducted. 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. 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? 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? Gray Scale Photography (if applicable) Do either (a), (b), or (c). 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. 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. 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. 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. 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) Geometric distortions Reflection Luminance response Luminance dependencies Resolution Noise Veiling glare Chromaticity Annual testing (Table 8c from AAPM On-line Report No. 03) Geometric distortions Reflection Luminance response Luminance dependencies Resolution Noise Veiling glare Chromaticity Radiation Oncology Equipment The annual physics inspections for the following equipment (diagnostic portion) shall conform to the appropriate TJC, ACR, and AAPM recommendations: Novalis TX Diagnostic portion of the system - Exact Tract X-ray units (2) and CBCT/Kv Imager; TrueBeam Diagnostic portion of the system - CBCT/Kv Imager. Radiation Protection Garments The vendor will both visually and through fluoroscopically guided imagery evaluate the condition of approximately 550 pieces of radiation protection garments. A report documenting the condition of each piece shall be generated within 60 calendar days. Any pieces that do not pass the acceptance criteria shall be immediately removed from service by the vendor and set aside for disposition by GLA. Equipment Summary The current inventory of machines to be tested is summarized in this section. The numbers may slightly increase or decrease during the performance period. West Los Angeles (WLA) Medical Center, 11301 Wilshire Blvd, Los Angeles, CA 90073 Type of Equipment Quantity Dental Unit (fixed and panoramic) 11 Dental Unit (hand-held & portable) 2 Radiation Oncology Equipment          Exact Tract X-ray Unit (2 tubes) 2          CBCT/Kv Imager 1          OBI 1 IR/EP/Cath Lab 5 Radiation Protection Garments 500 Gamma Cameras 2 SPECT/CT (include diagnostic CT) 1 Physician Viewing Monitors 32 Mammography 1 Ultrasound 18 C-arms 11 Portable Radiographic 9 Fixed Rad/Fluoro 8 Computed Tomography (CT) 3 PET/CT 2 MRI 2 Ion chamber/compensated GMs 10 Sepulveda Ambulatory Care Center (SACC), 16111 Plummer Ave, North Hills, CA 91343 Type of Equipment Quantity Dental Unit (fixed and panoramic): 4 Dental Unit (hand-held & portable) 4 Radiation Protection Garments 25 Physician Viewing Monitors: 2 Mammography 1 Radiographic/Fluoroscopy 5 MRI 1 Computed Tomography (CT) 1 Los Angeles Ambulatory Care Center (LAACC), 351 E Temple St, Los Angeles, CA 90012 Type of Equipment Quantity Dental Unit (fixed and panoramic): 9 Radiation Protection Garments 20 Radiographic/Fluoroscopy 3 Bakersfield CBOC, 1801 Westwind Dr., Bakersfield, CA 93301 Type of Equipment Quantity Dental Unit (fixed and panoramic): 3 Radiation Protection Garments 2 Santa Maria CBOC, 1550 East Main St., Santa Maria CA 93454 Type of Equipment Quantity Dental Unit (fixed and panoramic): 6 Radiation Protection Garments 3 Ventura CBOC, 5250 Ralston St., Ventura CA 93003 Type of Equipment Quantity Dental Unit (fixed and panoramic): 5 Radiation Protection Garments 3 In addition to the equipment, 75 hours of consulting support services are to be provided within the fields of diagnostic medical physics and medical health physics as determined by the GLA RSO. Contract Administration Communication Points: Day to day communication between both contract parties occurs between the VA Contracting Officer s Representative (Mark Sitek, 310-268-3993 or mark.sitek@va.gov) and the contractor's primary or alternate designated contacts. Problems unresolved at this level will be referred to the VA contracting officer and the contractor's designated corporate officer. Security Requirements The contractor will have access to systems and equipment that contain VA SPI. As a result, the following requirements must be followed: (1) Information made available to the contractor or subcontractor by VA for the performance or administration of this contract or information developed by the contractor in performance or administration of the contract shall be used only for those purposes and shall not be used in any other way without the prior written agreement of the VA. (2) Upon discovery of any known or suspected security/privacy incidents, or any unauthorized disclosure of sensitive information, including that contained in systems to which the contractor/subcontractor has access, the contractor/subcontractor shall immedi...