Q502--Perfusion Services - MPLS PoP 06/01/2026-05/31/2027 4

Form / Attachment / Pricing Sheet

This document is a Past Performance Questionnaire (Attachment 5) for the solicitation of Perfusion Services for Minneapolis, MN. It is intended to gather feedback from providers of past performance information to evaluate contractor performance.

• Section A: To be completed by the contractor, it collects information about the prospective government contractor, including name, address, point of contact, contract number, description of services, award date and amount, and period of performance. It also includes an authorization for release of this information.
• Section B: To be completed by the respondent (provider of past performance information), it collects respondent details and includes a rating scale (Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory, Neutral) for assessing Quality of Service, Schedule, and Business Relations. It also asks about the likelihood of awarding another contract to the contractor.

This questionnaire is a critical component of the evaluation process for the solicitation. Bidders should be aware that their past performance will be assessed using this form. The information provided by past performance references will be used to evaluate quotes received. The deadline for submission of the completed survey is March 12, 2026.

Form / Attachment / Pricing Sheet

This document is a Quality Assurance Surveillance Plan (QASP) that outlines the systematic method the government will use to evaluate contractor performance for a stated contract. It details what will be monitored, how monitoring will take place, who will conduct it, and how efforts and results will be documented.

• Government Roles: Defines responsibilities for the Contracting Officer (CO) and Contracting Officer's Representative (COR).
• Contractor Representatives: Identifies contractor personnel responsible for program management.
• Performance Standards: Outlines how contractor performance will be measured against contract terms and desired services.
• Methods of QA Surveillance: Lists surveillance methods including direct observation, periodic inspection, customer complaints, random sampling, and contractor-provided verification.
• Performance Metrics: Details specific measures such as Provider Quality Performance, Qualifications of Key Personnel, Patient Access, Patient Safety, Mandatory Training, and Documentation/Timesheet, along with their respective performance requirements, standards, acceptable quality levels, surveillance methods, and reporting frequencies.
• CPARS Ratings: Explains the rating system (Exceptional, Very Good, Satisfactory, Marginal, Unsatisfactory) used for assessing contractor performance.
• Documenting Performance: Describes the process for documenting performance, including the use of Contract Discrepancy Reports (CDRs) for performance issues.
• Frequency of Measurement and Reporting: Specifies how often measurements will be taken and how performance reports will be communicated.
• Acknowledgement: Includes sections for COR and Contractor acknowledgement of the QASP.

This QASP is crucial for bidders as it defines the government's expectations for performance quality and the methods used to measure and evaluate that performance. Understanding these standards and evaluation criteria will help bidders tailor their proposals to meet or exceed government requirements and demonstrate their capability to deliver high-quality services.

Form / Attachment / Pricing Sheet

This document, "Contractor Rules of Behavior," is an attachment (Appendix D of VA Handbook 6500.6) that outlines the terms and conditions for contractors accessing and using Department of Veterans Affairs (VA) information assets and resources. It serves as a User Agreement that contractors must understand and accept.

• General Terms and Conditions: Covers understanding of no expectation of privacy, consent to monitoring and reviews by VA personnel (OI&T, CIO, OIG, Systems Administrators, Information Security Officers), and acknowledgment that unauthorized access or misuse of Federal Government systems is prohibited and subject to penalties.
• General Rules of Behavior: Establishes standards for contractor conduct, including:
  • Following procedures for account access and usage.
  • Using only authorized systems, software, and data.
  • Restrictions on using non-contractor owned equipment (OE) for VA sensitive information without a waiver.
  • Prohibiting exploitation of system controls or access for non-contractual reasons.
  • Not overriding security controls without explicit permission.
  • Limiting use of systems and information strictly to contract fulfillment.
  • Granting access only to authorized personnel.
  • Protecting passwords.
  • Using FIPS 140-2 validated encryption for sensitive information.
  • Adhering to electronic media sanitization policies.
  • Obtaining COTR approval for public dissemination of VA information.
  • Prohibiting hosting unauthorized servers.
  • Protecting government property and not removing sensitive information without authorization.
  • Using authorized anti-virus and security software.
  • Completing required security and privacy training.
• Additional Conditions for Non-VA IT Resources: Details requirements for connecting to the VA network, remote access limitations, and restrictions on dual network connections.
• Statement on Litigation: Clarifies that the agreement does not create additional rights or benefits enforceable in litigation.
• Acknowledgement and Acceptance: Requires the contractor to sign, acknowledging receipt and agreement to the terms.

Bidders must understand and agree to these rules of behavior as a condition of performing services under the contract. This document outlines critical security, privacy, and acceptable use policies for accessing VA systems and data. Failure to comply can result in penalties. Bidders should review these requirements carefully to ensure their organization and personnel can meet them. The signed document must be returned to the Contracting Officer's Technical Representative (COTR) within the timeframe stated in the contract.

Form / Attachment / Pricing Sheet

This document, "D.2 Attachment 2 - Organizational Conflict of Interest," provides the "ORGANIZATIONAL CONFLICTS OF INTEREST (OCT 2020)" provision (VAAR 852.209-70) and requires bidders to respond using the form in APPENDIX A. It outlines the government's interest in avoiding situations that could create an organizational conflict of interest (OCI) or provide an unfair competitive advantage to a contractor.

