36A77619Q0083-001.docx

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

VA Northern California Health Care System Initial Outfitting, Transition & Activation Statement of Work Dental Equipment

Approved By:

Date:

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

Statement of Work Dental Equipment

Introduction Veteran Affairs Northern California Health Care System (VANCHCS) has a requirement to purchase Dental Equipment 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 attachments for salient characteristics. This requirement is in support of the activation of Chico VA Clinic. Item(s) are to be delivered and installed 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

Chico VA Clinic

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 May 15, 2019. Due to construction timelines and possible delays, the completion date of the VANCHCS Chico 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 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 Angela Howard at (217) 274-8933, angela.howard@goenergistics.com, Jack O’Dell at (937) 608-7329, jack.odell@goenergistics.com, or Antonio Homer, 916-843-7393, Antonio.homer@va.gov.

☒ 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.

Labeling of delivered items shall include the VA facilities contract number and VA purchase order number for identification and reference upon receipt of product.

Use of Warehouse If the vendor requires the use of the Government’s activation contractor’s warehouse to meet the requirements of this contract the vendor must provide a certificate of insurance prior to the delivery and offloading of the item(s). This insurance certificate must be completed and presented to the activation contractor prior to delivery.

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

Clean Up and Disposal There are no dumpsters available for vendor use.

The removal of waste and/or excess material shall be conducted through the loading dock area.

Assembly and Installation The vendor is required to manage and coordinate installation at the VANCHCS Chico VA Clinic with the COR.

On-site assembly and installation of items, and performance of services 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.

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

The vendor is required to provide tools, labor and materials to complete assembly and installation of the items detailed in this document.

During the entire duration of assembly and installation, the vendor will have a competent representative on-site as the vendor’s contact, and to serve as the interface between the vendor and VANCHCS. On-site representative can be the installer. All instructions provided from COR to the representative will be binding as if given to the vendor’s main contact. The COR may provide specific instructions, however, only the Contracting Officer may change the terms or conditions of the contract.

Training

0. Training is required for items X6605 and X6605A. The vendor shall coordinate through the VA POC to provide a hands-on training session to staff selected by the VA. Training shall be completed within 45 days after final installation of equipment. The vendor will provide a copy of training materials used or other information from the training to the VA POC for VA to use to train additional personal at a future date.

Grey Market Prevention Gray market items are Original Equipment Manufacturers (OEM) goods sold through unauthorized channels in direct competition with authorized distributors. This procurement is for new OEM medical supplies, medical equipment and/or services contracts for maintenance of medical equipment (i.e. replacement parts) for VA Medical Centers. No remanufactures or gray market items will be acceptable.

Vendor shall be an OEM, authorized dealer, authorized distributor, or authorized reseller for the proposed medical supplies, medical equipment, and/or services contracts for maintenance of medical equipment (i.e. replacement parts), verified by an authorization letter or other documents from the OEM, such that the OEM’s warranty and service are provided and maintained by the OEM. All software licensing, warranty and service associated with the medical supplies, medical equipment, and/or services contracts for maintenance of medical equipment shall be in accordance with the OEM terms and conditions.

The delivery of gray market items to the VA in the fulfillment of an order/award constitutes a breach of contract. Accordingly, the VA reserves the right enforce any of its contractual remedies. This includes termination of the contract or, solely at the VA’s election, allowing the Vendor to replace, at no cost to the Government, any remanufactured or gray market item(s) delivered to a VA medical facility upon discovery of such items."

VA Northern California Health Care System D3565

Project: Chico VA Clinic

Total Quantity: 6 ☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☐ End User Training Required if Checked

Item Name: Resin Curing Unit, Visible Light SiriusMax or equivalent

Salient Characteristics:

Visible light resin curing unit which provides a high intensity, cold light source of visible blue light for the polymerization of all visible light cured materials The unit provides for time selections between 10 and 60 seconds or continuous operation and beeps at ten or twenty second intervals during use Unit shall be LED pen-like handheld unit Instrument shall be compatible with A-Dec Delivery System 541 12 O'clock Duo (JSN D8250) Unit includes:

· Handpiece

· Charging Base

· Light Guide

· Rechargeable Battery Eye Shield

VA Northern California Health Care System D9050

Project: Chico VA Clinic

Total Quantity: 1

☐ BMET Training Required if Checked ☐ End User Training Required if Checked

Item Name: Trimmer, Model, Dental, 1/4 HP Whip Mix Corporation 09644 or equivalent

Salient Characteristics:

Dental model trimmer with a 1/2 HP motor and a 12" abrasive wheel The trimmer is used in dental laboratories for trimming plaster and stone dental impression models This is a light duty unit 1/2 HP, 12" trimmer 120V electrical connection Includes electric water valve Water spray attachment Splash shield Adjustable work table Approximate Dimensions (+/- 2”): 16" W 15" D 17" H Power: 120 Volts, 60 Hertz, 1 Phase, 8 Amps, 960 Watts

VA Northern California Health Care System X6605

Project: Chico VA Clinic

Total Quantity: 1

☐ BMET Training Required if Checked ☒ End User Training Required if Checked

Item Name: Imager, Dental, Dental Image Sirona Dental Systems CEREC with Omnicam AC or equivalent

Salient Characteristics:

Dental imaging system Computer-aided imager for digital impressions.

Storage and printing capabilities for the image System includes: CPU, software, color camera, Color monitor, mobile workstation, and is compatible with Sirona Milling units.

Unit provides color imaging Unit can provide imaging on a single tooth a quadrant area or a full jaw.

Provides 3D color scans No powder coating System has access to cloud based system for transmission of data Unit comes on mobile cart with connected computer System comes with software that requires an internet connection Approximate Dimensions (+/- 2”): 28" W 16" D 17" H Electrical 120V cord and plug Ethernet connection

VA Northern California Health Care System X6605A

Project: Chico VA Clinic

Total Quantity: 1

☐ BMET Training Required if Checked ☒ End User Training Required if Checked

Item Name: Imager, Dental Milling Unit Sirona Dental Systems CEREC MC X or equivalent

Salient Characteristics:

Dental milling and grinding unit that can provide fabrications of dental components Unit can provide wet grinding applications Wet or dry milling Applications up to 15.5 x 19 x 40 mm block size Can provide single tooth restorations in less than 20 minutes System includes milling and grinding unit and mobile cart and software Compatible with X6605 2 surgical guides Provides restorations in feldspar ceramics, glass ceramic, lithium disilicate ceramic, translucent zirconium oxide, hybrid, mono-sized polymer blocks Unit can create abutments Milling of zirconium oxide and polymers Dry mill ready Includes refillable water tank Approximate Dimensions (+/- 2”): 28" W 16" D 30" H Electrical 120V cord and plug Ethernet connection image1.jpeg