Q-- Blood Products & Apheresis Services 3 Months

SECTION B - CONTINUATION OF SF 1449 BLOCKS B.1 Contract Administration Data (continuation from Standard Form 1449, block 18A.) 1. Contract Administration: All contract administration matters will be handled by the following individuals: a. CONTRACTOR: b. GOVERNMENT: Contracting Officer 00248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8) 8875 Hidden River Pkwy Suite 525 Tampa FL 33637 2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with: [X] 52.232-34, Payment by Electronic Funds Transfer - Other than Central Contractor Registration, or [] 52.232-36, Payment by Third Party 3. INVOICES: Invoices shall be submitted in arrears: a. Quarterly [] b. Semi-Annually [] c. Other Monthly [] ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows: AMENDMENT NO DATE B.2 Performance Work Statement Blood Products and Apheresis Service The James A. Haley Veterans' Hospital, Tampa, Florida (hereinafter "VA" or "Government"), has an ongoing requirement for the delivery of whole blood and blood products provided by a registered and/or licensed blood bank entity accredited by The American Association of Blood Banks (AABB), The College of American Pathologists (CAP), or the Joint Commission. The Contractor shall provide products and services in accordance with the terms and conditions of this contract as stated in the Supplies/Services listing below. SUPPLIES/SERVICES Blood Products and Apheresis Services shall be furnished to the James A. Haley Veterans Hospital, 13000 Bruce B. Downs Blvd., Tampa, FL in accordance with the specifications of this contract. Item No Description Estimated Qty Unit Unit Price Total Price 1 ABO & RH 12 Ea 2 Antibody Identification 1 Ea 3 Antibody Titration/Capitated 3 Ea 4 Antigen Test 250 Ea 5 Antiglobulin-Direct 30 Ea 6 Antiglobulin-Indirect 6 Ea 7 Apheresis Kit 1 Ea 8 Auto/Direct Handling Wastage 2 Ea 9 Autologous Red Blood Cells 5 Ea 10 Autologous Leuko reduced Red Blood Cells 12 Ea 11 Autologous Service Charge 17 Ea 12 Autologous Whole Blood 1 Ea 13 Autologous Whole Blood Wastage 1 Ea 14 Cell Elution ID 5 Ea 15 CMV Testing (CPT86644) 110 Ea 16 Component Pooling Platelets 15 Ea 17 Cryo Poor Plasma 8 Ea 18 Cryoprecipitate Processing 60 Ea 19 Cryoprecipitate Wastage 5 Ea 20 Directed Service 1 Ea 21 Fresh Frozen Plasma 375 Ea 22 Fresh Frozen Plasma Wastage 7 Ea 23 Freeze/Deglyc Procedure 1 Ea 24 Volume Reduced Component Prep Fee 1 Ea 25 Irradiation-Single Run 400 Ea 26 Hemoglobin S Testing 2 Ea 27 Leukocyte Reduced RBC 1500 Ea 28 Leukocyte Reduced Red Blood Cell Wastage 6 Ea 29 Leukoreduced Platelet Pheresis Bact Wastage 2 Ea 30 Leukoreduced Platelet Pheresis Bacti QC 200 Ea 31 Leukoreduced Platelet Pheresis-Divided Wastage 2 Ea 32 Pheresis Charge-After Hours 2 Ea 33 Pheresis Transportation 1 Ea 34 Platelet Antibody Screen ONLY 1 Ea 35 Platelet Crossmatch 8 Ea 36 Platelet Crossmatch PM 1 Ea 37 Platelet Pheresis Divided LR/BACTI QC 1 Ea 38 Prosoba Column 1 Ea 39 Pheresis per hour charge over 3 hours 1 Ea 40 Photopheresis Procedure 1 Ea 41 Photopheresis Supplies 1 Ea 42 Rare Donor Search Thru ARDP 1 Ea 43 RBC Genotype 1 Ea 44 STAT Charge for Pheresis 2 hr 1 Ea 45 STAT Charge for Pheresis 4 hr 1 Ea 46 STAT Reference Workup 1 Ea 47 Ther Pher Cancel 1 Ea 48 Rare Unit Fee 1 Ea 49 Therapeutic Pheresis Fee Delay 2 Ea 50 Therapeutic Pheresis Red Cell Exchange 1 Ea 51 Therapeutic Pheresis-Plasma Exchange 12 Ea 52 Thereapeutic Pheresis-LDL 8 Ea 53 Whole Blood Derived Platelets 1 Ea 54 Cell Washing Procedure 1 Ea 55 Fetal Blood Screening 1 Ea 56 Reference Lab Workup, Extended 1 Ea 57 Reference Lab, Additional fee for After Hours 1 Ea BASE YEAR TOTAL PRICE SECTION I - WHOLE BLOOD AND BLOOD COMPONENTS Whole blood and blood components, in suitable containers are to be delivered F.O.B. destination within consignee's premises, to the James A. Haley Veterans' Hospital, for the period of the contract award, in such quantities and at such times as may be required in accordance with all terms, conditions, provisions and the Schedule of this offer. A. COLLECTION, PROCESS AND TYPING OF BLOOD. Blood shall be typed for ABO and Rh antigens and screened for red cell antibodies in accordance with methods recommended in the current edition of Standards for Blood Banks and Transfusion Services and the Technical Manual of the American Association of Blood Banks (AABB). A sample of blood from each donation shall be tested for Anti-HIV-1/2, Anti-HCV, HbsAg, Anti-HTLV-I/II, Anti-HBc, Syphilis, and HIV-1/HCV RNA. Any blood or blood components testing positive for the above tests shall not be used for transfusion. All units shall be tested for West Nile Virus but there is no labeling claim as test is performed under an Investigational New Drug (IND) status. 1. All blood is to be collected in a closed system under aseptic conditions and shall be processed in appropriate solutions and the container so labeled. The label shall also bear the expiration date of the contents which shall not exceed 21 days from date of collection if collected in CPD, 35 days from date of collection if collected in CPDA-1, or 42 days if AS-1 is used as an additive. 