United States - R--Radiology Health Physicist, Radiation Safety officer and Dosimetry Services for the WIlmington VAMC

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Provided by Open Opps
Opportunity closing date
14 August 2019
Opportunity publication date
09 August 2019
Value of contract
to be confirmed
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Added: Aug 08, 2019 9:25 am


Rad and Fluoro.ver1.1018


Rad and Fluoro.ver1.1018



This is a SOURCES SOUGHT NOTICE only. Responses to this notice will be used for information and planning purposes. No quotes are being requested or accepted at this time with this notice.

The intent of this Sources Sought Notice is to identify potential Small Businesses especially any SDVOSB/VOSB any and other business size offerors capable of providing Laundry Services as listed in the Statement of Need (See Below). 541990, All Other Professional, Scientific, and Technical Services, with a small business size standard of $15 Million and the Products Service Code (PSC) is R499 Support- Professional: other. This will be completed by using cascading procedures. If no competent SDVOSB or VOSB are found this will be opened to other small business concerns. These are for the VA Healthcare Center in Wilmington, DE 19805

Below is a draft copy of the Statement of Work (SOW). Responses to this notice should include the following:

1. Company name

2. Data Universal Numbering System (DUNS) number

3. Company s address,

4. Point of Contact information (i.e. title, phone number and email address)

5. Company s capability to meet this requirement and any pertinent information which demonstrates the company s ability to meet the above requirements.

6. GSA Federal Supply Schedule contract number, if within scope of this effort (if applicable).

Company s type of business (small or large) and socioeconomic status whether Service Disable Veteran Owned, Veteran Owned, Hubzone, 8(a), Women Owned, Small Disadvantaged, etc. If applicable, Service-Disabled Veteran Owned Small Businesses (SDVOSB) and Veteran Owned Small Businesses (VOSB) must be verified in www.VetBiz.gov , and be able to meet the limitation on subcontracting in accordance with 13 CFR 125.6; if applicable.

All responses shall be submitted in writing via email no later than 10 am EST, on August 14 th, 2019 to Mr. Jeffrey Pruett at Jeffrey.Pruett@va.gov


E-mail: Jeffrey.Pruett@va.gov. Facsimile or telephonic responses will not be accepted.

Simply responding as an interested party in www.fbo.gov does not constitute your company as a source. Offeror must provide the above requested information. After review of the responses to this sources sought notice, a solicitation announcement may be published on the FBO website in the near future. Responses to this sources sought announcement are not considered adequate responses to the solicitation announcement. All interested offerors will have to respond to the forthcoming






The contractor shall provide all resources necessary to accomplish the deliverables described in this statement of work (SOW), except as may otherwise be specified. A Health Physicist for routine inspection and performance testing of all radiological equipment, review and interpretation data from various dosimetry devices, become a point person for Radiology safety meetings. Health Physicist must be close enough for recall in the event of radiological event occurs and must be able to respond within 1 to 4 business hours of notification. This is to include the monthly processing and delivery of an average of 150 badges for personnel radiation monitoring. This will include badges, wrist badges and ring badges. Monthly monitoring of radiation exposure and badge usage reports will be provided on monthly bases to Wilmington VAMC Department of Radiology and the Radiation Safety Officer. Thermoluminescence dosimeters (TLD) or Optically Stimulated Luminescence (OSL) badges are preferred. Vendor must have software that allows for efficient tracking of personnel radiation monitoring devices and provide a monthly report that clearly states the employee radiation exposure level.

The contractor shall furnish all labor, equipment, transportation and parts necessary to provide Radiation Protection Survey Services and Health Physics Survey Services at the Wilmington VA Medical Center, 1601 Kirkwood Highway, Wilmington, Delaware 19805 in accordance with the Schedule of Services and Prices. Wilmington VAMC requires the vendor to provide access to a database that allows for efficient tracking of these personnel radiation monitoring devices each month and provides a monthly report and web-based access would be preferable so real time access can be accomplished at the Wilmington VAMC in case mail delivery is slow. Badges should not use photographic film but use optically stimulated luminescence (OSL) technology which provides greater sensitivity and a wider dynamic range. The OSL technology permits multiple readouts to confirm reported radiation does. Other dosimeters can only be analyzed once and film cannot be redeveloped to correct for processing errors. Monitor badges must identify whether exposure is static or dynamic and offer a higher degree of stability than badges using photographic film. In addition, the Government may exercise their option to extend the term of the contract four (4) additional option year periods subject to the required need and the availability of funds.

