36A77620Q0261-014.docx

VA Nebraska-Western Iowa Healthcare System Initial Outfitting, Transition & Activation Statement of Work

Omaha Pkg. 52 – Spinal Instrument Sets April 27, 2020 Rev. 2.1

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 JSNs U0086, & U0086-A – Spinal Instrument Sets with an authorized vendor to supply and deliver the item(s) identified in Table 1 below. This is in support of a brand name or equal (JSN U0086) and Brand Name Only (JSN U0086-A). 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 Spinal Instrument Sets for surgical use in the new Operating Rooms. Medtronic is the basis for design.

Table 1 – Package Items Summary (*The basis of design brand’s part numbers referenced in the brand name or equal portion of the table (JSN U0086) are for reference only; they are not to indicate the brand name is required. Item descriptions may also vary based on the brand being offered and should not be construed as a brand name requirement.)

(For Reference*) Qty

Micro Endoscopic Spinal Set (Brand Name or Equal)

Spine Referencing and Navigation Sets (Brand Name Only)

Additional Item Requirements For all Spinal 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, repair information, schematics, part lists, and troubleshooting information in electronic format 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 and shall have the latest manufacturer’s software/hardware updates installed. Any batteries provided with the unit shall 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.

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.

30 MAY 2020

Table 2 – Anticipated Building Outfitting Schedule Schedule and Order Management

Delivery and Receiving NOTE: Due to the COVID19 situation, masks are required to be worn by all individuals when in common areas on VA property.

Any individuals who needs to enter the building for installation &/or training will be required to be screened by the site staff prior to entry. Please allow time for this in your schedule.

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.

☐ 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

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 front door.

Assembly and Installation Required (Yes ☐ No ☒)

2.7.5 The vendor shall protect all finished spaces and surfaces as required from delivery damage. The vendor shall use covering and protection to the extent necessary to prevent damage to finished spaces. Any damage occurred during delivery 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) Delivery.

3.0 DELIVERABLES

3.1.1 VA Nebraska-Western Iowa Healthcare System U0086

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 U0086 – Micro Endoscopic Spinal Instrument Set Medtronic METRxII System is the basis for design. /Brand Name or Equal – See Table 1 above at Section 1 Salient Characteristics:

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

· All instruments are required to be key dotted so that they are compatible with the Censitrac Instrument Tracking System currently installed in the facility. (if service is available)

3.1.2 VA Nebraska-Western Iowa Healthcare System U0086A

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 U0086-A – Spine Referencing and Navigation Sets Medtronic METRxII System Basic Spine Set is the basis for design. /Brand Name Only See Table 1 above at Section 1 Salient Characteristics:

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

· All instruments are required to be key dotted so that they are compatible with the Censitrac Instrument Tracking System currently installed in the facility. (if service is available) image2.png