36C24118Q0256-00003001.docx

Statement of Work

Hospital Beds Preventative Maintenance and Service

1. General

Contractor shall furnish all equipment, labor, materials, apparatus, tools, parts, transportation, supervision, permits, disposal and expertise necessary to provide Preventive Maintenance and Emergency Services to the Hill Rom Hospital Beds listed below in paragraph 2.2 Equipment List with the exception of beds listed as Advance and Clinitron. Services for Advance beds will be limited to Preventative Maintenance only and services are not provided on Clinitron beds. The services shall be provided at Bedford VA Hospital, 200 Springs Road, Bedford , MA 01730

2. Preventive Maintenance and Emergency Services

2.1 Contractor shall provide the necessary manpower and supervision to properly execute Preventative Maintenance and Emergency Service of Hospital Bed s.

2.1 .1 Preventive Maintenance shall be scheduled on a quarterly basis: February, May, August and November. Contractor shall schedule quarterly vis it with the Contracting Officer Representative (COR). The COR will ensure 25% of the beds will be available for quarterly maintenance upon contractor's visit.

2.1.2 Preventive Maintenance and repair shall be performed during normal business hours from 7:30AM - 4:30PM, EST. Monday through Friday, except Federal Holidays. Federal Holidays observed by the United States Government are as follows: New Year's Day; Martin Luther King Jr.'s Birthday, President's Day; Memorial Day; Independence Day; Labor Day; Columbus Day; Veterans Day; Thanksgiving Day; Christmas Day; and any other day officially declared by the President of the United States to be a federal holiday.

2.1 .3 Upon the request of the COR, the contractor shall provide preventive maintenance services due to emergencies during the year, whether scheduled or unscheduled. These emergencies can require service on holidays or another days designated by the COR. These emergency situations may require work after the normal work hours or an increase in personnel during normal work hours. In the event emergency hours are required, notification will be given to the contractor at least 6 hours in advance. The contractor shall provide emergency call-ins services and these services shall be on as needed basis at the rate agreed to and specified in the Price Schedule under CLINs (Emergency Services).

2.2Equipment List - See below for equipment to be included in the preventative maintenance/emergency repair service.

2.3 The Preventive Maintenance shall include inspection and repair as required but not be limited to the following list of tasks as applicable for each model and bed according to the OEM service manual:

2.4 COR will provide a designated area for the purpose of servicing the equipment listed in paragraph

2.2 and beds shall be serviced within these designated areas.

2.5 Bed replacement parts shall be covered by this contract, for beds with the exceltion of Advance and Clinitron, and parts shall be replaced with manufacturer approved new parts only.

2.5 The contractor shall perform preventive maintenance in accordance with the OEM service manual for each model. If needed, contractor will supply a copy of the preventive maintenance section of each manual. Completion of the preventive maintenance work order by contractor will be verification that the work was performed as indicated in the manual.

2.6 The Contractor shall maintain a parts inventory to service all beds with minimal delays. This inventory shall be replenished as needed to support the capabilities of the service contract. Only new manufacturer service parts shall be used. Contractor shall remove and dispose of defective parts.

2.7.1 Inventory. The Contractor shall survey all designated areas within the first two months after contract award and annually to generate a computerized inventory of all beds to be serviced. The Contractor shall email the electronic inventory to the COR after completion, two months after award and then annually for the duration of the contract.

2.7.2 Service Histories. The database shall have the capability of providing a service history for each bed beginning at the contract award date.

2.7.3 The Contractor shall perform preventive maintenance according to manufacturer's specifications; to include at minimum the tests listed in paragraph 2. The Contractor shall retain and provide written procedures to be followed in order to document evidence demonstrating that each bed has been inspected according to those procedures.

2.8 Contractor will maintain electronic records of all repairs and preventive maintenance, examples of which will be made available upon award.

2.9 Emergency Services: Contractor will provides all services during normal business hours, Monday through Friday.

2.10 New Equipment: The COR shall notify the Contracting Officer prior to adding or deleting any equipment from the contract. Equipment may be added or deleted from the service contract as needed upon notification by the Contracting Officer (to be documented in writing via contract modification). Pricing of added equipment shall be the same unit price as established for the same model bed in Contractor's original bid or by agreement of Contractor and Contracting Officer if additional equipment is a model that is not readily covered by contract terms. Deleted equipment shall be credited in the full amount if removed before any maintenance if repair has been performed.

2.11 Preventive Maintenance Service will normally but not always be performed in a separate work area not subject to all the infection control procedures.

2.12 Repair and emergency repairs may be conducted in patient rooms and other hospital areas that are subject to infection control procedures.

