PHYSIOLOGICAL PATIENT MONITORING SYTSEMS-SANTA FE INDIAN HOSPITAL.pdf

OMB No. 0990-0115

10-242-SOL-00018

1. REQUEST NO.

5a. ISSUED BY

NAME

a. NAME

c. STREET ADDRESS

d. CITY

10. PLEASE FURNISH QUOTATIONS TO

THE ISSUING OFFICE IN BLOCK 5a ON

OR BEFORE CLOSE OF BUSINESS (Date)

2. DATE ISSUED 3. REQUISITION/PURCHASE REQUEST NO. 4. CERT. FOR NAT. DEF.

UNDER BDSA REG. 2

AND/OR DMS REG.1

RATING

6. DELIVERY BY (Date)

7. DELIVERY

9. DESTINATION

a. NAME OF CONSIGNEE

b. STREET ADDRESS

PAGE OF PAGES

5b. FOR INFORMATION CALL: (No collect calls)

TELEPHONE NUMBER

AREA CODE NUMBER

8. TO:

b. COMPANY

e. STATE f. ZIP CODE

c. CITY

d. STATE e. ZIP CODE

IMPORTANT: This is a request for information, and quotations furnished are not offers. If you are unable to quote, please so indicate on this form and return it to the address in Block 5a. This request does not commit the Government to pay any costs incurred in the preparation of the submission of this quotation or to contract for supplies or services. Supplies are of domestic origin unless otherwise indicated by quoter. Any representations and/or certifications attached to this Request for Quotations must be completed by the quoter.

11. SCHEDULE (Include applicable Federal, State and local taxes)

THIS RFQ

REQUEST FOR QUOTATION

(THIS IS NOT AN ORDER)

IS IS NOT A SMALL BUSINESS SET ASIDEX

04/30/2010

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5300 Homestead Road NE Albuquerque NM 87110

Albuquerque Indian Health Service Multiple

VERONICA ZUNI

05/21/2010 1630 MD

FOB DESTINATION

OTHER

(See Schedule)

ITEM NO.

(a)

SUPPLIES/SERVICES

(b)

QUANTITY

(c)

UNIT

(d)

UNIT PRICE

(e)

AMOUNT

(f)

This acquisition is funded in whole with funds made available from the American Recovery and Reinvestment Act of 2009 (ARRA). The successful Offeror/Vendor must comply with all reporting requirements of the ARRA.

The Albuquerque Area Indian Health Service (IHS) has a requirement for purchase of a complete package of specialized physiological monitoring equipment to include hardware, support items, software licenses and expansions, additional ancillary items required to upgrade the existing patient monitoring system. Equipment is for the Santa Fe Indian Hospital which is located at 1700 Cerrillos Road, Santa Fe, New Mexico. Santa Fe is approximately 55 miles north of Albuquerque, Continued ...

12. DISCOUNT FOR PROMPT PAYMENT

a. 10 CALENDAR DAYS (%) b. 20 CALENDAR DAYS (%) c. 30 CALENDAR DAYS (%) d. CALENDAR DAYS

NUMBER PERCENTAGE

NOTE: Additional provisions and representations

13. NAME AND ADDRESS OF QUOTER

b. STREET ADDRESS

c. COUNTY

d. CITY e. STATE f. ZIP CODE

14. SIGNATURE OF PERSON AUTHORIZED TO

SIGN QUOTATION

16. SIGNER

a. NAME (Type or print)

c. TITLE (Type or print)

a. NAME OF QUOTER

AREA CODE

NUMBER

15. DATE OF QUOTATION

b. TELEPHONE are are not attached

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition not usable

STANDARD FORM 18 (REV. 6-95)

Prescribed by GSA - FAR (48 CFR) 53.215-1(a)

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

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CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

10-242-SOL-00018

New Mexico.

The vendor shall be responsible for all travel expenses, personnel, labor, test equipment, tools to install, program, and calibrate, and test all new patient physiological monitoring equipment to required manufacturer's specifications.

Cost or Pricing:

The vendor's cost shall be inclusive of the equipment purchase, installation, calibration, end user training, shipping and handling cost.

Total cost: $___________

Background Description:

The existing patient physiological monitoring system at the Santa Fe Indian Hospital is manufactured by Nihon Kohden and provide for monitoring on a limited number of patients. The existing system requires expansion to meet the increasing need for patient physiological monitoring with the facility. The requested equipment will increase the capacity of the number of simultaneously monitored bed locations from 8 to 12 beds. The package requirement also includes additional patient monitors for the operating room (OR), recovery and urgent care departments that will be connected with the

Central Nursing System (CNS). The patient monitors have advanced patient physiological monitoring capability for a multitude of cardio-vascular, respiration, and blood pressure parameters. The additional equipment and updated technology expands the existing patient monitoring system and will improve patient care services. The expanded capacity of the expansion will meet the requirements of the hospital for the foreseeable future.

Objective:

The Government's requirement under this acquisition is to expand and upgrade existing patient physiological monitoring capabilities throughout all the departments with the Santa Fe

Indian Hospital.

Continued ...

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

NAME OF OFFEROR OR CONTRACTOR

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CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

10-242-SOL-00018

Scope of Work/Specifications:

The vendor is shall provide a complete package of specialized physiological monitoring equipment, associated hardware and support items, software licenses and expansions, and additional ancillary items required to upgrade the existing equipment.