2. All blood supplied shall be grossly free of hemolysis, excessive chyle and clots. All unsatisfactory units (broken FFP, clots in red cells, etc.) shall be returned and full credit given to VA. B. PACKAGING AND MARKING 1. Blood shall be labeled as to A, B, O and Rh type. Type A Rh negative, A Rh positive, O Rh negative, and O Rh positive must have been drawn from donor not more than five (5) days before date on which purchase order is filled. Types such as AB Rh positive, AB Rh negative, B Rh negative and B Rh positive shall be supplied as fresh as possible but not over fifteen (15) days old if blood is collected in CPDA-1. These time limits may be adjusted if a system for exchange on credit is provided which minimizes or precludes losses due to outdating. 2. When platelets shall be separated from donor blood, the blood may be at room temperature up to eight (8) hours. If platelets are not separated, the blood shall be refrigerated immediately after bleeding between 1o and 6o C with fluctuation of no more than 2o C within this range. Freezing must be avoided at all times. If public transportation of the blood is necessary, it shall be transported in clean shipping containers provided with refrigeration sufficient to hold the blood at 1-10o C if it has been precooled. If the blood has not been cooled, the shipping containers shall provide sufficient refrigeration to bring the temperature toward 1-10o C, preferably, 1-6o while in transit. 3. Control of blood inventory management shall be handled by the compatibility testing contractor. C. SPECIALIZED SERVICES The contractor agrees to provide specialized services such as reference lab testing, confirmatory testing, inventory control, irradiation of blood components, testing of all platelet components for bacterial contamination, HLA matched blood components, platelet crossmatching, donor-patient testing and other testing and services, as needed. These services are provided for special patients in need and arrangements shall be made on a case by case basis. D. DELIVERIES OR PERFORMANCE 1. The blood shall be delivered as specified within twenty-four (24) hours following request. Emergency requirements are to be available twenty-four (24) hours a day and seven (7) days a week, for pickup within 30-60 minutes from the time requested or to be delivered at the expense of VA. Empty containers, blood, and equipment being returned for credit shall be returned at contractor's expense. 2. All blood picked up at the Veterans Hospital under this contract shall be properly packed and insulated in such a way as to insure that the blood shall remain within a temperature of 1-10o C, during transport between contractor's place of business and the James A. Haley Veterans Hospital. 3. Compatibility control of blood inventory management shall be handled by the compatibility testing contractor. E. LISCENSE: The contractor shall possess an unrevoked U.S. License which is issued by the Director, Bureau of Biologics, Food and Drug Administration (FDA) under Section 351 of the Public Health Service Act, as amended, 42 USC Section 262 (http://www.law.cornell.edu/uscode/text/42/262), as a source of supply for whole blood. Prior to award the contractor shall submit proof of this license to the contracting officer. F. INTERSTATE SHIPMENT:. If interstate shipment of blood or blood component is involved, the contractor must submit prior to award a statement that such approval has been authorized under Section 251 of the Public Health Service Act, as amended 42 USC Section 262. G. CERTIFICATION: By signing this contract, the contractor certifies that he/she is in compliance and will remain in compliance with the requirements outlined with respect to donors, containers, and delivery of blood products for the duration of the contract. H. BLOOD DONATION: The contractor shall provide the VA only with 100% "volunteer donor" blood in accordance with FDA rules and regulations effective May 15, 1978 or later revision. Definition of a "volunteer donor" - A volunteer donor is a person who does not receive monetary payment for blood donation. Benefits, such as monetary time off from work, membership in blood assurance programs and cancellations on non-replacement fees that are not readily convertible to cash, do not constitute monetary payment. I. DONOR LIST: 1. The contractor must maintain readily available blood donor lists including names, addresses and social security numbers. Such lists shall indicate whether and on what date blood of a particular donor was furnished to the VA under this contract period. 