Mobile Mammography

This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) Subpart 12.6, as supplemented with additional information included in this notice. This procurement is being conducted under Simplified Acquisition procedures pursuant to the authority of FAR Subpart 13.5, Test Program for Certain Commercial Items (10 U.S.C. 2304(g) and 2305 and 41 U.S.C. 253(g) and 253a and 253b), FAR Part 12, Acquisition of Commercial Items (Title VIII of the Federal Acquisition Streamlining Act of 1994 (Public Law 103-355)), and FAR Subpart 37.4, Nonpersonal Health Care Services (10 U.S.C. 2304 and 41 U.S.C. 253). This announcement constitutes the only solicitation; therefore, a written solicitation will not be issued. The Billings Area Indian Health Service (IHS) intends to award a fixed-price commercial item contract in response to Request for Quotation RFQ-10-16-015-JH. The solicitation is issued on an unrestricted basis. The solicitation documents and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-86. The associated North American Industry Classification System code is 621512 and the small business size standard is $15.0 million. PRICE SCHEDULE - MOBILE DIGITAL MAMMOGRAPHY SERVICES: PRICE SCHEDULE - 7 months: A. 0-10 Exams per Month, 2 clinics per Month @ $_____________ per clinic = $__________________; B. 10-20 Exams per Month, 2 clinics per Month @$_____________ per clinic $__________________; C. 20-30 Exams per Month, 2 clinics per Month @$_____________ per clinic __________________; D. 30-40 Exams per Month, 2 clinics per Month @$_____________ per clinic = $__________________; E. 40-50 Exams per Month, 2 clinics per Month @$_____________ per clinic = $__________________; Grand total A.$_____________ @ 7 months = $__________________; B.$_____________ @ 7 months = $__________________; C.$_____________ @ 7 months = $__________________; D.$_____________ @ 7 months = $__________________; E.$_____________ @ 7 months = $__________________; PERIOD OF PERFORMANCE: March 14, 2016, through September 30, 2016. BACKGROUND: The purpose of this acquisition is to contract for Mobile Mammography Services for the Northern Cheyenne Service Unit, PHS Indian Health Center at Lame Deer, Montana hereinafter referred to as NCSU. Mobile Mammography is needed as a routine screening exam for breast cancer. WORK SCHEDULE: The Contractor shall coordinate the dates with the NCSU - Radiology Department. The onsite services shall be available for a minimum of two days per month to a maximum of four days per month. Onsite visits will be alternating days of the week and will be determined by the Contracting Officer's Representative (COR) and mammography scheduler. Inclimate weather or days in which the contractor is unable to provide services must be rescheduled to assure that the minimum numbers of days are covered each month. STATEMENT OF WORK: This procurement is a nonpersonal health care service contract, as defined in FAR 37.101, under which the Contractor is an independent contractor. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical and professional aspects of services rendered (e.g., professional judgments, diagnosis for specific medical treatment). The Contractor shall indemnify the Government for any liability producing acts or omissions by the Contractor, its employees and agents occurring during contract performance. The Contractor shall maintain medical liability insurance, which is not less than the amount normally prevailing within the local community for the medical specialty concerned. The Contractor is required to ensure that its subcontracts for provisions of health care services contain the requirements of the clause at 52.237-7, including the maintenance of medical liability insurance. MAJOR DUTIES: The Contractor shall provide screening mobile mammography services for the Northern Cheyenne Service Unit patients referred by their primary provider for this medical procedure. The Contractor shall provide the digital mammography services with accredited Radiology personnel and that are currently licensed to perform diagnostic radiologic exams. The services shall include digital exams for mammogram screening. All patient exams will be entered into the electronic health record (EHR) and RPMS system of the Indian Health Service. The Contractor shall furnish and supply the mobile unit with all equipment, tools, incidentals and technician to assure patient care is delivered timely, safely and according to all JCAHO, FDA and CMS guidelines. The Contractor will provide and be responsible for all required QA/QC licenses, certificates and/or any reporting requirements. The Contractor shall obtain and maintain accreditation and meet certification standards as required under the Mammography Quality Standards Act. The Contractor must be fully credentialed to perform examinations and interpretations per hospital policies and by-laws. All Medicaid, Medicare and third party billing shall be completed by the NCSU. The NCSU will provide a level parking pad for the mobile unit with electrical connection and computer connectivity capabilities. Water or sewer connections are