36C24218Q0558-002.doc

STATEMENT OF WORK (SOW)

Task Order Number:

IFCAP Tracking Number:

Follow-on to Contract and Task Order Number:

1. Contracting Officer’s Representative (COR):

Name:

Phone Number:

Fax Number:

E-Mail Address:

2. Contract Title:

Department of Veterans Affairs Western New York Healthcare System (Buffalo, NY) Procurement of Medical Transport/Egress/Evacuation Chairs

3. Background:

The Buffalo VA Medical Center requires thirty-five (35) Stryker Prime TC transport chairs complete with associated ancillary items to complete a Buffalo VA project. This project was started to increase the efficiency of patient evacuation or egress in the event of an emergency situation. The Stryker Prime TC transport chairs provide superior maneuverability for these situations. The chairs are also able to be nested which will allow them to be stored in the patient areas that will require their use in the event of an emergency. The vertical orientation of the handles allows staff to utilize less force to initiate movement of the chairs than any other chair available. This will reduce staff fatigue and prevent injury in addition. Also, the “Big Wheel” technology of the Stryker Prime TC transport chair provides a reduction in start-up force as well as a reduction in steering difficulty.

4. Scope:

The Buffalo VAMC is seeking to procure this equipment that meets the clinical, functional, and performance specifications specified in this Statement of Work (SOW). The proposed equipment must include all ancillary items listed on the proposal.

5. Specific Technical Elements: The proposed equipment shall meet the following Buffalo VA Medical Center technical requirements. See Brand Name or Equal Clause *Offering vendors shall provide complete, detailed responses to each of the following Terms and Conditions in their bid proposals. Must be equal to or exceed the salient characteristics of the Stryker Prime TC model.

5.1 Nesting Capability – must be able to be nested/stacked with like kinds of transport chairs.

5.2 Framing: Non-folding frame to reduce the risk of theft.

5.3 Weight Capacity – Maximum 500 pounds

5.4 Width - No greater than 30” in Width

5.5 Height – Must be minimum 45” not including IV pole 5.6 Braking System – Must have foot operated braking system located in the rear of the chair to eliminate the need for bending and reaching by operator to engage the brake.

5.7 Operational Capability - Individuals in chair must not be able to lock, unlock or operate the chair. Chair is strictly for transport service and not self-mobility.

5.8 Armrests- must be able to be moved out of way and have unobstructed access to chair for transfers – lifting armrest greater than 90 degree lift

5.9 Handlebar- must have BackSmart Push Handles (or equivalent) helps enhance caregiver safety by allowing caregivers to position their elbows at an ergonomic 90-degree angle and accommodate caregivers of virtually any height.

5.10 Foot Rests – Must have flip-up footrests to help reduce trip hazards by providing a clear path of patient ingress and egress. Foot-operated swing away functionality enhances access to the patient and closer positioning to beds, cars or tables.

5.11 Wheels – Ball bearing-Solid Compound not pneumatic tires either tube or tubeless. – Must be easy rolling - Both Front and Rear caster bearings must be sealed. Must be equal to benchmark quoted item 5.12 Anti-tipping - must have antistripping bars installed permanently on chair with small diameter wheels.

5.13 Oxygen Tank Holder – Must have an upright oxygen tank holder helps minimize bending and lifting required to place a heavy O2 tank underneath the chair.

5.14 IV Pole – Must be chrome-plated to prevent rust and features enclosed hooks for safety. Must be 1” in diameter. Must be able to accept color coded toppers for easy identification.

5.15 Seat Cushion – Must be easily cleanable. Must be anti-microbial certified

5.16 Courtesy Rack – Must have courtesy rack on rear of chair for placement of small items.

5.17 Options- Must include all options that are on current proposal 5.18 Nameplate - Must have large custom nameplate attached to back of chair with name TBD.

5.19 Cleaning Instructions: Manufacturer must provide detailed cleaning instructions for chair. Chair must be able to be cleaned with Power Washers

5.20 Monthly/Quarterly Inspection Checklist: Manufacturer must provide both monthly and quarterly maintenance instructions/checklist.

5.21 In-Service Training: Manufacturer must conduct onsite in-service training for Medical Center personnel for the transport/medical chair 5.22 Warranty- Minimum 1 year warranty covering entire chair -wheel to wheel.

6. Terms and Conditions:

7. Performance Monitoring:

N/A

8. Security Requirements:

N/A

9. Government-Furnished Equipment (GFE)/Government-Furnished Information (GFI):

N/A

10. Other Pertinent Information or Special Considerations:

N/A

a. Identification of Possible Follow-on Work:

b. Identification of Potential Conflicts of Interest (COI):

c. Identification of Non-Disclosure Requirements:

d. Packaging, Packing and Shipping Instructions:

e. Inspection and Acceptance Criteria:

Any proposal for an equivalent product may be subject to a product demonstration

11. Risk Control:

N/A

12. Place of Performance:

The place of performance for this contract is the Buffalo VAMC.

13. Period of Performance:

N/A

14. Delivery Schedule:

N/A

VAAR 852.211-73 BRAND NAME OR EQUAL (JAN 2008)

(Note: as used in this clause, the term "brand name" includes identification of products by make and model.)

(a) If items called for by this invitation for bids have been identified in the schedule by a "brand name or equal" description, such identification is intended to be descriptive, but not restrictive, and is to indicate the quality and characteristics of products that will be satisfactory. Bids offering "equal" products (including products of the brand name manufacturer other than the one described by brand name) will be considered for award if such products are clearly identified in the bids and are determined by the Government to meet fully the salient characteristics requirements listed in the invitation.

(b) Unless the bidder clearly indicates in the bid that the bidder is offering an "equal" product, the bid shall be considered as offering a brand name product referenced in the invitation for bids.

(c)

(1) If the bidder proposes to furnish an "equal" product, the brand name, if any, of the product to be furnished shall be inserted in the space provided in the invitation for bids, or such product shall be otherwise clearly identified in the bid. The evaluation of bids and the determination as to equality of the product offered shall be the responsibility of the Government and will be based on information furnished by the bidder or identified in his/her bid as well as other information reasonably available to the purchasing activity. CAUTION TO BIDDERS. The purchasing activity is not responsible for locating or securing any information that is not identified in the bid and reasonably available to the purchasing activity. Accordingly, to insure that sufficient information is available, the bidder must furnish as a part of his/her bid all descriptive material (such as cuts, illustrations, drawings or other information) necessary for the purchasing activity to:

(i) Determine whether the product offered meets the salient characteristics requirement of the Invitation for Bids, and

(ii) Establish exactly what the bidder proposes to furnish and what the Government would be binding itself to purchase by making an award. The information furnished may include specific references to information previously furnished or to information otherwise available to the purchasing activity.

(2) If the bidder proposes to modify a product so as to make it conform to the requirements of the Invitation for Bids, he/she shall:

(i) Include in his/her bid a clear description of such proposed modifications, and

(ii) Clearly mark any descriptive material to show the proposed modifications.

(3) Modifications proposed after bid opening to make a product conform to a brand name product referenced in the Invitation for Bids will not be considered.

(End of Clause)