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Statement of Work
Background:
The Malcom Randall VA medical Center, The Villages VA OPC, VA Tallahassee OPC, VA Jacksonville OPC, and Lake City VA Medical Center maintains an annual full-service contract on all SPS Steris equipment.
Objective:
This Service Contract is an annual full-service contract to keep all SPS Steris equipment in optimal operating condition.
Scope of Work:
Regularly scheduled visits to conduct preventive maintenance inspection at frequencies recommended by the original equipment manufacturer. Also, any corrective maintenance required to keep the units functioning at manufacturer specifications. Note- these units do not contain VA sensitive information. The contractor shall submit to the Biomedical Engineering Section, a service report indicating what repairs, service, calibration, etc., were performed. Each service ticket report must, at minimum, document the following data legibly and in complete detail:
| A. | Name of Contractor |
| B. | Name of FSE who performed service |
| C. | Contractor service ESR Number/Log number |
| D. | Date and time (starting and ending) equipment downtime and hours on site for service call. |
| E. | VA PO# covering the call, if outside normal working hours |
| F. | Description of problems reported by user. |
| G. | Identification of equipment to be serviced: INV, ID#, manufacturer's name, devises name, model#, Serial #, and any other manufacturer's identification#. |
| H. | Itemized description of Service performed including labor and travel, parts (with part#) and materials and circuit location of problem/corrective actions. |
| I. | Signatures: |
| J. | FSE performing service described |
| K. | VA Employee who witnessed the service described |
This report shall be signed by the using designee attesting that the equipment is in satisfactory working order and is functioning at an acceptable level of performance.
The following equipment shall be covered under the service contract:
| Equipment Description | Serial # |
| 20 IN. CENT VAC SD 480V CAB STERILIZER |
| 033141225 |
| 20 IN. CENT VAC SD 480V CAB STERILIZER |
| 032791221 |
| SYN W/DISINF 480V,3PH,60HZ,ELE(SFDA 20081573688) |
| 3632412007 |
| SYN W/DISINF 480V,3PH,60HZ,ELE(SFDA 20081573688) |
| 3633211015 |
| CAVIWAVE ULTRSNC CONSOL L2R 208V/3PH |
| 0211C1216 |
| AMSCO 400 20X20X38 PVAC SD SLIDE REC ELEC 480V |
| 032711710 |
| 48 IN. PLATFORM PREVAC STERILIZER DBL HINGE L-L REC 1 WALL 208/240 V 3 PH |
| 032010708 |
| 48 IN. PLATFORM PREVAC STERILIZER DBL HINGE L-L REC 1 WALL 208/240 V 3 PH |
| 031480702 |
| RELIANCE SYNERGY WASHER/DISINFECTOR 208V,3PH,4 WIRE,60HZ- (R5) |
| 3616607005 |
| REL 444 WSHR SGL P DR 208 (BEFORE SN) |
| 3614897002 |
| 20X20X38 CENTURY GRAVITY STERILIZER SD LIQ CYC |
| 012110206 |
| 16 IN. CENT VAC SD STM REC |
| 031141205 |
| 1227 C & UTENSIL W/DISINF 200-208V,60HZ,STEAM,DMD |
| 3633112020 |
| MEDISAFE SONIC IRRIGATOR PCF W DISINFECT |
| 2163208402 |
| 48 IN.PLATFORM PREVAC STERILIZER,DBL HINGE,L-R,REC 2-WALL,480V |
| 012400402 |
| 48 IN.PLATFORM PREVAC STERILIZER,DBL HINGE,L-R,REC 2-WALL,480V |
| 012720504 |
| 48 IN.PLATFORM PREVAC STERILIZER,DBL HINGE,L-R,REC 2-WALL,480V |
| 012850505 |
| 16 IN. CENT VAC SD STM CAB |
| 032350722 |
| 16 IN. CENT VAC SD STM CAB |
| 032490707 |
| 16 IN. CENT VAC SD STM CAB |
| 032390703 |
| VISION (SC) 460-480V, 3PH, 60HZ, STEAM |
| 3629909001 |
| VISION (SC) 460-480V, 3PH, 60HZ, STEAM |
| 3630209010 |
| VISION (SC) 460-480V, 3PH, 60HZ, STEAM |
| 3630809010 |
| REL 444 WSHR SGL P DR 460 |
| 3623207005 |
| BASIC MOTORIZED |
| 3635109002 |
| MOTORIZED WITH FEED IN |
| 3600410007 |
| MOTORIZED WITH FEED IN |
| 3600510001 |
| MOTORIZED WITH FEED IN |
| 3635209001 |
| 1227 C & UTENSIL W/DISINF 200-208V,60HZ,STEAM,DMD |
| 3632612001 |
| MEDISAFE SONIC IRRIGATOR PCF W DISINFECT |
| 1163208308 |
| MEDISAFE SONIC IRRIGATOR PCF W DISINFECT |
| 1163208401 |
| MEDISAFE SONIC IRRIGATOR PCF W DISINFECT |
| 2163208404 |
| EVOLUTION VAC 54 IN ELEC DD HNG RL R2W 480V |
| 033191620 |
| V-PRO MAX, SD, CAB, 208/230V, 60HZ ENGLISH (OOME) |
| 033071608 |
| EVOLUTION VAC 54 IN ELEC DD HNG LR R2W 480V |
| 033301613 |
| EVOLUTION VAC 54 IN ELEC DD HNG LR R2W 480V |
| 033401607 |
| EVOLUTION VAC 54 IN ELEC DD HNG RL R2W 480V |
| 033301615 |
| CAVIWAVE ULTRSNC CONSOL L2R 208V/3PH |
| 0310C0759 |
| SYN W/DISINF 480V,3PH,60HZ,ELE(SFDA 20081573688) |
| 3623110006 |
| 20 IN. CENT VAC SD 480V CAB STERILIZER |
| 032071003 |
| 20 IN. CENT VAC SD 480V CAB STERILIZER |
| 032381002 |
| CAVIWAVE ULTRASONIC CLEANER 20 GAL 208V/3PH/132KHZ |
| 0816TC0015 |
| AMSCO 400 20X20X38 PVAC SD SLIDE REC ELEC 480V |
| 031611665 |
| VISION (SC) 460-480V, 3PH, 60HZ, ELECTRIC |
| 3616516003 |
| VISION (SC) 460-480V, 3PH, 60HZ, ELECTRIC |
| 3616516002 |
Qualification / Certifications / Safety The contractor shall obtain all necessary licenses and or permits required to perform this work. He or she must be fully qualified/certified to service the equipment indicated in the scope of work and must present qualifications to Biomedical Engineering to keep in the service contract file.
The VA Safety Officer shall have full authority to see that the contractor obeys all safety rules and regulations to the fulfillment of this contract.
Scheduling Hours of Work:
All work involved shall be scheduled with the Sterile Process Service and/or Biomedical Engineering section at 352-548-6000x2433.