DOCUMENT
Q -- Prescription Eyeglass Dispensary Services - Attachment
- Notice Date
- 11/10/2011
- Notice Type
- Attachment
- NAICS
- 446130
— Optical Goods Stores
- Contracting Office
- Tampa VAMC - James A. Haley Department of Veterans Affairs Medical Center
- Solicitation Number
- VA24812I0203
- Response Due
- 11/22/2011
- Archive Date
- 1/21/2012
- Point of Contact
- Serena B Jordan
- E-Mail Address
-
2-7591<br
- Small Business Set-Aside
- N/A
- Description
- THIS IS A SOURCES SOUGHT NOTICE ONLY. THIS IS NOT A REQUEST FOR PROPOSAL OR QUOTE; THE VA IS NOT SEEKING PRICING OR OFFERS. The Department of Veterans Affairs, Network Contracting Office ( NCO)-8, in support of James A. Haley Veterans Hospital, is performing market research to compile data regarding: (1) The availability and capability of qualified small business concerns; (2) Identify if there are sufficient number of qualified Service-Disabled Veteran-Owned, Veteran Owned, Small Business, HUB Zone 8(a), Women-Owned, or Small Disadvantaged Business concerns relative to the subject North American Industry Classification System (NAICS) code. Responses to the information requested will assist the Government in determining the appropriate procurement method, including any set-aside decision. Respondents should clearly describe their capabilities to include management experience, equipment and personnel or the ability to obtain them. Furthermore, interested sources must also meet all requirements of Federal, State, and Local Municipal codes regarding operations of this type service. The NAICS code assigned is: 446130 Optical Goods Stores and the small business size standard is 19 million. Not responding to this Sources Sought does not preclude participation in any future or potential solicitation, or Request for Proposal. It is the intent of James A. Haley Veterans Hospital to use the information gathered for market research purposes only. If a formal solicitation is released, it will be posted via the Federal Business Opportunity (http://www.fbo.gov) DESCRIPTION OF THE REQUIREMENT: Contractor shall provide all supplies, materials, and labor necessary to perform optical technician services and provide eyeglasses to the entitled veteran beneficiaries of the James A. Haley Veterans Hospital, 13000 Bruce B. Downs Blvd., Tampa, FL 33612, in accordance with all terms, conditions, specifications, provisions and the schedule of this solicitation. Services to include: Providing single lens glasses, bifocal glasses, trifocal glasses and a wide selection of frames and Optical Technician services. The contractor shall have and maintain the appropriate license(s) required to perform in accordance with (IAW) the attached Statement of Work. Service is required Contractor shall provide service during his normal operating hours. Patients shall have access to Contractor for a minimum of seven (7) hours per day ( 9 a.m. - 12 p.m., 1 p.m. - 5 p.m.), six (6) days per week. Monday - Saturday the projected performance period consists of: One year base period (1 April 2012 - 31 March 2013) with up to four option years. These dates may be adjusted based upon actual date of award. POTENTIAL SOURCES SHALL PROVIDE THE FOLLOWING INFORMATION IN THEIR RESPONSE: 1. Company name, address, phone number, primary contact(s), e-mail address, NAICS code(s), business size i.e. SDVOSB, VOSB, 8A, etc., and DUNS Number. Proof of Central Contractor Registration and Vet Biz registry (if applicable) is highly desirable. Identify all Joint Ventures and other Teaming arrangements. 2. A brief capability statement demonstrating past performance with relevant contract services in both Prime and or Sub-contractor role. 3. Disclaimer: This notice does not obligate the Government to award a contract or otherwise pay for the information provided in response. The Government reserves the right to use information provided by respondents for any purpose deemed necessary and legally appropriate. After review of the responses received, a pre-solicitation synopsis and solicitation may be published in Federal Business Opportunities (http://www.fbo.gov). 4. Submit Capability Statements to: Department of Veterans Affairs, VISN 8 Network Contracting Activity Attn: Serena B. Jordan, no later than 4:00 PM, 22 November 2011. Responses must be submitted via e-mail to: serena.jordan@va.gov, or faxed to (813) 631-3353. Note: Do not include Proprietary, classified, confidential, or sensitive information in responses. DESCRIPTION/SPECIFICATIONS Schedule of Supplies/Services Contractor shall provide all supplies, materials, and labor necessary to perform optical technician services and provide eyeglasses to the entitled veteran beneficiaries of the James A. Haley Veterans Hospital, 13000 Bruce B. Downs Blvd., Tampa, FL 33612, in accordance with all terms, conditions, specifications, provisions and the schedule of this solicitation. Services to include: Providing single lens glasses, bifocal glasses, trifocal glasses and a wide selection of frames and Optical Technician services. BASE YEAR DESCRIPTIONEST QTY UNIT 1. Basic Program, Frame and lenses (Plano to +5.50SPH +2.00 