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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 or the COTR, 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 COTR/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: |
| a. | FSE performing service described |
| b. | 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 annual service contract. Equipment Inventory covered is broken down by location.
Equipment Description ___Serial #
The Villages OPC
| Model |
| Serial # |
| Location |
| Deliverable |
| Advantage Plus |
| 73661016 |
| The Villages |
| Total Care Connect |
| Advantage Plus |
| 74100731 |
| The Villages |
| Total Care Connect |
| Synergy Washer Electric |
| 3623110006 |
| The Villages |
| Labor Care |
| Century 16/20 Ster Elec SD |
| 32381002 |
| The Villages |
| Total Care Connect |
| Century 16/20 Ster Elec SD |
| 32071003 |
| The Villages |
| Total Care Connect |
| Innowave PCF Sonic Irrigator |
| 4189322809 |
| The Villages |
| Total Care Connect |
VA Tallahassee Healthcare Center
| Advantage Plus |
| 81175276 |
| Tallahassee |
| Total Care Connect |
| Advantage Plus |
| 81175287 |
| Tallahassee |
| Total Care Connect |
| Advantage Plus |
| 81175277 |
| Tallahassee |
| Total Care Connect |
| Caviwave 11,15,20 W Ultrasonic Cleaner |
| 0816TC0015 |
| Tallahassee |
| Total Care Connect |
| Caviwave 11,15,20 W Ultrasonic Cleaner |
| 0816TC0016 |
| Tallahassee |
| Total Care Connect |
| Reliance/Hamo Vision Single Chamber |
| 3616516003 |
| Tallahassee |
| Total Care Connect |
| Reliance/Hamo Vision Single Chamber |
| 3616516002 |
| Tallahassee |
| Total Care Connect |
| AMSCO 400 16/20 Electric Sterilizer |
| 31681666 |
| Tallahassee |
| Total Care Connect |
| AMSCO 400 16/20 Electric Sterilizer |
| 31681668 |
| Tallahassee |
| Total Care Connect |
| AMSCO 400 16/20 Electric Sterilizer |
| 31681670 |
| Tallahassee |
| Total Care Connect |
| VAMC Lake City |
| Advantage Plus | |
| 13135350 | |
| Lake City | |
| Total Care Connect | |
| Advantage Plus |
| 13135349 |
| Lake City |
| Total Care Connect |
| Synergy Washer Steam |
| 3630710007 |
| Lake City |
| Labor Care |
| Synergy Washer Steam |
| 3616607005 |
| Lake City |
| Labor Care |
| Reliance 1227 Cart Washer |
| 3633112020 |
| Lake City |
| Total Care Connect |
| Innowave PCF Sonic Irrigator |
| 4189322807 |
| Lake City |
| Total Care Connect |
| Innowave PCF Sonic Irrigator |
| 4189322806 |
| Lake City |
| Total Care Connect |
| Century 26x37.5 Steam Sterilizer-DD |
| 31480702 |
| Lake City |
| Total Care Connect |
| Century 26x37.5 Steam Sterilizer-DD |
| 32010708 |
| Lake City |
| Total Care Connect |
| V-PRO maX OOME |
| 33071608 |
| Lake City |
| Total Care Connect |
| VPRO 60 |
| 31621603 |
| Lake City |
| Total Care Connect |
| V-PRO maX 2 LOW TEMPERATURE |
| 30282113 |
| Lake City |
| Total Care Connect |
| V-PRO maX 2 LOW TEMPERATURE |
| 30352103 |
| Lake City |
| Total Care Connect |
VA Jacksonville
| Synergy Washer Electric |
| 3632412007 |
| Jacksonville |
| Labor Care |
| Innowave PCF Sonic Irrigator |
| 4189322805 |
| Jacksonville |
| Total Care Connect |
| Innowave PCF Sonic Irrigator |
| 4189322808 |
| Jacksonville |
| Total Care Connect |
| AMSCO 400 16/20 Electric Sterilizer |
| 31611665 |
| Jacksonville |
| Total Care Connect |
| VAMC Gainesville |
| Advantage Plus | |
| 13130938 | |
| Gainesville | |
| Total Care Connect | |
| Advantage Plus |
| 13130936 |
| Gainesville |
| Total Care Connect |
| Advantage Plus |
| 13130939 |
| Gainesville |
| Total Care Connect |
| Advantage Plus |
| 13130940 |
| Gainesville |
| Total Care Connect |
| Advantage Plus |
| 13135192 |
| Gainesville |
| Total Care Connect |
| Innowave Pro Sonic Irrigator |
| 3200100709 |
| Gainesville |
| Total Care Connect |
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 Processing Service and/or Biomedical Engineering section at 352-548-6000 x102433.