2. Donor selection must be in accordance with criteria established by the FDA and/or the AABB. J. ORDERING: Control of blood inventory management shall be handled by the compatibility testing contractor. Additional emergency requirements may be placed and the shipper shall arrange for delivery in one hour or less (including orders during evenings and nights). If outside delivery (taxi) is used, VA will provide payment for the transportation in the instances of emergency requirements shipped other than scheduled ship dates. K. INSPECTION OF CONTRACTOR'S FACILITIES: The government reserves the right to thoroughly inspect and investigate the establishment and facilities and other qualifications of any contractor or to reject any proposal regardless of price. SECTION II - THERAPEUTICS APHERISIS SERVICES The contractor agrees to provide in-house and outpatient therapeutic apheresis as needed when such physician's order is received. The contractor warrants that all therapeutic apheresis services shall be provided by qualified and experienced personnel who shall be Registered Nurses or Licensed Practical Nurses. For purposes of this Agreement, all such personnel shall hereinafter be referred to as "Apheresis Nurses". The contractor shall provide for all equipment and disposables necessary to accomplish therapeutic apheresis procedures once vascular access has been established by VA personnel. If blood components or albumin are required, they will be provided by the VA. Portable equipment allows the Apheresis Nurses to perform therapeutic procedures at the patient's bedside. Documentation of the therapeutic procedure is provided by the contractor. Documentation is scanned into the patient's chart by VA staff. The VA medical staff will provide consultation services as part of the procedure. The VA medical staff will formulate a therapeutic plan including volumes to be exchanged or treated, replacement solutions, frequency and number of procedures, lab tests to monitor response, and care for any adverse event directly related to the therapeutic apheresis procedure. The VA will maintain and retain responsibility for any patient undergoing therapeutic apheresis. SECTION III - OTHER: 1. THE JOINT COMMISSION, VHA (VETERANS HEALTH ADMINISTRATION) AND OTHER STANDARDS: a. The contractor must perform the required work in accordance with The Joint Commission, OSHA, VHA HIPAA and/or any other regulatory standards. The contractor must comply with all annual updates as issued. b. The contractor shall comply with the policies of VA in accordance with Hospital Policy Memorandum No. 113-2 attached and any subsequent revisions thereof. c. Contractor agrees to maintain the minimum acceptable service, reporting systems and quality control as specified herein. Failure to comply with the specified terms and conditions and/or adverse reports from external monitoring agencies, which indicate poor quality of care as addressed in paragraph a and b above and any other noncompliance issues, are grounds for termination of the contract. Immediate (within 24 hours) notification shall be given to VA regarding adverse reports and action by a regulatory agency. d. The requirements of the contract may be changed by written modification to this contract. All modifications will be approved and prepared by the VA Contracting Officer. e. The contractor shall furnish the supplies specified in this contract to VA when authorized by the COR in accordance with attached Contract Monitoring Procedures. 2. TERM OF CONTRACT: a. This contract is for three months. b. The contractor is required to begin providing supplies and services in accordance with the schedule, effective on the date of contract award. 3. QUALIFICATIONS: a. The contractor shall have a blood bank is currently registered and/or licensed with the Food and Drug Administration (FDA), Department of Health, Education and Welfare pursuant to Section 510 of the Federal Food, Drug and Cosmetic Act, 21 USC Section 301. The government will only enter a legally binding contract with contractors who are regularly established in the business called for and who, in the judgment of the Contracting Officer, are financially responsible and able to show evidence of their responsibility, ability, experience, equipment, facilities, and personnel directly employed or supervised by them to render prompt and satisfactory supplies in the volume required for all items under this contract. By the signing of this offer, the contractor is certifying that he/she shall meet all requirements of Federal, State, or local laws, codes, and/or regulations regarding the operation of this type of business. b. The VA will inspect the establishment, facilities, business reputation, and other qualifications of any contractor and reserves the right to reject any offer, irrespective of price, that shall be administratively determined by the Contracting Officer to be lacking in any of the essentials judged necessary to assure acceptable standards of performance. c. Any sub-contractor utilized by the contractor for the provision of supplies required under this contract must meet the same qualifications specified herein for the contractor. The contractor must obtain approval from the Contracting Officer for any sub-contractor to be utilized for the provision of supplies required under this contract. d. Thirty (30) days prior to contract expiration date, the contractor shall certify in writing to the Contracting Officer that all licenses and registrations of personnel employed under this contract are valid and current and shall be renewed as necessary during any option period. 