CYL and UV) SINGLE VISION Plastic only 4279 PR 2. Basic Program, Frame and lenses (Plano to +5.50SPH +2.00 CYL and UV) BIFOCAL FT28 Plastic 9438 PR 3. Basic Program, Frame and lenses (Plano to +5.50SPH +2.00 CYL and UV) TRIFOCAL 7x28 Plastic 2601 PR ADDITIONAL OPTIONS: (Priced Per Each)(Add to base price/Plastic only) DESCRIPTION Polycarbonate lenses Glass* Tint Progressive Transition Lenses High RX +/-5.75 to +/-10.00 SPH High RX +/-10.25 to +/-15.00 SPH MISC. DESCRIPTION QTY EYEGLASS CASE6088 PRISM2000 SLAB-OFF1000 BALANCED LENS1000 DIOPTER + OR - 9.0 AND ABOVE1000 LENSES, OVERSIZE EYE, GREATER THAN 58 EXCLUDING PROGRESSIVES1000 ASP. LENTICULAR LENSES500 POLARIZED LENSES500 ROLL & POLISH EDGE500 HYPER 3 DROP SINGLE VISION, MULTIFOCAL AND FRAME (HI-INDEX)500 REPLACEMENT W/INSTALLATION OF LENS1000 FRAME ONLY1000 TEMPLE ONLY500 *Due to weight, and thickness glass lenses are not recommended. Although contractor turnaround time for plastic lenses is only 3-4 working days, delivery on glass orders may take up to 14 working days. All glass lenses are chem treated and drop ball tested. RX's not in contract are provided at extra cost. STATEMENT OF WORK 1.The contractor shall manage an optical eyewear dispensary located off-site in our VA Eye Clinic on 10770 N. 46th Street, Bldg F, Tampa FL 33617, for the purpose of fulfilling optical services to the VA beneficiaries and dispensing optical eyewear. Contractor shall provide eyeglasses in accordance with terms and conditions to this specification. 2.The VA anticipates the award of the contract on a firm fixed price basis. 3.The contractor will be allowed a 45 - 60 calendar day transition period to allow for the recruitment of Optical Technician. All parties shall be expected to cooperate with VA officials to facilitate a smooth transition without disrupting the provision of services to veteran beneficiaries. 4.The contractor shall provide the following expanded services: a.10 day turnaround time b.Professional fitting and adjustments c.Frame selection of 50 pairs d.Call to Veterans to confirm pickup of eyeglasses e.Pick up or delivery signature confirmation f.Lens ground & glasses manufactured to highest standards g.1 year guarantee of workmanship and materials h.Repair of existing eyeglasses issued during warranty period, i.Minor repair and adjustment to previously issued veterans eyeglasses as a courtesy service j.Optical Lab ISO 9000 compliant 5.The VA will provide the appropriate space and basic office equipment at the VA Eye Clinic for optical eyewear dispensary required to perform services described herein. 6.Contractor shall provide all the necessary equipment, materials and supplies required by optical technician to perform services described herein. All electrical equipment shall be Under Writer Laboratories (UL) approved and inspected the VA Bio Medical Department prior to use. 7.Contractor furnished equipment shall be maintained repaired or replaced as necessary, at no cost to the VA, when failure or malfunction is due to normal usage or due to the fault of the Contractor. STATEMENT OF WORK FOR OPTICAL TECHNICIAN 1. All contractor provided Optical Technicians and administrative employees shall comply with The Joint Commission regulations, Department of Veteran Affairs and State of Florida requirements and rules pertaining to patient treatment, licensure standards and Quality Assurance. 2. Optical Technician shall perform the following duties: A. ESSENTIAL DUTIES AND RESPONSIBILITIES: (1)Help veterans by greeting them, determining life style needs for prescription eyewear, and making recommendations. (2)Ensure veteran satisfaction by applying Quality Customer Care. Provide each veteran served with a Quality Assurance questionnaire and/or comment card. (3)Explain prescriptions and any prescribe lens options if necessary. (4)Receive patients after eye exams to assist and perform the following: a. Frame selection, size, color, name of frame and vendor b. Lens type: materials and styles c. Measurements: pupillary distances, segment heights, and base curves. (5)Annotate VA Form 10-2914(R) Prescription and Authorization for Eyeglasses parts 6a-11 and 15 (Attachment A). Ensure the prescription information is entered correctly and completely on the required forms. Review eye glass prescription and all related documents with each veteran to verify frame selection and prescribed lenses. (6)Transmit each prescription to OPTICAL CENTER upon completion of review but NO LATER THAN CLOSE OF EACH BUSINESS DAY. (7)Maintain a log of all work transmitted via fax, computer, and telephone. (8)Notify all veterans within two (2) working days of receipt of prescription eyeglasses when delivered to the VA Clinic. (9)Dispense eyewear according to company standards and procedures. (10)Provide routine frame adjustments and repairs upon request. (11)Shall be able to trouble-shoot any veteran's prescription. Answer questions relating to veteran's eyeglasses and eyeglass orders. (12)Ensure that the telephone is answered promptly and courteously all times. (13)Meet routinely with clinic team. (14)Maintain copies of all VA Forms 10-2914, filed