Statement of Work _SOW.pdf

STATEMENT OF WORK

INTRODUCTION: The purpose of this Statement of Work (SOW) is to outline the tasks and responsibilities of the vendor in supplying exam tables for the newly constructed VA Lancaster Clinic/Antelope Valley CBOC within VISN22 under VA Greater Los Angeles Healthcare System.

BACKGROUND: The VA Lancaster Clinic/Antelope Valley CBOC is part of VA Greater Los Angeles Healthcare System. The new CBOC offers primary care, dental, women’s health, physical therapy, mental health, telehealth, and other specialty services. This new clinic has a requirement for exam tables.

PURPOSE: The exam table provides support to patients in prone, supine or side-lying positions during medical exam. This exam table equipment helps in improving patient care within Antelope Valley CBOC.

SCOPE: VA GLA is requesting contractors provide brand name or equal that meet or exceed the physical, functional and performance of the listed salient characteristics in this section. The equipment feature is essential to the technical requirements to meet the need of the government.

PHYSICAL CHARACTERISTICS: Equipment must have the physical characteristics to enable the government to perform the capabilities:

1) Exam Table – Midmark Barrier Free 626, 626-002

a) Barrier free examination chair with clean assist roller system, receptacles, drawer heater, stirrups, pelvic tilt, wired controls.

b) Must have hand and foot control

c) Must have the ability to elevate the chair to the exam position and return feature returns the chair or to its home position

d) One-touch auto-return home button that lowers table and raises backrest to “chair position”

e) Must be able to support patient weight capacity: 650 lbs. (295 kg)

f) Front storage drawer with dividers for access/storage of speculums, gloves, instruments, and supplies

g) Treatment pan

h) Includes Pelvic Tilt: 5 1/5°

i) Must have heated drawer: 92°F to 112°F at 115 VAC input voltage, 70°F ambient Paper Roll

Holder - Holds 24" x 3.56" dia. paper roll (61 cm x 9 cm)

j) Must have hospital-grade, electrical receptacles on left and right sides

k) Must include 32” Upholstery

l) Standard clean assist rollers, retractable roller base to move the chair easily and safely for cleaning/infection prevention.

m) Removable upholstery top system for cleaning and easy replacement

n) Steel-on-steel construction on all weight-bearing points for durability, including steel-reinforced seat and back section

o) Standard spline receptacle system for tools free plug-n-play attachment of accessories patient support rails and patient support rails plus

p) Galvanized leveling feet

q) Dimension: 60” D x 32” W x 37” H

Quantity: 15ea

2) Product No. MID-002-2002-860 - Midmark Upholstery Top - 626 32" Premium

a) Finishes: Midmark Upholstery Top - 626 32" Premium. Color: Latte 860

Quantity:15ea

3) Product No. MID-9A600002 - Midmark Patient Support Rails Plus, Field Installed

a) Include Midmark Patient Support Rail Plus, field Installed (Product No. MID-9A600002) Quantity:15ea

4) Product No. MID-9A582001 - Patient Support Rail Receiver Extensions, Field Installed

a) Include Midmark Patient Support Rail Receiver Extensions, field Installed (Product No.

MID-9A582001)

Quantity: 15ea

5) Product No. MID-CHRG-SVC305 - Midmark Premier Delivery Service/INSTALLATION

a) Include Midmark Premier Delivery Service/INSTALLATION

Quantity: 1ea

FUNCTIONAL AND PERFORMANCE CHARACTERISTICS: Equipment must provide the functional and performance capability as listed above in section in above.

TRAINING: Contractor is to provide a one-time training at installation of equipment. Government will not require additional training.

WARRANTY OF EQUIPMENT: Government requirement for standard manufacturer industry warranty term. Government does not accept extended warranty, which requires advance payment.

PERFORMANCE:

• All items to be delivered and or installed after receipt of purchase order 8/1/2025.

• Hours: Normal duty hours are 8:00 a.m. through 4:00 p.m., Monday through Friday, not including federal holidays. Whenever contact with a facility is required outside of normal duty hours, the Contractor shall coordinate these times with the designated COR, POC or designee.