4. PERSONNEL POLICY: The Contractor shall assume full responsibility for the protection of its personnel furnishing services under this contract, in accordance with the personnel policy of the Contractor, such as providing worker's compensation, professional liability insurance, health examinations, income tax withholding, and social security payments. The parties agree that the contractor, its employees, agents, and subcontractors shall not be considered VA employees for any purpose. 5. CONTRACT MONITORING PROCEDURES: Any incidents of contractor noncompliance as evidenced by these monitoring procedures shall be forwarded immediately to the Contracting Officer. 6. CONFIDENTIALITY: a. The VA will provide the contractor with access to pertinent patient medical information, within the existing privacy rules and regulations. Contractor shall ensure the confidentiality of all patient information and shall be held liable in the event of the breach of confidentiality. b. The contract is subject to the Privacy Act of 1974. See 'Addendum to 52.212-4 - Contract Terms and Conditions - Commercial Items' for the full test of Privacy Act clauses. The Contractor is not authorized to release any VA medical record information. The VA is the sole entity authorized to release this information upon written request from the patient. 7. PAYMENTS AND INVOICING: a. All invoices will be paid monthly in arrears upon receipt of invoice. Each invoice must indicate the month in which the items were delivered and the appropriate obligation number. b. Invoices shall be matched against VA bill validation report to verify supplies were delivered in accordance with the contract. c. The VA will review the invoice against its record. VA will notify the contractor of invoice discrepancies. Upon the resolution of the discrepancies, contractor shall submit a revised invoice; the VA will verify revised invoice and make payment accordingly. 8. PERFORMANCE STANDARDS Performance standards define desired services. The Government performs surveillance to determine if the contractor exceeds, meets or does not meet these standards. The Performance Requirements Summary Matrix, paragraph in the Performance Work Statement (PWS), includes performance standards. The Government will use these standards to determine contractor performance and will compare contractor performance to the Acceptable Quality Level (AQL). Task ID Indicator Standard Acceptable Quality Level Method of Surveillance Incentive Quality of Services 1 Temperature Monitoring of Blood Products Proper temperature of blood products during shipping and storage will be monitored and documented. 100% Review of temperature records and graphs Exercise of Option Period and favorable past performance rating 2 Attendance at the monthly Transfusion Committee meeting A technical and medical representative are required to attend the monthly meeting. One representative or both are required to attend 75% of the meetings. Transfusion Committee meeting minutes. Exercise of Option Period and favorable past performance rating 3 Accuracy of Billing Invoices must accurately reflect goods and services provided by the contractor. 100% accuracy Billing discrepancies must be corrected within 90 days Transaction Activity Reports compared to invoices.. Exercise of Option Period and favorable past performance rating 9. INCENTIVES The Government will document/report contractor performance and potentially exercise option periods as an incentive. Incentives will be based on meeting , exceeding or not meeting performance standards. 10. METHODS OF QA SURVEILLANCE Various methods exist to monitor performance. The COR will use the surveillance methods listed below in the administration of this QASP. a. DIRECT OBSERVATION. (Can be performed periodically or through 100% surveillance.) b. PERIODIC INSPECTION. (Evaluates outcomes on a periodic basis. Inspections may be scheduled [Daily, Weekly, Monthly, Quarterly, or annually] or unscheduled, as required.) c. USER SURVEY. (Combines elements of validated user complaints and random sampling. Random survey is conducted to solicit user satisfaction. It may also generate inspections and sampling.) d. PERIODIC SAMPLING. (Variation of random sampling. However, sample is only taken when a problem/deficiency is suspected. Sample results are applicable only for the specific work inspected. Since sample is not entirely random, it cannot be applied to total activity performance.) 