in alphabetical order and by fiscal quarter. (15)Stock, clean, straightens displays; clean and organize the entire dispensary. (16)Maintain awareness of all contractor's optical safety rules, standards, and policies, and will also understand the VA's Rules and regulations. (17)Handle veteran complaints by obtaining all the facts related to the transaction and referring to Optical Manager. Will maintain a logbook of complaints and resolution that will be shared with the clinic and administrative staff. B. OTHER DUTIES AND RESPONSIBILITIES: (1)Cross train in other areas, if possible, expanding knowledge of VA Medical Center and contracted optical operations, and gaining an appreciation of both programs. (2)Maintain inventory and supplies. (3)Advise Optical Manager of any stock problems in the optical dispensary. (4)Understand each product and service transaction such as eyewear dispensing, prescription changes, defective products, questionnaires and completing end-of-day reports. (5)Will be a proficient assistant to doctor(s) at all times. C. QUALIFICATIONS/SKILLS: (1)Optical Technician must provide documentation of formal optical dispensing training or proofs of at least three (3) years work experience in an optical dispensary. (2)Poses a full understanding of the lensometer to neutralize and verify veteran's prescriptions. (3)Must be a certified Optician licensed by the State of Florida. (4)High school diploma or G.E.D. equivalent. (5)Ability to deal with people professionally and courteously at all times (6)Must accurately and legibly transcribe words and numbers. (7)Must understand optical terminology. (8)An ability to work in a stressful environment. (9)Must speak English. STATEMENT OF WORK FOR EYEGLASSES Contractor shall furnish eyeglasses to the entitled veteran beneficiaries of the James A. Haley Veterans Hospital's Eye Clinic, 10770 N. 46th Street, Bldg. F, Tampa, FL 33617, in accordance with all terms, conditions, specifications, provisions and the schedule of this solicitation. 1. STANDARD OF PERFORMANCE - The contractor shall fabricate all eyeglasses in strict conformance to the eyeglass prescription. Contractor shall not add or substitute components or alter the beneficiary's prescription in any way without prior approval and written authority from the Chief, Prosthetics Service/Optician. All items provided by the contractor shall be new. 2. LENSES - All lenses shall be fabricated and provided in accordance with the standards set forth in the current edition of "American National Standards for Ophthalmic Lenses - Recommendation" ANZI Z80.1 All ophthalmic lenses shall be accordance with Food and Drug Administration (FDA) Regulation (2) CFR, Parts 3 and 4 for impact resistance, unless otherwise specified in the order. Glass ophthalmic lenses shall be chemically strengthened for impact resistance. All glass and plastic ophthalmic lenses shall be corrected curved lenses. Ophthalmic lenses with cylinder power of less than 1.5D may be fabricated in either plus or minus cylinder form, unless positive cylinder form is specified in the order. a. Single Vision Lenses - Lenses shall be available in glass or plastic. Construction of single vision lenses shall include spheres, plano cylinders, and sphero-cylinders in all powers. Clear, frames lenses and oversized blanks shall be available. For single vision patients, suitable pieces of broken lenses can be used for fabricating blank/plano lenses. b. Bifocal Lenses - Lenses shall be available in glass or plastic. Construction of bifocal lenses shall include spheres, plano cylinders, and sphero-cylinders in all powers. Add +0.50 to +4.00D. Clear, frames lenses and oversized blanks shall be available. For single vision patients, suitable pieces of broken lenses can be used for fabricating blank/plano lenses. Lenses shall be available in glass with flattop, executive and round segments. c. Trifocal Lenses - Lenses shall be available in glass or plastic. Construction of trifocal lenses shall include spheres, plano cylinders, and sphero-cylinders in all powers. Add +1.50 to +4.00D, 50% intermediate power. Clear, frames lenses and oversized blanks shall be available. For single vision patients, suitable pieces of broken lenses can be used for fabricating blank/plano lenses. Lenses shall be available in glass with flattop, executive and round segments. The contractor shall provide any special lens design (shall be available in balanced lens, prismatic lens, cataract lens, aspheric lens, and slab-off prism). The Chief, Prosthetics Service in the order provided to the contractor will specify these requirements. Charges shall be in accordance with the contractor current regular published list price. Such price list shall be provided to the contracting officer upon contract award. Updates shall be furnished to the contracting officer upon publication. 