P01-V2. SOO-340463 SOO 25 Midmark Exam Tables WR-JP.pdf

Statement of Objectives (SOO) SEPG 340463

1.0 SCOPE OF REQUIREMENT –

Procurement of Twenty-Five (25) MidMark: (21) 626 and (4) 647 Exam Tables for our specialty clinic at our West Roxbury Campus, Podiatry Clinic at our Jamaica Plain Campus and in our Prosthetics clinic at our West Roxbury Campus which are all justified via replacement-(beyond life expectancy).

The Department of Veteran Affairs, VISN 01, VA Boston Healthcare System 2 campuses located at:

1. West Roxbury VAMC- 1400 VFW Parkway, West Roxbury MA 02132

2. Jamaica Plain VAMC – 150 S. Huntington Ave, Boston, MA, 02130

Midmark: Twenty-one (21) 626 Midmark Exam Tables WR Specialty & Prosthetics Clinics:

** Please click on link for specific table requested below:

Midmark 626 Barrier-Free® Examination Chair

Midmark: Four (4) 647 Midmark Podiatric Exam Tables Specialty Clinic WR & Podiatry JP:

** Please click on link for specific table requested below:

Midmark® 647 Podiatry Chair

The objective of this task order is to provide: We have always bought MidMark exam tables and exam chairs because of their many user-friendly features. One being how our veterans in wheelchairs can easily transfer over to the table with it’s low height capability at 15.5” from the floor. This keeps our veterans and staff free of injury. Our employee’s have been injured trying to assist patients in the years past over to exam tables that don’t accommodate a low wheelchair height. Also, because it maximizes many of our tight spacing issues in ambulatory care specialty clinics by having a 320-degree base rotation to protect patient privacy and VA PACT regulations.

They also provide us with the most accurate blood pressures by the compressed 14.6” low seat height upholstery allowing 97% of patients to have their feet flat on the floor which is proper positioning for the most accurate blood pressure readings. By continuing to standardize this type of equipment, as we have since 2010, our employee injury rate will continue to reduce amongst all direct patient care providers and our safety and dignity will continue to improve for our veteran patients following all HRO policies and principles.

1.1 PLACE OF PERFORMANCE

☒ VA Boston Healthcare System

150 South Huntington Avenue Boston, MA 02301

☐ VA Boston Healthcare System

940 Belmont Street Brockton, MA 02301

☒ VA Boston Healthcare System

1400 VFW Parkway West Roxbury, MA 02301 https://www.midmark.com/medical/products/detail/midmark-626-barrier-free-examination-chair https://www.midmark.com/medical/products/detail/midmark-647-podiatry-chair

1.2 HOURS OF OPERATIONS:

West Roxbury Campus is a 24/7 Inpatient Facility, but these exam chairs will be used in outpatient clinics in this facility which are open from 7:00am-5pm Monday – Friday.

Jamaica Plain Campus is an outpatient hospital campus that is open from 7am-5pm Monday- Friday only.

Delivery schedule shall occur from 8:00am to 3:00 p.m., Monday through Friday, excluding Federal Holidays at both campuses.

1.3 POINTS OF CONTACT

Contracting Officer Representative (COR): Contracting Officer to complete Contracting Officer (CO): Contracting Officer to complete Invoice and Payment Processing Official: Contracting Officer to complete

Requestor: Gregory R. Meyer, DPT, GCS, Safe Patient Handling & Mobility Coordinator Email: Gregory.meyer2@va.gov Phone: 1-774-826-3023 office or VA Cell 1-617-799-7890 Requestors Service: Nursing

Delivery and Warehouse Information: IMPORTANT NOTE – WE ARE PURCHASING MIDMARK PREMIER DELIVERY SERVICE with install, set up, and trash removal DIRECT to:

West Roxbury VAMC- 1400 VFW Parkway, West Roxbury MA 02132 – loading dock bldg. # 1 Jamaica Plain VAMC – 150 S. Huntington Ave, Boston, MA, 02130 – main warehouse loading dock

Main Warehouse Phone Numbers:

West Roxbury 857-203-5832 Jamaica Plain 857-364-6054 - Brockton 774-826-1937

MIDMARK PREMIER DELIVERY SERVICE:

To the following Room locations. We can provide a floor map in the package if needed as well.

