Q525--UROLOGY PHYSICIAN SERVICES LEBANON VA MEDICAL CENTER

Form / Attachment / Pricing Sheet

This document is Attachment C, USCIS Form I-9, Employment Eligibility Verification. It is used by employers to verify the identity and employment authorization of individuals hired in the United States. Both employees and employers must complete specific sections of this form.

• Section 1 (Employee Information and Attestation): Completed by the employee to attest to their citizenship or immigration status and provide personal information. It includes fields for name, address, date of birth, Social Security number, and attestation of status (U.S. citizen, noncitizen national, lawful permanent resident, or alien authorized to work).
• Section 2 (Employer or Authorized Representative Review and Verification): Completed by the employer after physically examining original documents presented by the employee. It requires the employer to record information from acceptable documents that establish both identity and employment authorization, or identity and employment authorization separately. The employer attests to the genuineness of the documents and the employee's authorization to work.
• Section 3 (Reverification and Rehires): Used for reverifying employment authorization for employees whose authorization has expired or for rehired employees.
• Lists of Acceptable Documents: Page 3 provides the lists of acceptable documents (List A, List B, and List C) that employees can present to satisfy the Form I-9 requirements. Documents must be unexpired.

This form is a standard requirement for all employers in the United States to verify employment eligibility. Bidders responding to opportunities that require personnel to be hired or employed in the U.S. will need to be familiar with and capable of completing this form for their employees. It does not directly relate to the technical or programmatic requirements of an opportunity but is a fundamental compliance document for workforce management.

Form / Attachment / Pricing Sheet

This document is a "Contractor Conflict of Interest Certification Statement" for Solicitation # 36C24426R0047. It requires offerors to certify that no individuals involved with the solicitation have any present or planned interests, or actual or organizational conflicts of interest, related to the services to be provided to the Lebanon VAMC.

• Offerors must either:
  • Check a box to certify that no conflicts of interest exist.
  • Check a box to indicate that a separate statement is attached, detailing any relevant past, present, or planned interests or conflicts. This attached statement must also include information for any consultants and subcontractors.
• Fields for Contractor Name, Name of Certifying Official, Title, Signature, and Date.

Bidders must complete and submit this form as part of their proposal to certify their compliance with organizational conflict of interest requirements. Failure to properly address potential conflicts may impact proposal evaluation or award.

Form / Attachment / Pricing Sheet

This document, "CONTRACTOR RULES OF BEHAVIOR," is Appendix D of VA Handbook 6500.6, dated March 12, 2010. It outlines the terms and conditions for contractor access to and use of Department of Veterans Affairs (VA) information assets, systems, and sites. It serves as a User Agreement that contractors must acknowledge and accept.

• General Terms and Conditions: Covers consent to monitoring, reviews, and actions by VA personnel regarding access and use of information systems. It prohibits unauthorized access, modification, or misuse of Federal Government systems and outlines potential penalties.
• General Rules of Behavior: Establishes standards for information security, including following procedures for account access, using only authorized systems and software, protecting passwords, and preventing unauthorized disclosure or destruction of information.
• Additional Conditions: Details requirements for using non-VA information technology resources, including direct connection to the VA network when possible and restrictions on remote access from public computers.
• Litigation Statement: Clarifies that the User Agreement does not create additional rights or benefits enforceable in litigation against the U.S. Government.
• Acknowledgement and Acceptance: Requires contractors to print their name, sign, provide identifying information (SSN, phone, company name, position title), and date the document to acknowledge receipt and agreement to the terms.

This document is critical for any bidder who will be performing services under a contract that requires access to VA information systems or data. Bidders must understand and agree to these rules of behavior to ensure compliance with VA security and privacy directives. The signed document must be returned to the Contracting Officer's Technical Representative (COTR) within the timeframe specified in the contract.

Statement of Work (SOW) / Performance Work Statement (PWS)

This document outlines the Quality Assurance Surveillance Plan (QASP) to systematically evaluate contractor performance for a stated contract. It details what will be monitored, how, by whom, and how efforts and results will be documented.

• The QASP focuses on evaluating contractor performance against contract terms and conditions, not on how the contractor accomplishes the work.

• It defines performance standards to determine the level of contractor performance and assigns ratings.

• The QASP is a "living document" subject to review and revision via contract modification.

• Provider Quality, Performance and Medical Documentation (4.6.4.1): Providers must offer quality care in accordance with PWS standards. Progress notes must be completed within 7 days of patient visit, and outpatient documents signed within 20 days. All staff must meet standards, with 98% accuracy in documentation reports.

• Qualifications of Key Personnel (4.6.4.2): Contractor's physicians must be board-certified.

• Scope of Practice/Privileging (4.6.4.3): Physicians must perform within their individual scopes of practice/privileging 100% of the time.

• Patient Access (4.6.4.4): Contractor's physicians must be available and on location as needed to perform specified tasks.

• Patient Safety (4.6.4.5): Patient safety incidents must be reported immediately (within 24 hours) using the VA Patient Safety Reporting System.