3. FRAMES - All frames shall be fabricated in accordance with the current edition of the "American National Standard Requirements for Dress Ophthalmic Frames" ANZIZ80.5. Upon contract award, the contractor shall provide a sample kit consisting of samples of each available size combination and color of each frame required under the pricing section of this section of the solicitation, to allow for different eye sizes, bridge sizes, temples, and colors. New frame samples shall be provided with each contract renewal. When fulfilling prescriptions, the contractor shall provide completely assembled eyeglass frames placed in standard alignment and include mounting of lenses. In addition, the contractor shall furnish one eyeglass case for each pair of eyeglasses. Stocked dress frames shall include 50 frames, at least half, male and female, unisex frames may be included in either group, in available temple, eye and bridge sizes and colors. The contractor shall provide a selection of comparable frames from which the VA will select upon awarding the contract. 4. PERFORMANCE, DELIVERY, INSPECTION AND ACCEPTANCE - Under normal circumstances, VA shall require the contractor to deliver items ordered under this contract no later than ten (10) days after receipt of a purchase/delivery order. The contractor shall notify the VA Prosthetic Representative and show cause in the event that he is unable to deliver the required items in accordance with the VA's required delivery date. Failure by the contractor to provide a written notification within 48 hours of fax confirmation of purchase/delivery order constitutes receipt of an order. Delivery of eyeglasses shall be made to the designated address of ordering facility, as indicated on the order received by the contractor. As the agent of the VA Medical Center Prosthetics Program, the contractor must be in compliance with the current Joint Commission standards as outlined in the chapters on Patients Rights and Organization Ethics, Improving Organization Performance, Management of Human Resources, Surveillance, Prevention, and Control of Infection, Quality Performance Improvement and Management of Information, while performing this contract. During the one (1) year period after acceptance, the contractor shall make all necessary adjustments (i.e. material defects, distortions, etc). The contractor warrants/guarantees the eyeglasses against defective material and/or workmanship for a minimum of one year from the date of acceptance. Manufacturer's warranties of eyeglass components that extend beyond the minimum one year period shall be expressed and also enforced. The contractor agrees to furnish without additional cost to the Government, all labor and materials necessary to correct defects that were detected during the guarantee period. Should the prescription be incorrectly filled, the contractor agrees to make corrections at no additional cost to the Government. These conditions do not apply to adjustments incidental to the wearing of eyeglasses, adjustments required by physical change of the wearer, or where there is evidence of deliberate misuse or alteration by anyone other than the contractor. If eyeglasses are returned to the contractor for correction of a problem due their error, the corrected glasses shall be returned to the VA facility within three (3) calendar days of receipt of defective glasses. The contractor shall perform with a documented error return rate that does not exceed 5% of overall production. The government reserves the right to have eyeglass manufactured with incorporated errors correctly provided through alternate sources at cost to the contractor with the cost exceeds contracted cost and rate of errors exceeds 5%. 5. QUALITY ASSURANCE - Contractor is responsible for quality assurance (i.e. mailing letters/post cards) for not less that 50% of veteran beneficiaries ascertaining receipt of eyeglasses and date of receipt of glasses. The letters/postcards shall be forwarded to the Prosthetic and Sensory Aids Service, quarterly. The Contractor shall meet quarterly with clinical staff and Prosthetics COTR. The contractor shall take immediate action to notify the Contracting Officer in the event of a product, piece of equipment or item supplied under this contract that is deemed dangerous, hazardous, unsafe, requires modification, is removed or recalled by the contractor or manufacturer. This includes any safety alerts issued in regard to an established contract, any required modification, removal or recall that is suggested or mandated by a regulatory or official agency. The following steps will immediately be taken by the contractor: (a) Notify VA Medical Center, Contracting Officer, 13000 Bruce B. Downs Blvd., Tampa, FL 33612, in writing. (b) The notice shall be signed and consist of two copies of the official notification and shall include, but not be limited to the following: (1) Complete item description and/or identification, serial numbers, and the contract number/purchase order number assigned as a result of an award on this solicitation; (2) Reasons for modifications, removal or recall; and (3) Required instructions for return for credit, replacement or corrective action; (4) Contact person's name, title, address and phone number. (c) The contractor shall maintain a record system, documenting any of the above incidents by the date, time and description of the