36A77620Q0024-0001001.pdf

VA Nebraska-Western Iowa Healthcare System Initial Outfitting, Transition &

Activation Statement of Work

M5515 – Holmium Laser

VA Nebraska-Western Iowa Healthcare System 4101 Woolworth Avenue

Omaha, NE 68105 Ambulatory Care Center Project

INTRODUCTION

Veteran Affairs Nebraska-Western Iowa Healthcare System (VANWIHS) has a requirement to purchase M5515

– Holmium Laser 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 salient characteristics below. This requirement is in support of the activation of Omaha Ambulatory Care Center (ACC). The Ambulatory Surgery department has the need for holmium laser system for use within the Operating Rooms. The current manufacturer is the basis for design.

Table 1 – Package Items Summary

Item Number Item Description Quantity

EMP-H100S / OLYMPUS EMPOWER H100W HOLMIUM

LASER SYS (M5515)

2 EMP-ASG / LASER SAFETY GOGGLES (accessory)

3 EMP-ASGG / LASER SAFETY GLASSES (accessory)

4 LASER BLAST SHIELD – OPTICAL BLAST SHIELD FOR

HOLMIUM-EXTERNAL ACCESS

5 ADDITIONAL KEY – SECONDARY START UP KEY

INTERLOCK CONNECTOR – INTERLOCK CONNECTOR TO

PREVENT LASER EMISSION WHEN DOOR IS OPEN

Additional Item Requirements

For all holmium laser systems, the vendor shall provide user manuals (quantity 2) that describe proper use, care and cleaning for users of the equipment.

In addition, the vendor will provide service manuals (quantity 2) that includes theory of operation, maintenance requirements, repair information, schematics, part lists and troubleshooting information in electronic format for use by the VA Biomedical Engineering Department.

The equipment must not be used or refurbished and must have the latest manufacturer’s software/hardware updates installed. Date of manufacture must not be greater than 2 years before the purchase order date.

Any batteries provided with the unit will not be manufactured more than 12 months before the purchase order issue date.

GENERAL CONDITIONS

Site Address

The address of the VA Nebraska-Western Iowa Healthcare System Ambulatory Care Clinic is provided below:

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:

Building Name Building # & Letter

Acronym Est. Delivery Start Date

Est. Delivery End Date

Ambulatory Care Center 4101 1 APR 2020 30 MAY 2020

Schedule and Order Management

2.3.1 The above delivery schedule is based upon the current construction schedule. The vendor shall not increase prices for a change in delivery date for up to 30+ days due to construction delays.

2.3.2 The awardees actual delivery dates will be confirmed by VA upon award.

2.4.3 Post-award, the vendor will coordinate delivery identified in this document with the VANWIHS 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 CO, 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

2.4.1 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:

Mark Stockstell at (402) 995-5847, mark.stockstell@va.gov Colin Beal at (402) 930-7775, colin.beal@va.gov Dan Thompson at (785) 477-2820, dan.thompson@sme-solutions.co Derick Lacky at (301) 602-9109, dlackey@hcrmoves.com

Additionally, provide the shipping tracking number, so that the site knows when to expect delivery and prepare for item placement.

*** Please CC the contracting office as well for awareness – Arianne De Los Reyes, Contract Specialist, arianne.delosreyes@va.gov and Victoria Manigault, Contracting Officer, victoria.manigault@va.gov ***

☒ VANWIHS Omaha VA Ambulatory Care Clinic: 4101 Woolworth Avenue, Omaha, NE 68105

☐ IOT&A Contractor-Provided Warehouse Local to the VANWIHS SME Solutions Warehouse

Attn: SME Solutions - VA Project Gratton Warehouse Co.

11005 E Circle Omaha, NE 68137

2.4.2 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.

2.4.3 The delivery of items identified in this document shall take place during normal business hours which mailto:mark.stockstell@va.gov mailto:mark.stockstell@va.gov mailto:colin.beal@va.gov mailto:colin.beal@va.gov mailto:dan.thompson@sme-solutions.co mailto:dan.thompson@sme-solutions.co mailto:dlackey@hcrmoves.com mailto:dlackey@hcrmoves.com mailto:arianne.delosreyes@va.gov mailto:arianne.delosreyes@va.gov mailto:victoria.manigault@va.gov mailto:victoria.manigault@va.gov are defined as: 8:15 AM to 3:00 PM Central Standard Time, Monday through Friday, and excluding Federal Holidays.

2.4.4 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.

2.4.5 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 and IOT&A POC any required coordination requirements.

Clean Up and Disposal

2.6.1 There are no dumpsters available for vendor use.

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

Assembly, Installation, and Calibration Required (Yes ☒ No ☐)

2.7.1 The vendor is required to manage and coordinate installation at the VANWIHS Omaha VA Ambulatory Care Clinic with the COR or his representative IOT&A POC.

2.7.2 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: 8:00 AM to 4:30 PM Central Standard Time, Monday through Friday, and excluding Federal Holidays. Proposed installation date will occur after delivery of equipment. Current timeframe of delivery is 1 April 2020 – 30 May 2020.

2.7.3 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.

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

2.7.5 The vendor shall protect all finished spaces and surfaces as required from delivery and installation damage. The vendor shall use covering and protection to the extent necessary to prevent damage to finished spaces. Any damage occurred during delivery and installation is the responsibility of the vendor. The vendor will be responsible for paying for and repairing any damage or noted deficiencies to finished spaces and surfaces that occur as a result of the vendor’s (or associated sub-contractors) installation.

2.7.6 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 VANWIHS. 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.

2.8 Training Required (Yes ☒ No ☐)

2.8.1 The vendor is required to provide live clinical training on set up, operation, shut down, and troubleshooting procedures to all Operating Room nursing staff.

2.8.2 The vendor shall coordinate training dates with the on-site Project Manager. Post-award, these dates will be confirmed with the vendor to meet the clinical schedule. Proposed training date will occur after installation of equipment. Current timeframe of training is July 2020.

2.8.3 The vendor shall provide documentation and/or certification to each staff member that has successfully completed the training.

SCOPE OF WORK

JSN Nomenclature: M5515 – Holmium Laser (Basis of Design is Olympus Empower H100W Holmium Laser) Salient Characteristics:

• Max Optical Power: 105 Watts

• Laser Frequency: 3 to 80 Hz

• Laser Energy: 0.2-5.0 joules

• Aiming Bean: Green, 532nm adjustable, <5mW, class 3R

• Color Touch Screen

• Adjustable pulse width

• Internal chiller

• Wired, dual pedal

• Ability to store procedure settings for the various clinical providers

• Includes safety glasses (qty 6), safety goggles (qty 6), safety signage, blast shields (qty 2)

• Includes Installation, Calibration, and on-site training for operating room staff

• Ability to treat prostatic enlargement, stone disease, tumors and strictures.

3.1.1 VA Nebraska-Western Iowa Healthcare System M5515

Total Quantity: 1

☐ Finish Sample Required if Checked ☒ Manufacturer Certified Installation Required if Checked

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