The RSO's duties and responsibilities include ensuring radiological safety and compliance with federal, state regulations, conditions/ limitations of the facility's X-ray Registration & Radioactive Materials Licenses and TJC requirements.


A. Each respondent must have an established business, with an office and fulltime staff to include a "fully qualified" physicist/radiation safety officer.

B. Fully Qualified" is based upon training and on experience in the field. For training, the FSE(s) must be a qualified radiation physicist/radiation safety officer which is defined as an individual who is certified by the American Board of Radiology (ABR) in the appropriate disciplines of radiological physics including diagnostic, therapeutic and medical nuclear physics or who demonstrates equivalent competency in the disciplines. For field experience, the physicist/radiation safety officer has a minimum of two years experience with respect to performing radiation protection survey services.

C. The physicist/radiation safety officer shall be authorized by the contractor to perform the radiation protection survey services. Fully Qualified competent physicist/radiation safety officer shall perform all work. The contractor shall provide certification by the American Board of Radiology (ABR) of the physicist to perform the work for each appropriate discipline of radiology physics including diagnostic, therapeutic and medical nuclear physics or submit written documentation which demonstrates equivalent competency in the disciplines. The Contracting Officer (CO) may authenticate the training requirements, request training certificates or credentials from the contractor at any time for any personnel who are servicing or installing any VA equipment. The CO and/or Contracting Officer's Technical Representative (COTR) specifically reserves the right to reject any of the contractor's personnel and refuse them permission to work on the VA equipment.

D. If subcontractors are used, they must be approved in advance by the CO. The contractor shall submit any proposed change in subcontractor(s) to the CO for approval/disapproval.



Contract for Radiation Protection Survey requirements of JCAH Standard i.e., (I) Policies/Procedures Review, (II) PT Dose Measurements (A) and (B), (III) Equipment performance and (IV) Quality Control.

Examine personnel monitoring records to determine the adequacy of reporting and compliance with state and federal regulations. Examine for adequate use of warning labels and signs, review written safety procedures, examine devices and techniques used in patient and operator protection from scattered and primary radiation and evaluate radiation levels in uncontrolled areas and calculate their acceptability with respect to regulatory specifications.

1. Vendor must have software that will accurately track the badge usage and provide a monthly report that is provided to the Department of Radiology, Wilmington VAMC.

2. Badges should not use photographic film; optically stimulated luminescence technology is preferred.

3. Monitor badges must identify whether exposure is static or dynamic.

4. Individual monthly monitoring is required with prompt delivery of badges and timely reports of findings sent to the Department of Radiology, Wilmington VAMC, Radiation Safety Officer by the 10th of each month.

5. A fee will be allowed for lost badges equal to the cost of the lost badge.

6. A fee will be allowed for badges that are shipped using standard postage separately.


A qualified individual will monitor doses from each radiology procedure in each x-ray room. Each

radiographic room would require an average of 15 procedure calculations for entrance skin exposure.There

is to be a quantitative value for the dose being given to patients for each procedure. Compliance with this

standard requires that radiographic exposure measurements be made in each x-ray room at a variety ofKVp

settings. For manual radiographic techniques (know KVp & mAs) the patient exposure will be computed by

the physicist for the commonly employed examinations in that room. For photo-timed techniques, the MAs

value delivered in a radiograph may be available, otherwise the physicist will make measurements using a

phantom to characterize the photo-time response. A qualified individual will review and sign quarterly

dosimetry reports generated by the dosimetry vendor. The contractor will identify those staff that who have

exceeded ALARA I or ALARA II and recommend ways to reduce radiation exposure to those staff members

in the future.

Perform x-ray shielding recommendations up to one (1) room each contract year at no additional fee as part

of our routine services. Shielding recommendations in excess of this amount will be assessed a professional

fee. Shielding recommendation reports will require a minimum of ten (10) business days to complete.

Perform one (1) internal dose estimate each contract year at no additional fee above our contracted fee

structure. Dose estimates in excess of this amount will be billed separately.

Dose estimation reports will require a minimum of ten (10) business days to complete.