• Definition of OCI: Explains what constitutes an organizational conflict of interest, including situations where a person cannot render impartial assistance, objectivity is impaired, or an unfair competitive advantage exists.
• Offeror's Statement Requirement: Mandates that offerors provide a concise statement detailing all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential OCI related to the services under the solicitation. This includes information for consultants and subcontractors.
• Mitigation: Offerors may also provide information on how their systems or actions would avoid or mitigate any actual or potential OCIs.
• Government Determination: The Contracting Officer will determine if an OCI exists and may disqualify the contractor unless the OCI can be mitigated to the satisfaction of the Contracting Officer or a waiver is granted.
• Consequences of Non-Disclosure: Nondisclosure or misrepresentation of OCIs may result in contract termination at no expense to the Government.
• APPENDIX A - Certification Statement: This form requires the contractor to certify whether individuals listed in Key Personnel and Temporary Emergency Substitutions have any present or planned interests or OCIs related to the services. Alternatively, it allows for an attached statement describing relevant facts and mitigation strategies.

Bidders must carefully review this provision and complete the certification statement in Appendix A accurately. Failure to disclose or misrepresent OCIs can lead to disqualification or contract termination. The information provided in this attachment is crucial for proposal preparation and demonstrates compliance with federal acquisition regulations regarding conflicts of interest.

Form / Attachment / Pricing Sheet

This document is a "Contractor Certification: Immigration and Nationality Act of 1952, As Amended." It requires the contractor to certify compliance with all legal provisions related to the Immigration and Nationality Act, particularly concerning non-immigrant foreign nationals working under contract for the Department of Veterans Affairs (VA) while providing services to VA patient referrals.

• Contractor Certification: The contractor must certify they will not knowingly employ, contract, or subcontract with an illegal alien or a foreign national non-immigrant violating their status.
• E-Verify Requirement: Compliance with "Executive Order 12989" and related amendments, as well as applicable Federal Acquisition Regulations, is mandated.
• Consequences of Non-Compliance: Failure to comply may result in the prohibition of the foreign national from working on VA contracts and may form the basis for contract termination.
• Subcontractor Certification: The contractor agrees to obtain similar certifications from their subcontractors.
• Signature Block: Fields for Signature, Date, Printed Name, Title, and Company Name are provided for certification.
• Prosecution Warning: A statement warns that false or fraudulent certification may lead to prosecution under 18 U.S.C. 1001.

Bidders must understand and be prepared to complete and submit this certification as part of their contractual obligations if awarded an opportunity that involves services to Department of Veterans Affairs patient referrals and the employment of foreign nationals. It highlights a specific compliance requirement related to immigration and nationality laws.

Solicitation / RFP / RFQ

This solicitation is for Perfusion Services for the Department of Veterans Affairs (VA), Minneapolis VA Health Care System. The services are required on-site, on-call, and call-back.

• Board Certified Perfusionists are required to provide Perfusion Services.

• Services include on-site, on-call, and call-back coverage.

• Key Personnel must be onsite 52 weeks per year, Monday-Friday, excluding Federal Holidays.

• Services must meet or exceed currently recognized national standards as established by the American Board of Cardiovascular Perfusion.

• Specific clinical responsibilities include cardiopulmonary bypass, cell saver, platelet gel production, pacer and intra-aortic balloon pump monitoring, extracorporeal support, and heart failure therapy.

• Administrative duties include quality improvement meetings, staff meetings, and QA/QI documentation.

• Contract Type: Firm Fixed Price (FFP).

• Period of Performance: Base Period: May 1, 2026 - April 30, 2027. Four (4) option periods available.

• Estimated Value: Not specified in this document.

• Proposals are due by March 12, 2026, 10 AM CST.

• Proposals must be submitted electronically via email to Daniel.vagts@va.gov.

• Evaluation will be based on Technical Capability (Qualifications of Personnel, Experience, Clinical Skills, Management Capabilities), Past Performance, Veteran Preference, and Price.

• Technical Capability and Past Performance will be afforded primary emphasis.

• This acquisition is a Small Business set-aside.

• The solicitation includes numerous FAR and VAAR clauses related to contract terms, conditions, security, privacy, and reporting requirements.

• Offerors must provide proof of licenses, certifications, insurance, and background checks for personnel.

• Specific training requirements are outlined, including VA Privacy and Information Security Awareness, and ACLS/BLS certifications.

Solicitation / RFP / RFQ

This solicitation is for Perfusion Services for the Minneapolis (MPLS) Post Office Park (PoP) for the period of May 1, 2026, to April 30, 2027. The contracting office is Network Contracting Office 23, located in Saint Paul, MN.

The specific details of the services required are not fully described in this metadata but are referenced in attached documents. Key attachments include:

• D.1 Attachment 1 - Immigration and Nationality Act Requirement

• D.2 Attachment 2 - Organizational Conflict of Interest

• D.3 Attachment 3 - Contractor Rules of Behavior

• D.4 Attachment 4 - Quality Assurance Surveillance Plan

• D.5 Attachment 5 - Past Performance Questionnaire

• Period of Performance: May 1, 2026 - April 30, 2027

• Place of Performance: One Veterans Drive, Minneapolis, MN 55417, USA

• Response Date/Time/Zone: March 12, 2026, 10:00 AM Central Time, Chicago, USA

• Archive: 99 days after the response date

• The attached documents likely contain details regarding proposal submission and evaluation criteria.

• Set-Aside: SBA (Small Business Administration)

• NAICS Code: 621111 (Offices of Physicians)

• Product/Service Code: Q502

• The primary document for this solicitation is referenced as '36C26326R0045'.

• The Point of Contact is Daniel Vagts (daniel.vagts@va.gov, 651-293-3040).