not included and will not be available to the Contractor. The Contractor shall assume all liability for any power interruptions, electrical brownouts or fluctuations that may occur while connected to the power supply source provided by NCSU. All maintenance and proper functioning of the Contractor's mobile unit and equipment shall be exclusively that of the Contractor. The Contractor shall assure that a full clinic day of 8 hours is provided for each visit. Cancellation of site visits due to inclimate weather will be rescheduled accordingly. Snow removal and access to the parking pad will be provided by the NCSU. All patient screening exams and diagnostic services including imaging techniques, positioning and quality of exams transmitted for interpretations is the responsibility of the Contractor. The NCSU will be available to assist with coordinating patient scheduling and pathfinding to the mobile unit. All procedures will be conducted inside an enclosed environment but may require the Contractor to pass outside to the radiology department for patient access and direction. KNOWLEDGE REQUIRED BY THE TECHNICIAN: A licensed radiographic technician will be required to perform all digital examinations and must possess the knowledge and skill required to complete mammograms, dexa scans and ultrasound exams. GUIDELINES: The Contractor shall follow all available guidelines within DHHS, PHS, IHS, Billings Area, and NCSU's Medical Staff regulations, policies, procedures, and by-laws. The Contractor's employees, technicians, and any medical practitioner providing services will need to abide by and comply with all JCAHO, CMS, FDA and HIPAA regulations. All hospital safety procedures and infection control policies are to be adhered to by the Contractor. The Contractor will submit an invoice for services rendered to the radiology department for approval with verification by the Contracting Officer's Representative (COR). COMPLEXITY: Mammography involves performance of routine to highly complex procedures, operating highly sophisticated equipment to conduct examinations and studies. The NCSU may evaluate the quality of professional and administrative services performed by the contractor but retains no control over the medical professional judgment of the contractor or its designee. SCOPE AND EFFECT: The purpose of the contract is to provide professional mammography screening and examination services improve the quality and timeliness of interpretations for diagnoses and treatment of patients presenting at NCSU for routine health care. The services affect a broad range of patients and impacts the attending physician/providers ability to provide direct patient care. PERSONAL CONTACTS: Contacts include patients, family members, hospital employees, other contractors, and professional staff at outside facilities. Communication with patients on specific procedures given, results expected and medical attention provided. May need to discuss patient care with other providers and family members as well. CONTRACTOR FURNISHED PROPERTY: The Contractor shall furnish a portable digital mammography unit. COMPUTER SECURITY: Pursuant to the Federal Information Security Management Act of 2002 (FISMA), the contractor will be required to complete a course in Computer Security Awareness Training (CSAT). This training must be completed annually by all employees including contractors, volunteers, students, and summer externs. The Contractor will be required to comply with the Federal Information Processing Standards Publication (FIPS PUB) Number 201, "Personal Identity Verification of Federal Employees and Contractors," and the associated Office of Management and Budget (OMB) implementation guidance for personal identity verification for all affected contractor and subcontractor personnel. Access/clearance to all pertinent computer systems, including completing a Business Partner Interconnection Security Agreement (BPISA), should be coordinated with the Site Manager. CONTRACTING OFFICER AUTHORITY: Authority to negotiate changes in the terms, conditions or amounts cited in this contract is reserved for the Contracting Officer. CONTRACTING OFFICER'S REPRESENTATIVE (COR): The COR shall be responsible for: (1) Monitoring the Contractor's technical progress, including surveillance and assessment of performance and recommending technical changes; (2) Interpreting the Statement of Work; (3) Technical evaluation as required; (4) Technical inspections and acceptance; and (5) Assisting the Contractor in the resolution of technical problems encountered during performance of this contract. INVOICE SUBMISSION: The Contractor shall submit its invoice to the Contracting Officer's Representative (COR) at the Northern Cheyenne Service Unit, PHS Indian Hospital, Lame Deer, Montana. The Contractor agrees to include the following information on each invoice: (1) Contractor's name, address and telephone number; (2) Contract Number; (3) Invoice number and date; (4) Cost or price; (5) Dates of Service; and (6) Remit to address. -- Patients will not be billed separately for diagnostic readings of the mammogram