On an annual basis, review the department's radiation safety policies and procedures in accordance with

standards set forth by federal, state and local regulations, as well as recommendations of the Joint

Commission. Assistance will be provided in the development of written procedures.


A qualified individual will review and sign quarterly dosimetry reports generated by the dosimetry vendor. The

contractor will identify those staff that who have exceeded ALARA I or ALARA II and recommend ways to

reduce radiation exposure to those staff members in the future. On a monthly basis, provide the number of P

whole body badges and S ring badges, in accordance with federal and state requirements.

For each LUXEL dosimetry device that is not received by Landauer within 90 days of the end of the wear period.

Monthly dosimetry reports will be reviewed closely by a health physicist/diagnostic medical physicist for any

overexposure or unusual trends and to assess whether radiation exposure levels are As Low As Reasonably

Achievable (ALARA) and below regulatory limits. Administrative dose assignments will be made for badges

that have been lost or damaged.

Multiple Employer Total Exposure Reports (Meter Program) is provided on a monthly basis.

On an annual basis, provide up to the number of Badge Summaries, as noted on Schedule A, in accordance with federal and state requirements at the amount outlined on Schedule A. The fees for any additional annual film badge summary reports will be billed at a rate outlined on Schedule B.


Equipment performance is defined as performance with respect to the image quality produced as well as radiation safety and compliance with state and/or federal regulations. The annual physics report will include, as a minimum, high-contrast and low-contrast resolution tests for fluoroscopic systems as well as radiation outputs for a standard patient thickness in the automatic brightness mode, and cins dose rate for cardiac systems, intrinsic uniformity, intrinsic or special resolution, sensitivity, energy resolution, count rate parameters, formatter or video display, system interlocks and overall system performance. For a radiographic system, KVp accuracy, timer accuracy and MA linearity will be included as a bare minimum and focal spot size measurements will be performed. These will be evaluated at or above standards set forth through the American College of Radiologists (ACR), Nuclear Regulatory Commission (NRC), VA National Health Physics Program (NHPP) and the Joint Commission (JC).


Semi-annual quality assurance (QA) testing will be performed on all nuclear medicine equipment. The QA testing will be in compliance with the ACR and NHPP directives. The Nuclear Medicine service at Wilmington VAMC is not currently ACR accredited but seek accreditation in the future. The contractor will review all records to verify compliance with federal and state regulatory bodies.


The survey criteria are those of the National Council on Radiation Protection, Report No. 102, "Medical X-ray and Gamma Ray Protection for Energies Up to 50 MeV"; Report No. 105, "Radiation Protection for Medical and Allied Health Personnel"; Report No. 147, "Structural Shielding Design and Evaluation for Medical X-Ray Imaging Facilities, and applicable State regulations.


Vendor will survey radiographic units as follows:

A visual inspection of the room/unit insuring that applicable warning labels and caution signs are present and a determination of proper function of all radiographic control devices.

SID measurement versus indicated SID distance.

Alignment of the X-ray field versus the visual field.

Measurement of X-ray field versus indicated field.

Measure of alignment between center of the X-ray field and center of image receptor/light field.

Measurement of illuminance of light localizer.

Automatic collimation accuracy determination if applicable.

Evaluation of timer accuracy and reproducibility if applicable.

Evaluation of exposure reproducibility.

kVp evaluation.

Radiation output measurements at kVp ranges used clinically.

Beam filtration (Half Value Layer).

Determination of mA station linearity.

If elected, will also evaluate the following for direct capture digital radiographic units:

High-contrast Resolution

Low-contrast Resolution

Dynamic range of System

evaluation of fluoroscopic equipment will include:

A visual inspection of the room/unit insuring that applicable warning labels and caution signs are present and a determination of proper function of all fluoroscopic control devices.

Beam alignment and collimation.

Evaluation of fluoroscopic interlock system.

Maximum Exposure Rate in all imaging modes.

Displayed air-kerma rate and cumulative air kerma accuracy (when applicable).

High-contrast resolution.

Low-contrast detectability.

Beam filtration (Half Value Layer).

Radiation measurement of primary beam transmission and secondary scatter radiation.

Evaluation of fluoroscopic field size versus visible area.

Measurement of fluoroscopic source to skin distance.

