36A77619Q0031-003.docx

VA Northern California Health Care System 1601 Concord Avenue Chico, CA 95928

VA Northern California Health Care System Initial Outfitting, Transition & Activation General Conditions and Statement of Work Exam/Treatment Tables & Chairs

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VA Northern California Health Care System 1601 Concord Avenue Chico, CA 95928 General Conditions and Statement of Work Exam/Treatment Tables & Chairs

Introduction Veteran Affairs Northern California Health Care System (VANCHCS) has a requirement to purchase Exam/Treatment Tables & Chairs with an authorized vendor to supply and deliver the item(s) identified in Table 1 below. This requirement is in support of a brand name or equal requirement. See below for salient characteristics. This requirement is in support of the activation of Chico VA Clinic. Item(s) are to be delivered to the location specified in section 2.4.1.

Table 1 – Package Items Summary

General Conditions Site Address The address of the VANCHCS Chico VA Clinic is provided below. Further information on delivery is located in section 2.4.

Chico VA Clinic 1601 Concord Avenue Chico, CA 95928 Delivery Schedule Items shall be delivered no earlier than the estimated delivery start date and no later than the delivery end date listed in Table 2 below.

Table 2 – Anticipated Building Outfitting Schedule

Go Energistics Warehouse

2/13/19

Schedule and Order Management The awardees actual delivery dates will be confirmed by VA upon award. The Government’s Beneficial Use/Acceptance date of the VANCHCS Chico VA Clinic is March 14, 2019. Due to construction timelines and possible delays, the completion date of VANCHCS Chico VA Clinic may change Post-award, the vendor will coordinate delivery identified in this document with the VANCHCS prior to beginning any work (See Section 2.4). Once the dates have been confirmed, modifications to the schedule are subject to written approval by the Contracting Officer, COR and the vendor. Schedule changes that are beyond the dates specified in the contract will require approval by the Contracting Officer and a contract modification.

Delivery and Receiving Delivery and receipt of the proposed items is anticipated to be directed to the location identified below. Confirmation of delivery location will be provided post-award. To coordinate delivery, contact Government POC Antonio Homer at (916) 843-7393, Antonio.homer@va.gov and Angela Howard at (217) 274-8933, angela.howard@goenergistics.com or Jack O’Dell at (937) 608-7329, jack.odell@goenergistics.com.

☐VANCHCS Chico VA Clinic (Direct Delivery to address detailed in paragraph 2.1.1) ☒ IOT&A Contractor-Provided Warehouse Local to the VANCHCS Go Energistics Warehouse: Attn: GoE-VA Project, 13290 Contractor Dr., Chico, CA 95928

The vendor is required to define the need for a staging area to accommodate item delivery, if needed. Post-award, this information will be confirmed with the vendor.

The delivery of items identified in this document shall take place during normal business hours which are defined as: 0800 to 1630 (i.e.: 8:00am to 4:30pm Pacific Standard Time), Monday through Friday, and excluding Federal Holidays.

Delivery trucks will not be permitted to remain at the loading dock. Trucks shall be unloaded, moved from the dock, and then brought back to the dock if required to haul out any waste, tools, or excess materials.

Use of Warehouse The vendor shall communicate through the VA POC any required coordination requirements.

VA Northern California Health Care System M4915

Chico, CA 95928

Total Quantity: 1

☒ Finish Sample Required if Checked

Item Name: Chair, Exam/Treatment, ENT, w/Adjustable Light

Please Note: Picture is for reference only to illustrate the general design concept:

Salient Characteristics:

ENT exam/treatment chair with adjustable light. Chair can be rotated 330 degrees locking at desired position Unit is electrically powered for precise positioning and has an adjustable headrest and armrest It may include an adjustable gooseneck light Unit is designed for use during examinations, treatments, and minor procedures Chair seat can lower to 19" to 35" above floor Touch pad switches, one adj. memory position dual switches for left or right hand, full function foot control, flat table positioning, swing out armrests, 360 degree base rotation with foot lock on both sides, adj. headrest w/magnetic contoured pillow (removable) Upholstery shall be vinyl and be able to be cleaned with a 10% bleach solution Final finishes and colors to be coordinated/approved by VA interior design prior to purchase.

Approximate Dimensions (+/- 2”): 25" wide x 70" deep x 63" high Electrical: 120V cord and plug Upholstery: Shadow 232

VA Northern California Health Care System M4920

Chico, CA 95928

Total Quantity: 4

☒ Finish Sample Required if Checked

Item Name: Chair, Exam/Treatment, Podiatry, w/Motor

Please Note: Picture is for reference only to illustrate the general design concept:

Salient Characteristics:

Podiatry exam/treatment chair Unit is motor driven and has a foot control with gliding foot rest Unit is fully adjustable to the desired position It is designed for podiatric examinations and procedures Storage drawer under table.

Electric adjustment powered by foot pedal.

Barrier free- table lowers to approximately 18” above the floor Goose neck exam light connected to foot end of the table Leg stirrups Adjustable arms Seamless upholstery Supports Trendelenburg positioning 450 lb. weight limit 350 degree rotation Cleanable upholstery with 10% bleach solution Final finishes and colors to be coordinated/approved by VA interior design prior to purchase.

Approximate Dimensions (+/- 2”): 24" wide x 73" deep x 19"-40" high

Upholstery: Fossil Grey 238

VA Northern California Health Care System M8300

Chico, CA 95928

Total Quantity: 1

☒ Finish Sample Required if Checked

Item Name: Table, Examination/Treatment, Wood

Please Note: Picture is for reference only to illustrate the general design concept:

Salient Characteristics:

Examination/treatment table with wood base construction The table has an 'H' brace design Table has 2 inch foam pad covered in seamless vinyl covering Hidden 21" wide paper roll holder Weight capacity: 350 lb.