11. DOCUMENTING PERFORMANCE a. ACCEPTABLE PERFORMANCE The Government will document positive performance. Any report may become a part of the supporting documentation for any contractual action. b. UNACCEPTABLE PERFORMANCE When unacceptable performance occurs, the COR will inform the contractor. This will normally be in writing unless circumstances necessitate verbal communication. In any case the COR will document the discussion and place it in the COR file. When the COR determines formal written communication is required, the COR will prepare a Contract Discrepancy Report (CDR), and present it to the contractor's program manager. The contractor shall acknowledge receipt of the CDR in writing. The CDR will specify if the contractor is required to prepare a corrective action plan to document how the contractor shall correct the unacceptable performance and avoid a recurrence. The CDR will also state how long after receipt the contractor has to present this corrective action plan to the COR. The Government will review the contractor's corrective action plan to determine acceptability. Any CDRs may become a part of the supporting documentation for any contractual action deemed necessary by the CO. 13. FREQUENCY OF MEASUREMENT a. Frequency of Measurement. During contract performance, the COR will periodically analyze whether the negotiated frequency of surveillance is appropriate for the work being performed. b. Frequency of Performance Assessment Meetings. The COR will meet with the contractor monthly to assess performance and will provide a written assessment. 14. OTHER/APPLICABLE POLICIES AND REGULATIONS: The Contractor shall perform in accordance with policies and procedures set forth in VHA Handbook 1106.01, Pathology and Laboratory Medicine Service Procedures the handbook can be located at the following web address: www.va.gov/vhapublications/viewpublication.asp?pub_id=1779 HHS/OIG: To ensure that the individuals performing under the contract have not engaged in fraud or abuse regarding Sections 1128 and 1128A of the Social Security Act regarding federal health care programs, the contractor is required to check the Health and Human Service - Office of Inspector General, List of excluded individuals/entities on the OIG Website (www.hhs.gov/oig) for each person providing services under this contract. Further the contractor is required to certify in its proposal that all persons listed in the contractor's proposal have been compared against the OIG list and are not listed. During the performance of this contract the Contractor is prohibited from using any individual or business listed on the List of Excluded Individuals/Entities. "Contractor shall provide health care to patients seeking such care from or through VA. As such, contractor is considered part of the Department health activity for purposes of the following statues and the VA regulations implementing these statues: the Privacy Act, 5.U.S.C. § 552a, and 38 U.S.C. §s 5701, 7705 and 7332. Contractor and its employees may have access to VA patient medical records to the extent necessary for the contract or to perform this contract. Notwithstanding any other provision of this contract, contractor and its employees shall disclose patient treatment records only pursuant to explicit disclosure authority for VA. Contractor and its employees are subject to the penalties and liabilities provided statutes and regulations for unauthorized disclosures of such records and their contents." "Records created by the contractor in the course of treating VA patients under this agreement are the property of the VA and shall not be accessed, released, transferred or destroyed except in accordance with applicable federal law and regulations." Upon the expiration of this contract or termination of the contract, the contractor shall promptly provide the VA with the individually identified VA patient treatment records." HIPAA COMPLIANCE: "Contractor must adhere to the provisions of Public Law 104-191, Health Insurance Portability and Accountability Act (HIPAA) of 1996 and the National Standards to Protect the Privacy and Security of Protected Health Information (PHI). A business associate agreement is not required in this case. CONTRACTING OFFICER' REPRESENTATIVE: All work coordination shall be made through the Contracting Officer's Representative (COR). The Contractor shall be provided a copy of the letter of delegation, authorizing the COR at the commencement of the term of this agreement. No other person shall be authorized to act in such capacity unless appointed in writing by the Contracting Officer. The COR shall be the VA official responsible for verifying contract compliance. After contract award, any incidents of contractor noncompliance as evidenced by the monitoring procedures shall be forwarded immediately to the Contracting Officer. SERVICES CHARGES TO VA BENEFICIARIES: VA beneficiaries shall not under any circumstances be charged nor their insurance companies charged for services rendered by the contractor even if VA does not pay for those services. This provision shall survive the termination or ending of the contract REQUIRED REGISTRATION WITH CONTRACTOR PERFORMANCE ASSESSMENT SYSTEM (CPARS): (a) As prescribed in Federal Acquisition Regulation (FAR) Part 42.15, the Department of Veterans Affairs (VA) evaluates contractor past performance on all contracts that exceed $100,000, and shares those evaluations with other Federal Government contract specialists and procurement officials. The FAR requires that the contractor be provided an opportunity to comment