A complete written report will be provided for each radiographic/fluoroscopic tube surveyed. The report will reflect items of both compliance and non-compliance in accordance with applicable State and Federal regulations. Vendor Will provide appropriate meters and physics phantoms for testing. We will not provide manufacturer phantom for certain non-standard, specialized manufacturer X-ray uses.


Determine the maximum patient entrance exposure rate and evaluate the exposure rate as a function of potential in R/min. Test cumulative timing device for proper operation, measure specific scattered and transmitted radiation levels around intensifier, screen, primary frame and accessory shielding using an appropriate phantom. Measure the operation intercepted scatter at various positions using as appropriate primary barrier. Measure Source-to-Skin distance. Determine the adequacy of the beam filtration; examine shielding used for personnel protection during fluoroscopy. Equipment considered "new" under Delaware or Federal regulations all the extra requirements in addition to the above will be checked. All radiographic equipment will be evaluated as above with additional test performed as required by Delaware or Federal regulation.


To ensure compliance with TJC standard PC.01.03.01 EP26 and ACR CT Manual language, a qualified

medical physicist (QMP) will perform a review of all diagnostic CT imaging protocols for the number of CT scanners utilized at the facility.

In order to complete the medical physics review, the diagnostic CT imaging protocols must be sufficiently

detailed and be in a printed or digitally acceptable format. The protocols must include all acquisition

parameters outlined in the most current TJC standards, ACR CT Quality Control Manual and the IAC

Standards and Guidelines for CT Accreditation.

The review will occur on a mutually agreed upon method and frequency.

Initial/Acceptance Review(s): The qualified medical physicist (QMP) will complete an initial review of all the CT protocols within the first year of the executed contract.

Protocol Maintenance: A qualified medical physicist (QMP) will be available to meet in person or telephonically with the CT protocol committee established by the facility. The meeting frequency and times will be mutually agreed upon. Four meetings per calendar year are included in the contract.

In accordance with the standard protocols as described in the American College of Radiology CT Accreditation Program Guidelines, the contractor will provide a Licensed Medical Physicist to per form the testing of CT Scanner Imaging equipment to include at least the following items:

Phantom: for the purposes of these tests, Radiation Services, Inc. will provide the ACR CT Accreditation Phantom.

Alignment Light Accuracy: performed annually. The positional accuracy of the laser lights will be evaluated.

Isocenter Alignment: performed annually. The alignment of the intersection of the laser lights with the actual isocenter of the CT scan rotation will be assessed.

Table/Gantry Tilt Accuracy: performed annually. The accuracy of the indicated tilt of the gantry will be assessed.

Localization Image: performed annually. Slice Localization from scanned projection radiograph (localization image) will be assessed.

Table Index and Position: performed annually. The accuracy of the table position when indexed to a specific point and when moved away from and returned to the same point will be assessed.

Image Scan Width: performed annually. The width of the computed image slice will be assessed and compared to the indicated slice width.

Low Contrast Resolution: performed annually. The low contrast resolution capability of the scanner will be determined.

High Contrast Resolution: performed annually. The high contrast resolution (spatial resolution) capability of the scanner will be determined.

Image Uniformity: performed annually. Image uniformity of the scanner will be evaluated.

Noise: performed annually. The image noise will be quantified in accordance with established principles.

Artifact Evaluation: performed annually. Artifacts will be evaluated in accordance with established principles.

CT Number Accuracy and Linearity: performed annually. The CT number computed by the scanner for known objects within the phantom and linearity thereof will be determined and compared with the specified CT numbers for those same objects.

Display Devices: performed annually. Video and hard copy display will be evaluated in accordance with established principles.

Computed Tomography Dose Index (CTDI): performed annually. Using both Head Phantom and Body Phantom (these phantoms will be proved by Radiation Services, Inc. for the annual tests) as needed, the CTDI at normally used slice parameters will be measured and compared to the manufacturer s specified CTDI s.

Radiation Dose Profile: performed annually. The width of the radiation beam used to produce the computed image slice will be ascertained at the several slice sizes used.

17. Scattered Radiation Levels: performed annually. Various locations around the CT scanner room will be evaluated for scattered radiation at the most commonly used slice parameters.

18. Safety Evaluations: performed annually. Safety evaluations of the CT scanner will be performed in accordance with the established principals.

Quality Control Program Evaluation: performed annually. The results of the QC program will be monitored annually.