• In accordance with 5 U.S.C. 6103, Executive Order 11582 and Public Law 94-97 the following national holidays are observed and for the purpose of this contract are defined as “Legal Federal official holidays”

New Year’s Day January 1st Martin Luther King’s Birthday Third Monday in January President’s Day Last Monday in January Memorial Day Last Monday in January Juneteenth June 19th Independence Day July 4th Labor Day First Monday in September Columbus Day Second Monday in October Veteran’s Day November 11th Thanksgiving Day Fourth Thursday in November Christmas Day December 25th

• Noncontract Charges: The contractor shall not perform any service that will result in additional charges without prior approval from the Contracting Officer.

• Payment: Payment will be made upon receipt of a properly prepared invoice which references the period for which payment is due, the contract number and/or assigned purchase order number.

The invoice must include the correct payment address.

• Waste Removal: The contractor is responsible for removing and properly dispose of all waste related to the services provide on-site at all VA facilities.

• Failure to carry out the above procedures will be considered as a failure to document the service visit and will constitute a failure to perform.

• All shipping for parts will be included in the cost of the contract.

PLACE OF DELIVERY: (Vendor must confirm in written/email communication with facility POC, Alfred Burton, prior to shipment to verify address) (alfred.burton@va.gov)

1. After 8/1/25:

a. Address: VA Lancaster Clinic/Antelope Valley CBOC 44439 17th St. W. Lancaster, CA 93534

b. Delivery Hours: 8:00 AM – 3:00 PM

c. POC: Alfred Burton (562) 355-8983 or Mohammed Huda (562) 233-7808

2. Prior 8/1/25:

a. VA Lancaster Clinic Project, C/O Adonius 602 E. Avenue R. Palmdale, CA 93550

b. Delivery Hours: 9:00 AM – 3:00 PM

c. POC: Tom Leyland (734) 672-2671

SECURITY

Information Security

• The vendor shall ensure adequate LAN/Internet, data, information, and system security in accordance with VA standard operating procedures and standard contract language, conditions laws, and regulations. The vendor’s firewall and web server shall meet or exceed the government minimum requirements for security. All government data shall be protected behind an approved firewall. Any security violations or attempted violations shall be reported to the VA Project Manager and the VBA Headquarters Information Security Officer as soon as possible. The vendor shall follow all applicable VA policies and procedures governing information security, especially those that pertain to certification accreditation.

• The contractor shall follow The Veterans Affair Acquisition Regulation (VAAR) security clause

VAAR- 852.273-75 “SECURITY REQUIREMENTS FOR UNCLASSIFIED INFORMATION

TECHNOLOGY RESOURCES” sited in section C. Contract Clauses

(a) The contractor and their personnel shall be subject to the same Federal laws, regulations, standards and VA policies as VA personnel, regarding information and information system security. These include but are not limited to Federal Information Security Management Act (FISMA), Appendix III of OMB Circular A-130, and guidance and standards, available from the Department of Commerce's National Institute of Standards and Technology (NIST). This also includes the use of common security configurations available from NIST's Web site at: http://checklists.nist.gov

(b) To ensure that appropriate security controls are in place, Contractors must follow the procedures set forth in "VA Information and Information System Security/Privacy Requirements for IT Contracts" located at the following Web site:

http://www.iprm.oit.va.gov

Contract Personnel Security All contractor employees who require access to the Department of Veterans Affairs' computer systems shall be the subject of a background investigation and must receive a favorable adjudication from the VA Security and Investigations Center (07C). The level of background security investigation will be in accordance with VA Directive 0710 dated September 10, 2004 and is available at:

http://www.va.gov/pubs/asp/edsdirec.asp (VA Handbook 0710, Appendix A, Tables 1 - 3).

Appropriate Background Investigation (BI) forms will be provided upon contract (or task order) award, http://checklists.nist.gov/ http://www.iprm.oit.va.gov/ and are to be completed and returned to the VA Security and Investigations Center (07C) within 30 days for processing. Contractors will be notified by 07C when the BI has been completed and adjudicated.

These requirements are applicable to all subcontractor personnel requiring the same access. If the security clearance investigation is not completed prior to the start date of the contract, the employee may work on the contract while the security clearance is being processed, but the contractor will be responsible for the actions of those individuals they provide to perform work for the VA. In the event that damage arises from work performed by contractor personnel, under the auspices of the contract, the contractor will be responsible for resources necessary to remedy the incident.