Room-Campus EE Number Table Top Color Light:

GA119-03-WR EE109061 626 28” UFDL866 013 Light

GA116-03-WR EE116882 626 28” UFDL 866 No light

GA116-03-WR EE116886 626 28” UFDL866 No Light

GA115-03-WR EE116885 647 P 28” UFDL866 015 Light

GA130 -03-WR EE116878 647 P 28” UFDL866 015 Light

GA129-03-WR EE117284 626 32” UFDL866 No light

GA126-03-WR EE116894 626 28” UFDL866 013 Light

GA124-03-WR EE116887 626 28” UFDL866 no light

GA122-03-WR EE116895 626 28” UFDL866 No light

GA120-03-WR EE117270 626 28” UFDL866 013 Light

GA121-03-WR EE117273 626 28” UFDL866 No light

GA123-03-WR EE116893 626 28” UFDL866 No light

GA125-03-WR EE117272 626 28” UFDL866 013 Light

GA127-03-WR EE117271 626 28” UFDL866 No Light

GA128-03-WR EE131863 626 32” UFDL866 013 Light

GA141-03-WR EE116891 626 28” UFDL866 No light

GA143-03-WR EE116884 626 28” UFDL866 No light

GA144-03-WR EE165680 626 28” UFDL866 013 Light

GA142-03-WR EE116892 626 28” UFDL866 No Light

GA140-03-WR EE116898 626 28” UFDL866 No light

GA139-03-WR EE165683 626 28” UFDL866 013 Light

GB135-03-WR EE97124 626 28” UFDL866 No light

G114-03-WR EE198251 626 32” UFDL866 No light

1F58-1-JP EE95942 647 P 28” UFRP868 015 Light

1F50-1-JP EE182501 647 P 28” UFRP868 015 Light

2.0 DESCRIPTION OF REQUIREMENT

Twenty-one (21) 626 Midmark Exam Tables WR Specialty & Prosthetics Clinics:

** Please click on link for specific table requested below:

Midmark 626 Barrier-Free® Examination Chair

Four (4) 647 Midmark Podiatric Exam Tables Specialty Clinic WR & Podiatry JP:

** Please click on link for specific table requested below:

Midmark® 647 Podiatry Chair

626-003 1 626 Midmark Barrier-Free Exam Table with Scale, Recessed Rollers, Drawer Heater, Pelvic Tilt & Electrical Receptacle - Base Only 21 EA

*002-2004-866 6 2 Upholstery Top-28" Ultrafree-Ultrafree Dark Linen 18 EA

*002-2015-866 https://www.midmark.com/medical/products/detail/midmark-626-barrier-free-examination-chair https://www.midmark.com/medical/products/detail/midmark-647-podiatry-chair

6 3 Upholster Top-626 32" Ultrafree-Ultrafree Dark Linen 3 EA

9A600002 4 Patient Support Rails Plus, Field Installed 21 EA 253-013 5 Ritter 253 LED Exam Light - Exam Table Kit for 32" Uph 7 EA

9A582001 6 Patient Support Rail Receiver Extensions, Field Installed 3 EA

647-003 7 647 Midmark Barrier-Free Power Podiatry Procedure Chair w/ Rotation Base Only 4 EA

*002-10129-86 68 8 Upholstery Top-646/647 28"-Ultrafree Restful Path 2 EA

*002-10129-86 66 9 Upholstery Top-646/647 28"-Ultrafree Dark Linen 2 EA

253-015 10 Ritter 253 LED Exam Light for Procedure Chair 4 EA

CHRG-SVC305 11 Midmark Premier Delivery Service:

In Room, set in place, trash removal-guaranteed Delivery on negotiated day and time (if requested)-yes we are requesting this-contact POC Gregory.meyer2@va.gov 1 EA

TOTAL COST: $

3.0 ADDITIONAL REQUIREMENTS

Description of any specific requirements that are in addition to the 2.0 Description of Requirements or the 1.0 Scope of Requirements did not cover. This section includes salient characteristics of the items needed. Imagine if the item isn’t a sole source product and there are multiple sources available that can provide the item you need or its equivalent. What would be the requirements needed to be met by the vendors’ products to meet the minimum acceptable requirements? Minimum/Maximum heights, weights, colors, sizes… etc.