At this time there is no on-site breast imaging/mammography performed at the Wilmington VAMC.


The contractor will ensure all aspects of I-131 Thyroid Quality Management Program are within compliance standards. Compliance standards are will be reviewed quarterly and revised as requirements dictate. The contractor will provide a review summary to the Radiation Safety Committee on a quarterly basis.


The contractor will be responsible for reviewing Nuclear Medicine policy and procedure manual to ensure all policies and procedures are up to date and in compliance with current standards. The contractor shall inform the Chief, Radiology, COTR and Nuclear Medicine Provider of any upcoming changes and make recommendations to ensure continued compliance. Policies and procedures will be reviewed at least annually or as changes are published through various regulatory organizations. The contractor will review all pertinent records to verify compliance with the NRC, NHPP and JC on a quarterly basis.


At this time, the Nuclear Medicine program is not accredited through the ACR, but reserves the right to seek accreditation in the future.


Each nuclear camera within the hospital will be surveyed at least once during the contract year as needed, recommendations will be made for correction of deficiencies and re-surveys of equipment will be performed under the contract to determine if corrective actions taken were properly carried out.

Each tube head with the hospital, will be surveyed at least once during the contract year as needed, recommendations will be made for correction of deficiencies and re-surveys of equipment will be performed under the contract to determine if corrective actions taken were properly carried out.

Charges to include one follow-up call per tube head in the event a tube calibration falls out of expected range

Charges to include one follow-up call per nuclear camera.

follow-up visits to the hospital to re-survey any changes, additions, repair or for any other necessary inspections as required by the Chief, Radiology Service as needed.

Report to be submitted to the Chief, Radiology Service within 30 days after each inspection.




The contractor will conduct radiation safety and radioactive materials training as needed to ensure compliance with NHPP and NRC directives.

P. Schedule for Deliverables

If for any reason any deliverable cannot be delivered within the scheduled time frame, the contractor is required to explain why in writing to the Contracting Officer, including a firm commitment of when the work shall be completed. This notice shall cite the reasons for the delay. The Contracting Officer will then review the facts and issue a response in accordance with the applicable regulations.

Q. Changes to Statement of Work (SOW)

Any changes to this SOW shall be authorized and approved only through written correspondence from the Contracting Officer. A copy of each change will be kept in a project folder along with all other products of the project. Costs incurred by the contractor through the actions of parties other than the Contracting Officer shall be borne by the contractor.

R. Government Responsibilities

Government will assure that the Radiation Safety Officer or designee distributes all Dosimetry badges to appropriate Wilmington VAMC staff, and collects and returns badges to the contractor promptly each month.

S. Confidentiality and Nondisclosure

a. It is agreed that:

1. The preliminary and final deliverables and all associated working papers, application source code, and other material deemed relevant by VA which have been generated by the contractor in the performance of this task order are the exclusive property of the U.S. Government and shall be submitted to the Contracting Officer at the conclusion of the task order.

2. No information shall be released by the contractor. Any requests for information relating to this task order presented to the contractor shall be submitted to the Contracting Officer for response.

3. Press releases, marketing material or any other printed or electronic documentation related to this project, shall not be publicized without written approval of the Contracting Officer


All surveys will be performed during extended VA business hours (8:00 a.m. - 5:00 p.m.) Monday through Friday, except Federal holidays, unless otherwise specified. Contractor may work outside normal business hours by arrangement with the COTR if such services are provided without additional charge to the Government. The COTR or designee must approve any overtime chares prior to the initiation of overtime work.


New Year s Day January 1

Martin Luther King Day 3rd Monday in January

President's Day 3rd Monday in February

Memorial Day Last Monday in May

Independence Day July 4th

Labor Day 1st Monday in September

Columbus Day 2nd Monday in October

Veterans Day November 11

Thanksgiving Last Thursday in November

Christmas December 25


Unsafe activities involving licensed material are stopped

Radiation exposures are ALARA;

Up-to-date radiation protection procedures in the daily, operation of the licensee's radioactive material program & radiation producing machines are developed, distributed, and implemented;

Possession, use, and storage of licensed material is consistent with the limitations in the license, the regulations, the SSDR certificate(s), and the manufacturer's recommendations and instructions

Personnel training is conducted yearly and is commensurate with the individual's duties regarding licensed material