The vendor shall provide and be responsible for all travel expenses, personnel, labor, tools and test equipment to install, program, calibrate, and test all new equipment to the required manufacturer?s specifications.

The vendor shall provide operator applications training to the end user medical and nursing staff of the individual departments receiving the updated and additional equipment. Training will define operator use, operator programming, and operator maintenance requirements for optimal routine operations.

The vendor shall provide to the Indian Health

Service (IHS); and original and backup copies of all software, schematics, parts lists, troubleshooting manuals, operator's instruction manuals, and all other technical data for all installed equipment.

Specifications:

a. The vendor's proposed equipment must be fully compatible with and interface into the existing

Nihon Kohden central monitoring system.

There is a specific and unalterable requirement that the equipment being purchased for expansion has complete interoperability and seamless interfacing and communications with the existing system. Software and communication protocols must guarantee fully operational interconnection and interfacing of additional equipment.

b. The vendor's quote for their proposed patient physiological monitoring equipment must meet the listed expansion criteria:

I. Expand existing physiological central monitoring service from 8 to 12 bed locations

II.Install interactive remote terminal (slave

NAME OF OFFEROR OR CONTRACTOR

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CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

10-242-SOL-00018

central monitor)

III. Network printer and telemetry equipment with early detection software

IV. Six (6) each general purpose physiological monitors with recorder, patient cables, rechargeable batteries, start up supplies and wall mounting hardware (specify parameters monitored

V. Two (2) each anesthesia gas monitors with interface to bedside monitors, patient leads, and start supplies (specify gases monitored)

VI. Promotional discounts and expiration of discount terms

VII.Warranty Coverage

c. The vendor should also include the listed documentations for evaluation:

I. Recurring annual service contract cost with options o include glassware

II. Cost for additional or follow-up operator training.

d. The vendor shall propose equipment that is new condition and of current production models. The vendor shall immediately notify the acquisition office of any plans to halt production of proposed system before delivery date and provide option of upgrading purchase to newer model.

e. The vendor shall provide a written statement of minimum guaranteed period of time for parts availability and service support.

Period of Performance:

Period of performance shall commence upon award of a contract; equipment shall be installed, calibrated, and operational including the medical and nursing staff trained within 120 days of notice to proceed.

Contracting Officer's Technical Representative

The designated Government Project Officer is Ken

NAME OF OFFEROR OR CONTRACTOR

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CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

10-242-SOL-00018

Garvin, BioMedical Engineer, OEHE, 5300 Homestead

Road NE, Albuquerque, New Mexico 87110.

For clarification of technical specifications under this solicitation, contact Ken Garvin at telephone 505-248-4596. Discussion/negotiation of price is strictly prohibited during discussion pertinent to the technical aspects of this solicitation.

Delivery Location:

The specified equipment shall be delivered to the hospital facility.

Santa Fe Indian Hospital

1700 Cerrillos Road

Santa Fe, New Mexico 87505

Invoice Submission:

Invoice(s) shall be submitted directly to the

Albuquerque Area Indian Health Service, Division of Accounting Services, 5300 Homestead Road NE, Albuquerque, NM 87110, upon completion of the entire installation, and inspections by the

Government has been completed and accepted.

52.252-2 Solicitation Clauses Incorporated by

Reference

This solicitation incorporates one or more solicitation clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es):

www.arnet.gov

52.203-15 Whistleblower Protections Under The

American Recovery And Reinvestment Act of 2009

(Mar 2009)

52.204-11 American Recovery and Reinvestment

Act?Reporting Requirements (Mar 2009)

52.213-4 Terms and Conditions-Simplified

Acquisitions (Other Than Commercial Items) (Apr

2010)

NAME OF OFFEROR OR CONTRACTOR

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CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

10-242-SOL-00018

52.246-19 Warranty of Systems and Equipment under

Performance Specification or Design Criteria

Health & Human Service Acquisition Regulation

(HHSAR)

352.202-1 Definitions (Jan 2006)

352.232-9 Withholding of Contract Payments (Jan 2006)

352.270-6 Publications and Publicity (Jan 2006)

352.270-7 Paperwork Reduction Act (Jan 2006)

52.204-1 Approval of Contract (Dec 1989)

The contract is subject to the written approval of the Contracting Officer, and shall not be binding until so approved.

The Santa Fe Indian Hospital is a Smoke-Free environment:

352.270?13 Tobacco-free facilities (January 2006)

In accordance with Department of Health and Human

Services (HHS) policy, the Contractor and its staff are prohibited from using tobacco products of any kind (e.g., cigarettes, cigars, pipes, and smokeless tobacco) while on any HHS property, including use in personal or company vehicles operated by Contractor employees while on an HHS property. This policy also applies to all subcontracts awarded under the contract or order.

The term ``HHS properties?? includes all properties owned, controlled and/or leased by HHS when totally occupied by HHS, including all indoor and outdoor areas of such properties.

Where HHS only partially occupies such properties, it includes all HHS-occupied interior space. Where HHS leases space in a multi-occupant building or complex, the tobacco-free HHS policy will apply to the maximum area permitted by law and compliance with the provisions of any current lease agreements. The Contractor shall ensure that each of its employees, and any subcontractor staff, is made aware of, understand, and comply with this policy.