Technical, price, and past performance. Technical salient characteristics:

SALIENT CHARACTERISTICS :

Midmark 626-003 Barrier Free Power Exam Table

Midmark 626-003 Barrier Free Power Exam Table Receptacles Scale built in Pelvic tilt USB hub Wireless controls Minimal max weight capacity of 650 lb. wt. capacity Minimal Length of 76” for patient surface Front storage drawer Paper roll storage up to 7 rolls Treatment pan Hideaway stirrups Smooth start electromechanical actuator motors One touch return to home Program able one touch quick exam button Seamless upholstery Top 626 28-32” Premium -Ultra free Color options Removable upholstery top Steel on steel construction Seamless/sealed foot control Patient Support Rails Plus Installed Ritter 253 LED Exam Light Mobile Caster Stand Kit Light and Caster Stand Patient Support Rail Receiver Extensions Field Installed Barrier Free ability for w/c patient to transfer at a low height of 15.5” in low flat back position.

Must have compressed 14.6” low seat height upholstery allowing 97% of patients to have feet flat on the floor during Blood Pressures.

Midmark 647-003 Podiatric Powered Podiatry Procedure Chairs:

Chair Arms standard, adjustable chair arms rotate completely out of the way for improved comfort and accessibility

Tray large stainless steel debris tray

Premium Upholstery Top seamless design for easy cleaning (includes a plastic protective foot cover)

Premium Ultra Free Top seamless, PVC-free material gives an upholstery that is easy to you the look and feel of leather in and disinfect (includes a plastic protective foot cover)clean

Programmability (Optional) four customizable positions

Electrical Outlets duplex, hospital grade (on each side)

Rotation allows 350° of chair rotation and adds 3½" to the minimum and maximum seat height specifications

Height 19" (48.3 cm) minimum - 40" (101.6 cm) maximum

Patient Weight Capacity 450 lb (204 kg)

Electrical 115 VAC, 10.5 A, 60 Hz 115 VAC, 8.5 A, 60 Hz (for rotation models)

Electrical Outlet Rating

115 VAC, 3 A

Records Management Language for Statement of Work (SOO):

The following standard items relate to records generated in executing the contract and should be included in a typical procurement contract:

1. Citations to pertinent laws, codes and regulations such as 44 U.S.C chapters 21, 29, 31 and 33; Freedom of Information Act (5 U.S.C. 552); Privacy Act (5 U.S.C. 552a); 36 CFR Part 1222 and Part 1228.

2. Contractor shall treat all deliverables under the contract as the property of the U.S.

Government for which the Government Agency shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest.

3. Contractor shall not create or maintain any records that are not specifically tied to or authorized by the contract using Government IT equipment and/or Government records.

4. Contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected by the Freedom of Information Act.

5. Contractor shall not create or maintain any records containing any Government Agency records that are not specifically tied to or authorized by the contract.

6. The Government Agency owns the rights to all data/records produced as part of this contract.

7. The Government Agency owns the rights to all electronic information (electronic data, electronic information systems, electronic databases, etc.) and all supporting documentation created as part of this contract. Contractor must deliver sufficient technical documentation with all data deliverables to permit the agency to use the data.

8. Contractor agrees to comply with Federal and Agency records management policies, including those policies associated with the safeguarding of records covered by the Privacy Act of 1974. These policies include the preservation of all records created or received regardless of format [paper, electronic, etc.] or mode of transmission [e-mail, fax, etc.] or state of completion [draft, final, etc.].

9. No disposition of documents will be allowed without the prior written consent of the

Contracting Officer. The Agency and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation.

Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701. Records may not be removed from the legal custody of the Agency or destroyed without regard to the provisions of the agency records schedules.

10. Contractor is required to obtain the Contracting Officer's approval prior to engaging in any contractual relationship (sub-contractor) in support of this contract requiring the disclosure of information, documentary material and/or records generated under, or relating to, this contract. The Contractor (and any sub-contractor) is required to abide by Government and Agency guidance for protecting sensitive and proprietary information.