36A77620Q0225-001.docx

VA Nebraska-Western Iowa Healthcare System Initial Outfitting, Transition & Activation Statement of Work Packet 55 – Hip & Knee Sets

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 Packet 55 – Hip & Knee Sets with an authorized vendor to supply and deliver the item(s) identified in Table 1 below. This is a Zimmer Brand Name requirement. See salient characteristics below. This requirement is in support of the activation of VA Nebraska-Western Iowa Healthcare System Ambulatory Care Center. The new Ambulatory Care Center has the need for Surgical Instrument Sets for surgical use in the new Operating Rooms. Zimmer is the basis for design.

Table 1 – Package Items Summary

Additional Item Requirements Line items shall be shipped in sets.

For all Surgical Instrument Sets the vendor shall provide user manuals that describe proper use, care, and cleaning for users of the equipment.

In addition, the vendor shall provide service manuals that include theory of operation, maintenance requirements, and repair information for use by the VA Biomedical Engineering Department.

Date of manufacture shall not be greater than two (2) years before the purchase order date. The equipment shall not be used or refurbished.

General Conditions Site Address The address of the VA Nebraska-Western Iowa Healthcare System Ambulatory Care Clinic is provided below.

4101 Woolworth Avenue Omaha, NE 68105

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. The site requires initiation of the project management support of this contract immediately in order to coordinate the construction engineering required to support the VA construction management team guiding the site contractor.

Table 2 – Anticipated Building Outfitting Schedule

30 MAY 2020

Schedule and Order Management

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 Government POC 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.com, and Robert Stonerook at (706) 304-7194, Robert.stonerook@sme-solutions.co.

☒ VANWIHS Omaha VA Ambulatory Care Clinic (Direct Delivery to address detailed in paragraph 2.1.1) Special Note: There is no loading dock available at this location. All delivery vehicles must be equipped with a “Tommy Gate” type lift to facilitate unloading to ground level.

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.

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.

Scope of Work

VA Nebraska-Western Iowa Healthcare System U0068-A

Omaha, NE 68105

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☐ End User Training Required if Checked

JSN Nomenclature: JSN U0068-A – Ankle Set Salient Characteristics:

· All instruments must be made of surgical grade stainless steel, unless otherwise specified

· All instruments are to be key dotted for use with Censitrac

VA Nebraska-Western Iowa Healthcare System U0096-B

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

JSN Nomenclature: JSN U0096-B – Reed Foot & Ankle Set

· All instruments must be made of surgical grade stainless steel, unless otherwise specified

· All instruments are to be key dotted for use with Censitrac

VA Nebraska-Western Iowa Healthcare System U0097-B

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

JSN Nomenclature: JSN U0097-B – Shoulder Set

· All instruments must be made of surgical grade stainless steel, unless otherwise specified

· All instruments are to be key dotted for use with Censitrac

VA Nebraska-Western Iowa Healthcare System U0120

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

JSN Nomenclature: JSN U0120 – Hips & Knees Set

· All instruments must be made of surgical grade stainless steel, unless otherwise specified

· All instruments are to be key dotted for use with Censitrac

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