03. A1-SOW.pdf

GE Carestation 620 Anesthesia Machines

Whiteriver Indian Health Service / Ambulatory Surgery 05/08/2024

SCOPE OF WORK

1. GENERAL: The Whiteriver Service Unit currently has a need for annual preventive maintenance, repairs, parts replacement (as required), labor and travel for two GE Carestation Anesthesia Machines.

The agreement shall be a full service. The medical equipment is located at the Whiteriver Service Unit (WRSU) located in Whiteriver, Arizona. The WRSU is located at the address below:

1.1 Whiteriver Indian Health Service Hospital

400 West Apache Drive Whiteriver, Arizona 85941

2. SCOPE OF WORK: The contractor shall provide all supervision, labor, parts, materials, tools, supplies, maintenance, calibration, ground transportation, and equipment service for the two General Electric Carestation Anesthesia Machines.

2.1 Contractor shall repair or replace all components necessary to return units to Original Equipment Manufacturer’s specifications.

2.1 Contractor shall warrant all services performed and units shall remain defect free 30 days from the date of service/maintenance/repair acceptance.

3. EQUIPMENT DESCRIPTION:

Make Serial # Model # Department

Manufacturer Warranty Expiration

Date* General Electric 620 Carestation Anesthesia Machine SM619400038MA Carestation 620A1 OR, rm1 N/A

General Electric 620 Carestation Anesthesia Machine SM624110001MA Carestation 620A OR, rm2 4/2025

4. SERVICE DESCRIPTION: The contractor shall provide supervision, labor, replace parts, materials, tools, supplies, maintenances, and repairs. The service shall include certifications, calibrations/calibration verifications, replace parts (as required), and provide service reports on the items in SOW Section 3 above.

4.1 The contractor shall be authorized by manufacturer to perform all work included in the SOW and supporting documents and shall obtain and maintain all required manufacturer, Federal, State, and local licenses and certifications associated with the performance of the services.

4.2 Performance shall be according to the SOW, supporting documents and shall also conform with:

4.2.1. Original Equipment Manufacturers (OEM) specification requirements

4.2.2. National Fire Protection Association (NFPA) 99 and 101

4.2.3. Standards for Health Care Facilities

4.2.4. Environment of Care (EC.02.04.01, EC.02.04.03)

4.2.5. The Joint Commission standards

4.2.6. Federal, Tribal, State and local regulatory guidance shall be applied in regards to bio hazardous waste, disposal, and applications.

4.3 Work shall be performed in a hospital environment. Contractor shall comply with HIPAA security requirements for safeguarding patient information.

4.4 The contractor shall have ready access to new OEM parts. All parts replaced shall be new OEM.

5. CORRECTIVE MAINTENANCE OR REPAIR: Prior to proceeding with any work considered outside the scope of this contract, the contractor shall request and receive pre-approval from the Contracting Officer.

6. VALIDATION OF QUALIFICATIONS, LICENSURE and CERTIFICATION: Contractor shall submit valid documentation of technician’s training and current manufacturer’s authorization to perform technical support and repair the items listed in SOW Section 3. (Shall be submitted with offer). The contractor shall obtain, maintain and submit all required Federal, State, and Local licenses and certifications associated with the performance of the services required.

7. OPERATING HOURS: The contractor shall perform all work during normal business operating hours Monday through Friday from 8:00 a.m., to 5:00 p.m., excluding federal holidays. Contractor shall respond to repair requests no later than the following business day during normal business hours to ensure continuity of patient care services. The regular service date schedule shall be submitted to and pre-approved by the designated Government Point of Contact (POC).

8. PERSONNEL SECURITY REQUIREMENTS: Contractor shall comply with IHS visitation policies. The Contractor’s personnel shall report to the Human Resources Department at the beginning and end of their visitation, to sign-in and receive facility “Guest” ID badge. The Contractor shall provide alternate personnel if staff are not available due to illness.

9. DOCUMENTATION/REPORTING REQUIREMENTS: The Contractor shall submit a legible field service and test reports, which shall include detailed descriptions of the repair service, test inspection, certification, including replaced parts and detailed estimated prices required for recommended repair/replacement work.

Report No.

Description No. of Copies Recipient* Due Date

1 Service and Repair report 1 POC/CS 15 calendar days after completion of service or repair work.

*COR is Contracting Officers Representative

10. SCHEDULING: The contractor shall provide a detailed schedule to the WRSU POC for approval prior to the commencement of any work. Exceptions to the schedule shall be arranged and approved 10 days in advance with the designated POC. Schedule and Notification: The Contractor shall notify the designated POC prior to starting services and upon completion of services.

11. EQUIPMENT CERTIFICATION OF INSPECTION: The contractor shall label all equipment serviced upon completion, identifying the date(s) of service, time, company name and the initials of the service technician. The contractor shall perform services in designated area(s) only.

12. ADDITIONAL PROJECT REQUIREMENTS: All shipments of materials, equipment and/or supplies to the project site shall be addressed to the Contractor and not the Indian Health Service.

Preservation, packaging and packing shall be in accordance with industry standard packaging appropriate for the item(s) involved. The Indian Health Service is not responsible in any manner for deliveries intended for the project that are not generated by the Indian Health Service.

12.1. Equipment and materials provided by the Contractor shall be new and, where appropriate, shall arrive on-site sealed in original manufacturer’s containers. The Government reserves the right to refuse any items deemed to not meet this requirement.

13. SUBMITTALS: Submittals are due no later than (NLT) seven (7) calendar days after notice of contract award unless otherwise noted below.

13.1 Contractor supplied checklist as detailed in SOW Section 5.

13.2 Documentation of technician’s training and current manufacturer’s authorization to perform technical support, and repair of the Neptune System as detailed in SOW Section 6. (Shall be submitted with offer).

14. DELIVERABLES: Deliverables are due NLT fifteen (15) calendar days from performance date on each item below:

14.1 Service and repair report as detailed in SOW Section 9.

5. CORRECTIVE MAINTENANCE OR REPAIR: Prior to proceeding with any work considered outside the scope of this contract, the contractor shall request and receive pre-approval from the Contracting Officer.