action that prompted this action to be taken. A waiver/exception to the product and service delivery requirements stated above may be granted on a case by case basis by the VA Prosthetic COTR in the event that it is determined these requirements would place an undue burden on the veteran or that specific circumstances warrant it. The contractor must have the capability of producing a minimum of 20,000 pairs of eyeglasses per year. A minimum of three (3) year's experience in dispensing optical services is required to perform under this contract. Copies of experience for all employees to perform under this contract must be provided to the contracting officer with this proposal, outlining the name, education/training, position, title, principal responsibilities, and experience. This information is also required on new hires, after award of the contract within 14 calendar days of being hired by the contractor. The contractor shall be guided by a quality control team that meets on a regular basis. Information on the quality control team must be submitted with the proposal and must reflect the teams protocol and scope of authority with regards to corrective actions. 6. EQUIPMENT - Contractor furnished equipment or Government-owned equipment shall be maintained per manufacturer's specifications or JCAHO requirements whichever is more stringent. Contractor owned equipment shall be repaired or replaced at no cost to the Government when breakdown or malfunctions is due to normal usage or due to the fault of the contractor. 7. INVENTORY - The Contractor shall maintain an adequate inventory of all items covered by this solicitation and shall provide a similar or equal item if stock is not immediately available and in case of emergency. Any substitute items shall be approved by the COTR. The Contractor shall be staffed and stocked to render prompt service and shall be equipped and trained to render satisfactory and courteous service at all times to the veteran beneficiaries. 8. PRESCRIPTIONS - VAF 10-2914 R, Prescription and Authorization for Eyeglasses (Attachment A) will be used to place orders with the Contractor. The Contractor must have the capability to receive orders via facsimile transmission and shall have a fax machine independent from the Contractor's established phone line and be able to accept faxed orders. The Optical Technician shall submit all available orders to the Contractor on a daily basis. Batching of orders is not authorized by either party. No fabrication of glasses shall begin prior to receiving a delivery order number from the Optical Technician. SPECIAL CONTRACT REQUIREMENTS The contractor agrees in accordance with the terms and conditions stated herein, to furnish James A. Haley Veterans Hospital Eye Clinic, 10770 N. 46th Street, Bldg. F, Tampa, FL 33617, the services and prices specified in section entitled Schedule of Supplies/Services of this contract. 1.SERVICES: a. The services specified in the Sections entitled Schedule of Supplies/Services and Special Contract Requirements may be changed by written modification to this contract. The modification will be prepared by the VA Contracting Officer and shall be approved by the VA under Secretary for Health or his/her designee. b. Other necessary personnel for the operation of the services contracted for at the VA will be provided by the VA at levels mutually agreed upon which are compatible with the safety of the patient and personnel and with quality medical care programming. c. The services to be performed by the contractor will be under the direction of the Chief Prosthetics Officer. d. The contractor may be required to remove any personnel who is found not to practice within acceptable medical standards of care, violates patient care policies, or commits an unlawful act or act of patient/staff abuse including sexual harassment. e. The services to be performed by the contractor will be performed in accordance with VA policies and procedures and the regulations of the of the VA facility. 2.TERM OF CONTRACT: This contract is effective 1 year from date of award plus 4 option years that may be exercised. The contract is subject to the availability of VA funds. 3.PAYMENT: Payment will be made at least three (3) times per week for provided supplies and services by way of Third Party (Government Credit Card). Contractor shall be classified a level 2 Credit Card User. 4.HIPAA COMPLIANCE - Health Insurance Portability and Accountability Act of 1996: The Contractor shall be required to be in compliance with HIPAA requirements 5.QUALIFICATIONS: a.Personnel assigned by the contractor to perform the services covered by this contract meet the qualification/skills requirements of this work statement. The qualifications of such personnel shall be subject to review by COTR supported by clinical staff review and recommendations. b. The VA reserves the right to refuse employment under this contract or require dismissal from contract works of any contract employee whom, by reason of previous unsatisfactory performance at the VA or unsatisfactory performance. 