results. PRO-CHILDREN ACT OF 1994: The Contractor certifies that it will comply with the provisions of Public Law 103-227, Pro-Children Act of 1994, which imposes restrictions on smoking where federally funded children's services are provided. CHILD CARE NATIONAL AGENCY CHECK AND INVESTIGATION (CNACI). A CNACI must be completed for all Indian Health Service (IHS) contractor personnel within the Billings Area. Public Law (P.L.) 101-630, Indian Child Protection and Family Violence Prevention Act and P.L. 101-647, Crime Control Act of 1990, require the IHS to conduct a character and criminal history background investigation on all contractors performing services in IHS facilities. The character and background investigations will be conducted by the Northern Cheyenne Service Unit. SPECIAL CONTRACT REQUIREMENTS: Contractors cannot serve as expert witnesses in any suit against the Federal Government. Many of the IHS patients receiving services may only speak a native language and/or reside on a Native American Reservation, therefore, the Contractor must demonstrate sensitivity to cross-cultural and language differences. PROVISIONS AND CLAUSES: The following provisions and clauses apply to this acquisition. The FAR provision 52.212-1 Instructions to Offerors Commercial Items; and 52.212-3 Offeror Representations and Certifications Commercial Items are incorporated by reference. The provision at 52.212-2 applies to this acquisition and is provided in full text. FAR 52.212-2 EVALUATION -COMMERCIAL ITEMS (JAN 1999): (a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers: (1) Radiographic Technician Licenses - 35 POINTS; (2) FDA Certification - 30 POINTS; and (3) Experience in providing digital mobile mammography services. - 35 POINTS. The offeror must demonstrate its record of successful performance in past contracts and/or jobs, Government and/or commercial. Each offeror will be evaluated on its performance under existing and prior contracts/jobs. The offeror must list at least three contracts/jobs and include the following information. (1) Name of Government agency/Company; (2) Contract number, if applicable; (3) Dates of Service/Employment; (4) Total contract value/Hourly wage; (5) Description of contract work/Job duties; (6) Contracting Officer/Company Manager and telephone number; (7) Program Manager and telephone number, if applicable; and (8) Administrative Contracting Officer and telephone number, if applicable. Technical and past performance, when combined, are considered equal to cost or price. (b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s). (c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award. The following FAR and Health and Human Services Acquisition Regulation (HHSAR) clauses are applicable: 52.204-4, 52.204-7, 52.204-9, 52.204-13, 52.212-4, 52.212-5, 52.215-5, 52.217-8, 52.217-9, 52.223-5, 52.223-6, 52.224-1, 52.224-2, 52.225-25, 52.227-14, 52.227-17, 52.228-5, 52.229-3, 52.232-18, 52.237-2, 52.237-3, 52.237-7, 52.242-15, 52.242-17, 352.201-70, 352.202-1, 352.203-70, 352.215-1, 352.215-70, 352.222-70, 352.223-70, 352.224-70, 352.227-70, 352.231-71, 352.237-70, 352.237-71, 352.237-72, 352.239-72, 352.239-73, 352.242-71, 352.242-72, 352.242-73, 352.270-2 and 352.270-3. The following FAR clauses cited in 52.212-5 are applicable to the acquisition: 52.203-6 with Alternate I, 52.204-10, 52.209-6, 52.209-10, 52.219-8, 52.219-28, 52.222-3, 52.222-21, 52.222-26, 52.222-35, 52.222-36, 52.222-37, 52.222-40, 52.222-54, 52.223-18, 52.225-13 and 52.232-33. Upon request, the Contracting Officer will provide full text copies of the FAR and HHSAR provisions and clauses. The provisions and clauses may also be accessed electronically at https://www.acquisition.gov/ PROPOSAL SUBMISSION INSTRUCTIONS: The Contractor shall provide evidence of, or submit a written response to, the technical evaluation factors in FAR 52.212-2. In addition, the Contractor shall submit a completed copy of FAR 52.212-3 with its offer. Contractors intending to conduct business with the Federal Government must register with the System for Award Management (SAM). SAM replaces the Department of Defense's Central Contractor Registration (CCR) database. SAM is now the primary Government repository, which retains information on Government contractors. You may register via the Internet at www.sam.gov. All responsible offerors may submit a proposal, which shall be considered by the Agency. Offers shall be submitted to the Billings Area Indian Health Service, 2900 Fourth Avenue North, Room 304, Billings, Montana 59101, no later than 1:00 p.m., on March 09, 2016. The offer must be submitted in a sealed envelope, addressed to this office, showing the time specified for receipt, the solicitation number, and your company's name and address. Offers will also be accepted by e-mail at James.Hunter@ihs.gov or by fax at (406) 247-7108. ACCEPTANCE PERIOD: Your proposal must stipulate that it is predicated upon all the terms and conditions of this RFQ. In addition, it must contain a statement to the effect that it is firm for a period of at least 90 days from the date of receipt by the Government.