• Licensing, Registration, and Certification (4.6.4.6): Updated licensing, registration, and certification must be provided as renewed.

• Mandatory Training (4.6.4.7): Contractor shall complete all required training per VAMC policy.

• Privacy, Confidentiality and HIPAA (4.6.4.8): Contractor must comply with all relevant laws, regulations, policies, and procedures, with zero breaches of privacy or confidentiality.

Not explicitly detailed in this document, but performance is evaluated against the resultant contract.

• Government Roles: Includes Contracting Officer (CO) and Contracting Officer's Representative (COR) responsibilities for oversight and technical administration.
• Contractor Representatives: Primary and Alternate program managers are to be identified.
• Surveillance Methods: Direct Observation, Periodic Inspection, Validated User/Customer Complaints, Random Sampling, and Verification/documentation from the Contractor.
• CPARS Ratings: Performance will be rated using categories such as Exceptional, Very Good, Satisfactory, Marginal, and Unsatisfactory, with specific criteria for each.
• Documenting Performance: Positive/negative performance will be documented for annual past performance reporting (CPARS). Contract Discrepancy Reports (CDRs) will be used for performance not meeting Acceptable Quality Levels.

Solicitation / RFP / RFQ

This solicitation seeks Board Certified Urology Physician Services for the Department of Veterans Affairs (VA) Medical Center in Lebanon, PA, and its associated community care clinics. The services will be provided on-site to eligible beneficiaries.

• Services: On-site Urology Physician Services including outpatient clinic services, inpatient medical consultations, surgical procedures, and on-call coverage.

• Scope: Care must meet or exceed currently recognized national standards, referencing American Urological Association Guidelines.

• Personnel: Minimum of 3 key personnel required, who must be Board Certified Urologists, possess current BLS certification, and meet specific procedural capabilities (e.g., partial/radical nephrectomy, radical prostatectomy, DaVinci robotics, female urology specialty).

• Training: Mandatory training includes ACLS, BLS, EHR, VA mandatory courses, and specific infection control measures.

• Credentialing: Physicians must have current, unrestricted licenses and be credentialed/privileged through VHA's VETPro system.

• IT Security: Compliance with VA information system security and privacy directives is required.

• Contract Type: Indefinite Delivery Indefinite Quantity (IDIQ) contract.

• Period of Performance: Anticipated 5-year ordering period from 07/01/2026 to 06/30/2031.

• Estimated Value: Contract minimum $1,000,000.00; Contract maximum $20,000,000.00.

• Questions Deadline: Submit questions via email to thomas.cossentino@va.gov by 3:00 PM ET on 04/13/2026.

• Proposal Submission: Refer to Section E.1 for detailed submission instructions. Key requirements include signed SF 1449, Contractor POC information, completed Price Schedule, Provision E.2 (Responsibility Matters), key personnel CVs/licenses, management plan, and past performance references.

• Evaluation Factors: Offers will be evaluated based on Candidate Qualifications and Experience, Management Plan, Past Performance, Socioeconomic Status, and Price. Non-price factors are more important than price.

• This acquisition is a Small Business set-aside.

• NAICS Code: 621111 (Offices of Physicians (except Mental Health Specialists))

• Size Standard: $16 Million

• The solicitation incorporates FAR clauses by reference. Offerors are cautioned to review all applicable clauses and provisions.

• Specific details regarding submission requirements and evaluation criteria are found in Section E.

Solicitation / RFP / RFQ

This Request for Proposal (RFP) seeks a contractor to provide onsite urology physician services for the Lebanon VA Medical Center (VAMC) and its four associated Community Care Clinics (York, Mechanicsburg, Berks, and Lancaster). The services are for eligible Department of Veterans Affairs beneficiaries.

• Furnish key personnel to perform onsite urology physician services.

• Services to be provided at Lebanon VAMC (1700 South Lincoln Avenue, Lebanon, PA 17042) and four associated clinics.

• Contract Type: Fixed Price Indefinite-Delivery, Indefinite-Quantity (FP-IDIQ).

• Ordering Period: Five years.

• Award will be made to the offeror whose proposal is responsive and conforming to the RFP and determined to be most advantageous to the Government.

• Evaluation will be conducted in accordance with FAR Parts 12 and 15.

• Evaluation Factors: Candidate Qualifications and Experience, Management Plan, Past Performance, Socioeconomic Status, and Price.

• Refer to the attached RFP for response time for questions and final proposals.

• This solicitation is set aside 100 percent for Total Small Business competition.

• Contractors must be registered in the System for Award Management (SAM.gov).

• Contractors must complete online Representations and Certifications at SAM.gov.

• Applicable NAICS Code: 621111 with a size standard of $16 million in average annual receipts.

• RFP Number: 36C24426R0047.

• Associated attachments include: D.1 QASP CDR, D.2 Organizational Conflict of Interest, D.3 FORM I9, and D.4 Contractor Rules of Behavior.