3. Qualifications

3.1 Contractor shall have been engaged in maintaining/servicing the equipment identified in the Equipment List for a minimum of three (3) years.

3.2 Contractor shall have a field service representative who has received manufacturer maintenance training specific to the models listed on the Equipment List.

3.3 Contractor shall provide, upon request, evidence of appropriate manufacturer training of any field service

3.4 Subcontracting of any ensuing award of this solicitation shall not be allowed without written permission of the Contracting Officer.

4. Quality Assurance

4.1 A Quality Assurance Surveillance Plan (QASP) will be included that will describe the method of Government surveillance of contractor’s performance.

4.2 When a required service indicates defective performance, the COR will require the contract manager or representative at the site to visit the site in order to observe and document the defect and provide a correction action report to the Contracting Officer and COR for concurrence. Government surveillance of tasks ma y occur during the performance period of this contract. Such surveillance will be done according to standard inspection procedures or other contract provision s. Any action taken by the contracting officer as a result of surveillance will be in accordance with the terms of this contract.

4.3 Performance Requirements Table

Required Service

Standard l

Performance Requirement

Method of Surveillance Factors to consider for Option Year Renewal

Yes

serviice for more than 5 work days COR to document if beds are out of service for more than 5 work days due to lack of parts available on hand by the Contractor

Yes

Yes

5. VISN 1 Contractor Personnel Security Requirements

Reference:

VHA Directive 0710, Personnel Security and Suitability Program/ May 18, 2007 VA Handbook 0710, Personnel Suitability and Security Program/ September 1 0, 2004

Upon contract award, all key personnel shall be subject to the appropriate type of background investigation or screening per VA Handbook directive 0710 and must receive a favorable adjudication from the Personnel Security Speci alist or VA Security and Investigations Center (SIC) depending on investigation or screening required. This requirement is applicable to all subcontract personnel. If the investigation or screening is not completed prior to the start date of the contract, the Contractor will be responsible for the actions of those individuals they provide to perform work for VA.

Contract personnel who previously received a favorable adjudication as a result of a Government background investigation or screening may be exempt from this contract requirement. They must provide documentation to support the previous adjudication. Proof of previous adjudication must be submitted by the Contractor to the VA Contracting Officer. Proof of previous adjudication is subject to verification. Some positions maybe subject to periodic re-investigation/screening.

5.1 Position Risk/Sensitivity - For all positions required under this contract, the position risk/sensitivity has been designated as: High Risk. Medium Risk, or Low Risk

5.2 Background Investigation/Screening- It is anticipated that the Contractor or contract personnel will be providing services at a VA facility(s) for MORE than 180 days under a s in g l e contract or series of contracts, or have access to VA computer data systems. The background investigation/screening commensurate with the requirements of this contract shall be performed.

5.3 Contractor Responsibilities

a. The Contractor shall prescreen all personnel to ensure they are able to read , write, speak, and understand the English language.

b. The Contractor shall submit or have their service technicians submit the following required forms to the Personnel Security Specialist or VA Contracting Officer, through the COR or Personnel Security Specialist, within five (5) business days of contract award.

5.4 Low Risk Investigative Requirements

a. All investigations must be completed through the Electronic Questionnaires for Investigations Process (e-QIP). All contractors must complete the Authorization for Investigation Worksheet before they can complete the online e-Qip.

b. Optional Form 306, Declaration for Federal Employment will be provided by the VA point of contact.

c. Electronic Fingerprint Verification or FD 258, U.S. Department of Justice Fingerprint Applicant Chart.

d. Once the items requested are completed, the Contractor is authorized to provide services under the contract. As previously stated, if the investigation or screening is not completed prior to the start date of the contract, the Contractor will be responsible for the actions of those individuals they provide to perform work for VA.

e . The Contractor, when notified of an unfavorable determination by the Government, shall withdraw the contract person from consideration of working under the contract.

f. Failure to comply with these Contractor personnel security requirements may result in termination of the contract for cause.

6. Government Responsibilities

a. The VA Contracting Officer will ensure a time for contract personnel to complete the fingerprint portion of this requirement, if any, and the COR will responsible for performing any duties assigned by the VA Contracting Officer with regard to fulfilling the Contractor personnel security requirements described herein.

b. Upon receipt, the local VA facility or VA SIC, depending on the type of investigation/screening required, will review the accuracy of the items requested in paragraph above, and forward these items to OPM to conduct their portion of the background investigation or screening, as applicable.

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c. The requesting VA facility will pay for any portion of the investigation or screening conducted by OPM, if any.

d. Depending on the type of investigation /screening required, the Personnel Security Specialist, or VA SIC will notify the VA Contracting Officer of the adjudicating results of the background investigation or screening.

e. The VA Contracting Officer and Personnel Security Specialist will ensure that the required investigations or screening have been completed or are in the process of being requested .