Documentation is maintained to demonstrate that individuals are not likely to receive, in 1 year, a radiation dose in excess of 10% of the allowable limits or that personnel monitoring devices are provided

When necessary, personnel monitoring devices are used and exchanged at the proper intervals, and records of the results of such monitoring are maintained

Licensed material is properly secured

Documentation is maintained to demonstrate, by measurement or calculation, that the total effective dose equivalent to the individual likely to receive the highest dose from the licensed operation does not exceed the annual limit for members of the public

Proper authorities are notified of incidents such as loss or theft of licensed material, damage to or malfunction of sealed sources, and fire

Medical events and precursor events are investigated and reported to appropriate regulatory agencies, cause(s) are identified, and timely corrective action(s) are taken

Audits of the radiation protection program are performed at least annually and documented

If violations of regulations, license conditions, or program weaknesses are identified, effective corrective actions are developed, implemented, and documented

Licensed material is transported, or offered for transport, in accordance with all applicable DOT requirements

Licensed material is disposed of properly

Appropriate records are maintained

An up-to-date license is maintained, and amendment and renewal requests are submitted in a timely manner.


A. Contractor Check-In: The contractor's representative will report to the COTR, Radiology Service, prior to performance of each survey. On approved overtime, contractor will report to VA Police Dispatch E.R. Lobby.

B. Documentation: At the conclusion of each survey, the contractor shall provide to the COTR, Radiology Service, and the Radiation Protection Officer, a written, signed and dated report of all measurements taken with indications of meeting the Delaware State and Federal requirements and the Guidelines from the American College of Radiology.

C. Exclusions: Consumable parts and supplies are not covered under this contract.

D. Inspection of Equipment: Any site visits shall be coordinated in advance with COTR, Radiology Service, (302) 994-2511 extension 4202.


The contractor agrees to maintain workmen's compensation insurance as may be required by law covering its employees who perform the service.


A properly completed invoice containing the purchase order number, contract number and period of performance will be submitted to FMS VA2/673, P.O. Box 149971, Austin, TX 78714-8971 or FAX (512) 460-5542. Customer Support Number is (877) 353-9791.


The Contractor shall participate in the quarterly RSC meetings, and provide information and data during these meetings detailing any findings and work performed. The QASP includes the following surveillance by the Government:

Performance Requirement

Acceptable Quality




1. Health


Assists in the administration of and decision making for the Radiation Safety Program. Assists in planning new initiatives, providing health physics surveys, equipment and supply purchases, plan and monitor acquisitions of radioactive material, act as the alternate radiation safety officer. Assists in the analysis of current and past operations to monitor efficiency, gather lessons learned and identify areas in need of improvement and areas of excellence.



Inspection and



2. Health Physicist

Serve as a member of the Wilmington VAMC Radiation Safety Committee.


Attendance at all meetings

3. Health Physicist

Review radiological operations within Wilmington VAMC for compliance with regulations and NRC licenses.


Periodic inspection and customer complaints

4. Health Physicist

Ensure that radioactive material movements, shipments and receipts are in accordance with 10 CFR 20 and 49 CFR 173.


No issues with material movement

5. Health Physicist

Coordinate with appropriate medical activity personnel in the event of a suspected overexposure to ionizing or non-ionizing radiation


Periodic inspection of program.

6. Health Physicist

Provide centralized issue, collection, control and submission for processing dosimetry devices


Periodic inspection of program.

7. Health Physicist

Maintain a formal radioisotope and laser inventory


Periodic inspection of program

8. Health Physicist

Maintain exposure records, DD Form 1141, for exposed employees


Periodic inspection of program

9. Health Physicist

Ensure radioactive waste is stored, handled, packaged and disposed of IAW NRC and VHA requirements


Periodic inspection of program

10. RSO

The RSO will oversee the use of all ionizing radiation within the organization to make certain that radiologic services are provided in accordance with law, regulation, and organizational policy.


Periodic inspection and customer complaints

11. RSO

Serve as a member of the Wilmington VAMC Radiation Safety Committee.


Attendance at all meetings

Evaluation Factor(s):

Opportunity closing date
14 August 2019
Value of contract
to be confirmed

About the buyer

Department of Veterans Affairs Veterans Integrated Service Network 4 Facilities United States

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