Contractor Personnel and Management Contractor Personnel. The Contractor shall be responsible for employing technically qualified personnel to perform the work specified in this PWS. The Contractor shall maintain the personnel, organization and administrative control necessary to ensure that the work delivered meets the contract specifications and requirements.
Contractor Badges. Notwithstanding the requirement to wear a Government furnished badge, Contractor personnel shall also wear a laminated contractor identification badge always when performing services under this Contract, including when on Government directed travel the badge will contain a personal picture, name of employee, and Contractor's name. Badges shall be worn on the outer garment attached to the outer shirt or jacket pocket by a button or clip or worn around the neck secured by an appropriate identification card lanyard.
All Contractor personnel attending meetings, answering Government telephones, and working in other situations where their Contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression in the minds of members of the public or Congress that they are Government officials. They must also ensure that all documents or reports produced by Contractor personnel are suitably marked as Contractor products or that Contractor participation is appropriately disclosed.
Safety/Security Requirements. The Contractor shall comply with all applicable federal, state and local laws and ensure performance is secure while protecting material, equipment, and supplies from damage and loss. Government security personnel shall have the express right to inspect for security violations at any time during the term of the contract.
All information generated in performance of this contract becomes property of the Government and must be surrendered upon request and/or completion of the contract. The Contractor must protect against the destruction and/or misplacement of all information produced under this contract, unless directed under local policy to destroy. This includes both hard and soft copies of data.
The Contractor shall not release any information (including photographs, files, public announcements, statements, denials, or confirmations) on any part of the subject matter of this contract or any phase of any program hereunder without the prior written approval of the COR.
Standards of conduct;
Conduct of Personnel. Contractor personnel shall conduct themselves in a professional manner (i.e. timeliness, communication; spoken and written etc.). The Contracting Officer may require the Contractor to remove from the job site any employee working under this contract for reasons of suspected misconduct, a suspected security breach, or suspected to be under the influence of alcohol, drugs, or any other incapacitating agent. Contractor employees shall be subject to dismissal from the premises upon determination by the Contracting Officer that such action is necessary in the interests of the Government. The hospital director or designated representative has the authority to bar individuals from the Government facility. The removal from the job site or dismissal from the premises shall not relieve the Contractor of the requirement to provide sufficient personnel to perform the services as required by this performance work statement. The Government shall not reimburse the Contractor for travel and other expenses associated with the removal of personnel.
Contractor personnel are not authorized to carry or possess personal weapons to include, but not limited to, firearms and knives with a blade length more than three inches, while assigned under this contract.
Working Attire and Appearance. Contractor personnel shall present a professional appearance commensurate with standards delineated for Government civilian personnel acting in similar capacities.
The Government reserves the right to review Contractor personnel qualifications. Upon request, resumes shall be provided to the Contracting Officer prior to clearance approval, for review and acceptance by the COR. The intent is to verify credentials and not for the Government to become the hiring authority.
NON-PERSONAL SERVICE STATEMENT
Contractor employees performing services under this order will be controlled, directed, and supervised always by management personnel of the contractor. Contractor management will ensure that employees properly comply with the performance work standards outlined in the PWS. Contractor employees will perform their duties independent of, and without the supervision of, any Government official. The tasks, duties, and responsibilities set forth in the contract may not be interpreted or implemented in any manner that results in any contractor employee creating or modifying Federal policy, obligating the appropriated funds of the United States Government, overseeing the work of Federal employees, providing direct personal services to any Federal employee, or otherwise violating the prohibitions set forth in Parts 7.5 and 37.1 of the Federal Acquisition Regulation (FAR). The Government will control access to the facility and will perform the inspection and acceptance of the completed work.