36C24418Q9776-001.doc

STATEMENT OF WORK FOR

INSTALL CEILING LIFTS SERVICE AT

WILKES-BARRE VA MEDICAL CENTER

WILKES-BARRE, PA

18711-0026

1. General.

1.1 The scope of work shall consist of providing all labor, material, slings, tools, docking station, batteries, equipment, permits, testing, and reports required to install and perform site prep for permanent ceiling mounted patient care lifts. The lift motor shall be a Liko Likorall or Brand Name Equal (See paragraph 1.3 for specifications) 250 lift or better in terms of lifting capacity. All lifts shall be capable of lifting at least 550 lb.

1.2 For all rooms, a rail system shall be designed, constructed, and installed in such a manner as to allow for minimum interference with patient room space. Operation of the system shall be smooth. Motorized unit shall slide easily in track and transverse rail shall move easily in side/overhead rails. Operation of the system shall allow for adequate lifting height allowing for transfer of patient from bed. The system operation shall include the capability to work with both a fixed start/stop button and a remote control. The rail sections shall be movable on the XY axis.

1.3 All work and all equipment supplied shall meet the requirements specified in Specification Section 11 73 00 Ceiling Mounted Patient Lift System (Attachment 4).

1.4 Scope shall include 15 new ceiling mounted patient lifts as outlined in Section 8. Scope shall also include upgrading motor capacity of existing lift in Community Living Center (CLC) patient room 3, from 130 pounds (lbs) to 1,014 lbs. Track system for lifts to be installed in 2nd Floor CLC and 4 East Inpatient areas shall allow for patient movement from the bed to the bathroom. The bathroom door frame shall be modified to allow for continuous transfer from patient bed to bathroom.

2. Education/Training.

Manuals: Contractor shall provide one copy of the owner’s manual. Contractor shall provide five copies of the repair manuals for each different model of lift installed under this order or contract at no additional cost to the government.

3. Technical.

3.1 Contractor shall provide a submittal showing track design and layout, support locations, and ceiling anchor details. Anchors in to ceiling/deck shall be designed for the specific construction type used and ceiling/deck shall be field-verified by contractor (see 7.1).

3.2 Contractor shall install charging units in a similar location as to the existing charging stations in the Community Living Center patient rooms and inpatient hospital rooms.

3.3 Privacy curtains shall close satisfactorily around each patient lift site.

Initial set up shall include expendable accessories, such as slings in all sizes requested.

4. Schedule.

4.1 Provide an Installation Plan including phasing and indicate time per unit with minimum interference to patient care.

4.2 Provide proof of full supply availability to begin installation a minimum of 14 days prior to planned start date.

4.3 Provide plan for install completion within 90 days of notice to proceed.

5. Ceiling Lift Performance Requirements.

5.1 Ceiling Lifts shall meet all Underwriters Laboratory requirements, life safety codes, national electric codes, Fire safety codes, and all other applicable federal, state and local codes.

5.2 The lifts shall be ceiling mounted to provide lifting capability for the maximum area possible within each room.

5.3 Lifts shall be capable of picking patients up off the floor.

5.4 Lifts that do not have scales purchased shall be capable of adding a digital scale that weighs up to the capacity of lift.

5.5 Ceiling lifts shall be motorized and not manual.

5.6 Single-use patient slings shall be available in multiple sizes to accommodate multiple patient sizes.

5.7 Ceiling lifts shall recharge automatically, by automatically returning to a rechargeable base or by recharging at any location on the rail.

5.8 Ceiling lifts shall include safeguards to prevent patients from being trapped or hurt, such as emergency stop buttons or emergency lowering devices in case of power failure.

5.9 Lifts shall return to a set, out of the way position with minimal effort.

5.10 Ceiling lifts and standard single-patient-use slings shall be able to reposition patients in bed, transfer them in lying or sitting positions, and lift patients from floor level to bed level.

6. Contractor Responsibility.

6.1 Contractor shall not breach any firewalls during installation of lifts.

6.2 Ceilings shall not be slotted exposing space above ceiling to the room below.

6.3 Contractor shall repair/replace ceiling as needed to install rail system.

7. Special Requirements.

7.1 The contractor shall visit the sites and assess the structure of each ceiling lift location to ensure safe installation of the equipment and shall supply the installation plans to the Wilkes-Barre VA who must accept them before installation.

7.2 Installation designs shall be certified by a Professional Engineer registered in the state of Pennsylvania.

7.3 The contractor shall not require movement of any lights, sprinklers, televisions, or other ceiling fixtures in order to install ceiling lifts. If movement of preexisting fixtures is unavoidable, the contractor must discuss the design with Contracting Officer Representative, COR, and all modifications shall be done by contractor at no additional cost to the government.

7.4 Ceiling lifts shall not add obstacles or impair any normal operations in patient rooms.

The Contractor shall install all wiring or 120 volt outlets necessary for complete function of ceiling lifts.

7.5 Load test after installation shall be performed by the manufacturer. Manufacturer shall certify that lifts are installed properly and function correctly.

8. Work Area.

2nd Floor – CLC (1 lift, 2 beds in each room)

$16,337.81 ICU Inpatient (1 lift, 1 bed per room)

$16,337.81 $16,337.81 4 East Inpatient (1 lift, 1 bed per room)

SPU (1 lift, 1 bed per room)

9. NARA Records Management Language for Contracts Required: The following standard items relate to records generated in executing the contract and should be included in a typical Electronic Information Systems (EIS) procurement contract:

9.1 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.

9.2 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.

9.3 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.

9.4 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.

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

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

9.7 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.

9.8 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.].

9.9 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.

9.10 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.