on past performance evaluations prior to each report closing. To fulfill this requirement VA uses an online database, CPARS, which is maintained by the Naval Seal Logistics Center in Portsmouth, Virginia. CPARS has connectivity with the Past Performance Information Retrieval System (PPIRS) database, which is available to all Federal agencies. PPIRS is the system used to collect and retrieve performance assessment reports used in source selection determinations and completed CPARS report cards transferred to PPIRS. CPARS also includes access to the federal awardees performance and integrity information system (FAPIIS). FAPIIS is a web-enabled application accessed via CPARS for contractor responsibility determination information. (b) Each contractor whose contract award is estimated to exceed $100,000 is required to register with CPARS database at the following web address: www.cpars.csd.disa.mil. Help in registering can be obtained by contacting Customer Support Desk @ DSN: 684-1690 or COMM: +1 (555) 000-0000. Registration shall occur no later than thirty days after contract award, and it shall be kept current in the case that any change to the contractor's registered representative occurs. (c) For contracts with a period of one year or less, the contracting officer will perform a single evaluation when the contract is complete. For contracts exceeding one year, the contracting officer will evaluate the contractor's performance annually. Interim reports will be filed each year until the last year of the contract, when the final report will be completed. The report shall be assigned in CPARS to the contractor's designated representative for comment. The contractor representative will have thirty days to submit any comments and re-assign the report to the VA contracting officer. (d) Failure to have a current registration in the CPARS database, or to re-assign the report to the VA contracting officer within those thirty days, will result in the Government's evaluation being placed on file in the database with a statement that the contractor failed to respond. CONTRACTOR PERSONNEL SECURITY REQUIREMENTS: All contractor employees who require access to the Department of Veterans Affairs' computer systems shall be the subject of a background investigation and must receive a favorable adjudication from the VA Office of Security and Law Enforcement prior to contract performance. This requirement is applicable to all subcontractor personnel requiring the same access. If the investigation is not completed prior to the start date of the contract the contractor will be responsible for the actions of those individuals that provide or perform work for the VA. 1. Position Sensitivity - The position sensitivity has been designated as (low) risk. 2. Background Investigation - The level of background investigation commensurate with the required level of access is National Agency Check (NACI) with written inquiries. 3. Contractor Responsibilities a. The contractor shall bear the expense of obtaining background investigations. If the investigation is conducted by the Office of Personnel Management (OPM), the contractor shall reimburse the VA within 30 days. The web site which provides information on the cost of the security investigation is: www.opm.gov\extra\investigate - Select Federal Investigations Notices (FIN 01-01) b. The contractor shall prescreen all personnel requiring access to the computer systems to ensure they maintain a U.S. citizenship and are able to read, write, speak, and understand the English language. c. The contractor will provide to the Contracting Officer prior to award the following: (1) List of names of contract personnel. (2) Social security numbers of contractor personnel. (3) Home address of contractor personnel or the contractor address. The Contracting Officer will submit the above information to the Office of Security and Law Enforcement, Washington, D.C. The Office of Security and Law Enforcement will provide the necessary investigative forms (these forms are indicated in paragraph 3.d. below) to the contractor's personnel, coordinate the background investigations with OPM and notify the Contracting Officer and contractor of the results of the investigation. d. The contractor shall submit or have their employees submit the following required forms to the VA Office of Security and Law Enforcement within 30 days of receipt: (i) Standard From 85P, Questionnaire for Public Trust Positions (ii) Standard Form 85P-S, Supplemental Questionnaire for Selected Positions (iii) FD 258, U.S. Department of Justice Fingerprint Applicant Chart (iv) VA Form 0710, Authority for Release of Information Form (v) Optional Form 306, Declaration for Federal Employment (vi) Optional Form 612, Optional Application for Federal Employment d. The contractor, when notified of an unfavorable determination by the Government, shall withdraw the employee from consideration from working under the contract. e. Failure to comply with the contractor personnel security requirements may result in termination of the contract for default.