Personnel Identity Verification (PIV) of Contractor Personnel

In accordance with FAR 52.204-9 and VA Directive 0735 - Personal Identity Verification of Federal Employees and Contractors , any contract person who requires routine physical access to a Federally controlled facility and/or routine access to a Federally-controlled information system will be required to verify their identity prior to providing services under the contract. Prior to providing services under the contract, each contractor employee will be asked to provide two (2) forms of identification from the Accepted Identification Documentation List to the appropriate VA representative in order to obtain a proper VA issued identification card. See the Accepted Identification Documentation List provided below. The COR, or designee, will be responsible for sponsoring each contract person that requires a VA-issued identification card.

PIV ID Proofing Criteria

The following criteria must be met by all VA employees, contractors, and affiliates prior to being issued a PIV card or Temporary Identity Badge.

Continued Next Page Table of Accepted Identification (From Form 1-9) Last Update: January 7, 2008

Photo Identification Non-Photo Identification

card

Form N-660 or N·561)

545 or Form DS1· 350)

• Permanent or Temporary resident card.

• ID Card issued by local government agencies provided it includes a photog.raph or includes the following information: name, date of birth, gender, height, eye color. and address . • Non-photo ID Card issued by federal or state government agencies

· provided it -includes the following information:. name,. date of birth, . gender, height, eye color.and address

1. Two forms of identification are required from the above list of acceptable documents. Either of the following is accepted:

a. Two forms of identification from the left column (Federal or State Government issued picture ID)

b. One form of identification from the left column (Federal or State Government issued picture ID) and one form from the right column (Non-Picture ID or Acceptable Picture ID not issued by Federal or State Government).

2. The following rules apply for form identification :

a. Any form of identification used for ID proofing may not be expired (except U.S. Passport)

b. Department of Veterans Affairs site/facility badges are not accepted as a valid form of identification. c. VA PIY Cards are federally issued ID cards and can be used as a valid form of identification.

d. Handwritten or photocopied documents are not accepted.

e. An ID issued before a legal name change (e.g. birth certificate or driver's license) can be presented as one form of ID if a legal document (e.g. marriage certificate/ license or a court order) i s also presented linking the previous name to the current legal name. The linking document h as to display both the former and current legal names. Both documents must be valid and not expired (except U.S Passport). For example, a married woman may use both a certified copy of her birth certificate displaying her maiden name and a driver's license displaying her married name as the 2 forms of ID compliant with PIV Guidelines, as long as she provides a marriage license displaying bot h her maiden name and married name.

f. The Applicant's name listed on the VA PIV Registration Portal , Request for One-VA Identification Card , must match the name on one of the IDs presented by the Applicant.

g. The names on both forms presented for ID proofing must match exactly. If one form of ID has a middle name or initial, the other form of ID must have a matching middle name or initial. One form can contain a middle name and the other can have a middle initial as long as the they match . ALL names must be accounted for on both forms of ID. Please see the acceptable and unacceptable ID proofing examples provided below.

ACCEPTABLE NAME VARIATIONS

ID # 1 - John Henry Smith; ID # 2- John Henry Smith

ID # I -John H. Smith; ID # 2 - John H. Smith

ID # 1 -John Henry Smith; ID # 2- John H. Smith

UNACCEPTABLE NAME VARIATIONS

ID # 1 -John Henry Smith; ID # 2- John Smith

ID # I -John H. Smith; ID # 2- John Smith

3. Access to and Safeguard of VA Information/Computer Systems

a. VA may provide contract personnel with access to VISTA and general files maintained on VA computer systems. Sharing of these access codes or misuse of VA information/computer systems is a Federal crime. When contract personnel no longer provides services to VA, the Contractor shall immediately inform the COR to deactivated their access. The COR is responsible for deactivation.

b. Computer access will require VA Cyber Security Awareness Training annually and acknowledge all agreements prior to access. (See attachment for security requirements). The COR is responsible for ensuring and documenting this requirement.

c. Contract personnel with Computer access will take necessary precautions to safeguard information and prevent disclosures. If contract personnel suspect a compromised they will report such knowledge to the COR that same day.

d. Remote access will require prior approval from Information Security Officer (ISO).

e. The Contractor shall make its internal policies and practices regarding the safeguarding medical electronic information available to VA. Contractors are not authorized to employ a lesser requirement then what is established by this document.

f. Any changes in the VA directives during the term of this contract, shall be deemed to be incorporated into this contract.

EQUIPMENT LIST ATTACHED BELOW:

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