Approximate Dimensions (+/- 2”): 27" wide x 72" deep x 30" high Final finishes and colors to be coordinated/approved by VA interior design prior to purchase

VA Northern California Health Care System M8315

Chico, CA 95928

Total Quantity: 1

☒ Finish Sample Required if Checked

Item Name: Table, Traction, Physical Therapy

Please Note: Picture is for reference only to illustrate the general design concept:

Salient Characteristics:

Physical therapy traction table Upholstered table top with a removable non-friction rolling lumbar section for smooth efficient traction Mounting board is height adjustable Used in physical therapy during traction treatments Powered table with LCD touch screen display to control table traction movements Traction control station located at the foot of the table on its own support stand connected to the table Table adjustments can also be done with manual levels located on the side of the table Unit includes spine therapy table, electronically controlled mechanical traction unit, cervical traction device, DTS belt system, bolster set and stabilizer Table can incline leg and head section to a 45 degree angle. Pelvic tilt pad can incline up to 15 degrees Grab handle Table can support 400 lb.

4 locking casters Face rest Table has 2" vinyl seamless upholstered top, material shall be able to be cleaned with 10% bleach solution Base frame made from steel with scratch resistant powder coated paint Approximate Dimensions (+/- 2”): 28" wide x 80" deep x 20"-40" high Electrical: 120V cord and plug Upholstery: Dove

VA Northern California Health Care System M8320

Chico, CA 95928

Total Quantity: 1

☒ Finish Sample Required if Checked

Item Name: Table, Treatment, Hi/Lo

Please Note: Picture is for reference only to illustrate the general design concept:

Salient Characteristics:

Hi/lo metal treatment table Unit consists of a hydraulic electromechanical power system operated with a foot control Provides easy access for patients in wheelchair or stretcher Designed for general examinations as well as orthopedic Approximate dimensions: 7' Long x 4' Wide x 18.5"-29.5" high 600 lb. weight capacity Upholstered 2" top that is cleanable with 10% bleach solution Powered foot control Rounded corners with bumper guards Steel constructed frame with scratch resistant powder coat paint finish Height range- 18.5"-29.5" Final finishes and colors to be coordinated/approved by VA interior design prior to purchase.

Upholstery: Sand

VA Northern California Health Care System M8321

Chico, CA 95928

Total Quantity: 1

☒ Finish Sample Required if Checked

Item Name: Table, Treatment HI/Low, Bariatric

Please Note: Picture is for reference only to illustrate the general design concept:

Salient Characteristics:

A HI/Low, powered treatment table for Bariatric patients with a weight bearing capacity of approximately 800 pounds The table will have an electro-mechanical power system for multiple position movement including full height adjustment and powered back The table will provide easy access for patients in wheelchair or stretcher and be adjustable from a low of approximately 19" to a high of approximately 30" in Supine position.

It will operate with hand controls It will include an upholstered contoured padded top for patient comfort 800 lb. capacity Hand control power control Adjustable back rest 2" foam padding Upholstery to be cleanable with 10% bleach solution Final finishes and colors to be coordinated/approved by VA interior design prior to purchase.

Steel frame with powder coated paint finish resistant to scratches Approximate dimensions: 48" wide x 84" deep x 20"-30" high

Upholstery: Greystone

VA Northern California Health Care System M9005

Chico, CA 95928

Total Quantity: 1

☒ Finish Sample Required if Checked

Item Name: Table, Imaging, Ultrasound

Please Note: Picture is for reference only to illustrate the general design concept:

Salient Characteristics:

A general purpose table dedicated to ultrasound procedures including OB/GYN Table has an open frame design to allow sonographers to get close to the patient Table height is adjustable from approximately 23" to 39".

Three section ultrasound table Electric height adjustable via hand control Available positions Fowler back and Trendelenburg.

500 lb. weight capacity Electric foot pedal 2" foam pad for torso section.

Let sections 3" thick foam pad Pad upholstered with seamless vinyl material able to be cleaned with 10% bleach solution Side rails, stirrups, Lockable casters Arm rest board Table includes a drop down leg section with attachable stirrups Table must lower to 23" Approximate dimensions: 30" wide x 70" long x 23"-39" high Electrical: 120V with cord and plug

VA Northern California Health Care System M9035

Chico, CA 95928

Total Quantity: 17

☐ Finish Sample Required if Checked

Item Name: Chair/Table, Exam/Treatment, Combination Unit

Please Note: Picture is for reference only to illustrate the general design concept:

Salient Characteristics:

A dual purpose examination and treatment/procedure chair/table combination unit Unit consists of an upholstered chair with foot and head sections Unit is designed for use in clinics, doctor's office or treatment rooms Table allows for patient positioning to have support while sitting upright on the table and also allows the patient to lay flat.

Table/chair provides back support to patient while sitting upright Barrier free exam table Allows for easy transition from wheelchair/scooter to exam chair Table powered via foot and hand controls.

Adjustments to table are high low and back raise lower.

Table shall be able to lower to 17-19" Above floor to up to 35- 37" above floor in Supine position Table/Chair upholstered top shall be approximately 28"w x 60" long (76" long with footrest extended) Weight capacity 650 lb.

Stirrups Pelvic tilt Accessory receiver Tamper resistant hospital grade receptacles on both sides of table Heated drawer Data port Patient support arms/rails Detachable gooseneck LED exam light Salient Characteristics (Cont’d):

Approximate dimensions: 28" wide x 76" long 15"-37" high Electrical 120V cord and plug Upholstery: Dark Linen image1.jpeg