6.TRAINING: The VA will provide training associated with access and operation of the VA computer system. 7.WORK HOURS: The services provided under this contract shall be furnished by the contractor as defined herein. a. Work Hours: Regular working hours is from 9:00 a.m. to 5:00 p.m., Monday through Saturday, excluding legal holidays. Upon reasonable notice to the contractor, the VA may change the work hours as required by the needs of the clinic. b. National Holidays - The Federal Government observes ten (10) days as National Holidays and these include: New Year's Day, Washington's Birthday, Martin Luther King's Birthday, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving and Christmas and other days specifically declared by the President of the United States to be a national holiday. c. Non-work hours are hours from 5:00 p.m. to 9:00 a.m., Monday through Saturday and 24 hours a day on Sunday and national holidays. d. Optical Professional on site will have standard vacation and sick time in accordance with WSIFB policy. During this time optical professional will not be replaced. 8. PERSONNEL POLICY: a. The contractor shall be responsible for protecting the personnel furnishing services under this contract. To carry out this responsibility, the contractor shall provide the following for these personnel: "workers compensation "professional liability insurance "health examinations "income tax withholding, and "social security payments b. The parties agree that the contractor, its employees, agents and subcontractors shall not be considered VA employees for any purpose. c. Personnel furnishing services under this contract will comply with annual infection control training, safety training and annual TB testing as applicable to the VA. It is the contractor's responsibility to comply, monitor and document the timely testing of their employees. 9. CONTRACT PERFORMANCE MONITORING: a. Contracting Officers Technical Representative (COTR) - The Contracting Officer reserves the right to designate representatives to act for him/her in furnishing technical guidance and advice or generally supervise the work to be performed under this contract. Such designation will be in writing and will define the scope and limitations of the designee's authority. A copy of the designation will be furnished to the contractor after notice of award. b. The COTR is responsible for verifying contract compliance. Any incidents of contractor noncompliance as evidenced by the monitoring procedures shall be forwarded immediately to the Contracting Officer by the COTR. c. Performance Standards: 1)VA Optical tech (VA employee) will review daily that prescriptions to contracted Optical Center are being transmitted by the close of each business day. 2)VA Chief of Optometry and Prosthetic COTR will review that there are no more than 2 unresolved patient complaints concerning contracted Optical Center employee per quarter. 3)VA Chief of Optometry and Prosthetic COTR will review quarterly the receipt of eyeglasses/correct prescription of 25% of veterans with excellent 4% 8%. 4)VA Chief of Optometry and Prosthetic COTR will review weekly, recorded in log the delivery times of 25% of veterans with excellent 5-7 days, good 8-12 days, fair 13-16 days and poor >16. 10.MEDICAL RECORDS: Clinical or other medical records of VA beneficiaries provided services by the contractor will be forwarded to the VA. 11. TERMINATION: Terms and conditions of termination are included in Letter of Agreement. 12.REPRESENTATIVES OF CONTRACTING OFFICERS: The Contracting Officer reserved the right to designate representatives to act for him/her in furnishing technical guidance and advice or generally supervise the work to be performed under this contract. Such designation will be in writing and will define the scope and limitations of the designee's authority. A copy of the designation will be furnished to the Contractor after notice of award. 13. 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 task order 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 task order, the contractor will be responsible for the actions of those individuals they provide to perform work for VA. a. Position Sensitivity - The position sensitivity has been designated as Low Risk. b. Background Investigation - The level of background investigation commensuratewith the required level of access is National Agency Check with Written Inquiries. c. Contractor Responsibilities 1) The task order shall bear the expense of obtaining background investigations. If the investigation is conducted by the Office of Personnel Management (OPM), the contractor shall reimburse VA within 30 days. 2) 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. 3) 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 Form 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 4) The contractor, when notified of an unfavorable determination by the Government, shall withdraw the employee from consideration from working under the task order. Failure to comply with the contractor personnel security requirements may result in termination of the task order for default.
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