C03 Statement of Work Triple Basin Sinks.pdf

VA North Texas Health Care System

STATEMENT OF WORK

Equipment Package Triple Basin Reprocessing Sinks

1 Introduction

The VA North Texas Health Care System (VANTHCS) has a requirement to purchase PureSteel Custom Triple Basin Reprocessing Sinks with an authorized vendor to supply and deliver the item(s) identified in Table 1 below. See attachments for salient characteristics. This requirement is in support of the activation of the VANTHCS. Item(s) are to be delivered to the location specified in section 2.4.1.

Table 1 – Package Items Summary

Item Number Item Description Quantity

1. PS-11030-HA-03-301810B Reprocessing Sink

110”L x 30”W Height-adjustable, 3 Basins measuring 30” x 18” x 10”

2. PS-SK-PB-11024-S Reprocessing Sink Pegboard

110”L x 24”H Sink pegboard, standard pegs throughout

3. PS-10830-HA-03-301810B Reprocessing Sink

108”L x 30”W Height-adjustable, 3 Basins measuring 30” x 18” x 10”

4. PS-SK-PB-10824-S Reprocessing Sink Pegboard

108”L x 24”H Sink pegboard, standard pegs throughout

5. PS-97530-HA-03-301810B Reprocessing Sink

97.5”L x 30”W Height-adjustable, 3 Basins measuring 30” x 18” x 10”

6. PS-SK-PB-97524-S Reprocessing Sink Pegboard

97.5”L x 24”H Sink pegboard, standard pegs throughout

7. PS-12730-HA-03-301810B Reprocessing Sink

127”L x 30”W Height-adjustable, 3 Basins measuring 30” x 18” x 10”

8. PS-SK-PB-12724-S Reprocessing Sink Pegboard

127”L x 24”H Sink pegboard, standard pegs throughout

9. PS-ST-VL-ETCH Volume Indicator Etching Plates 24

10. SNK-ERG-SLANT 45 Degree Ergonomic Wrist Rest Slants 24

11. T-SNK-SPRAY Wall mounted pre-rinse faucet sprayer 16

12. LG-WDSU-R1 Deionized Faucet w/swivel gooseneck 8

13. ASG-11-LT-V250-T1 Deionized Spray Gun 8

14. PS-LED-BSN LED Basin Lights 24

15. PS-SK-HASHLF Height-Adjustable Storage Shelf 8

16. PS-SC-STSH-C Reprocessing Sink Staging Counter Storage 8

17. PS-SC-01 Staging Counters 8

18. T-SK-PB-HOOD-02 Sink Light Hood 24

19. PS-UVLEDBLACK-02 UV LED Blacklight Hood 1

20. PC-VS-ARM-S-KYBD The Ergotron Wall Mounted Keyboard and Monitor Arm 8

21. PC-VS-VSS The Ergotron VESA Scanner Shelf 8

22. PSWPT The PureSoak Timer

9.7”L x 4.75”H x3”D

23. PS1626-EYE The PureStation Dedicated Eye Sink 2

24. PS-SLF-141215 PureSteel Shelves 2

25. PS-PSBR-24x3 Wall mounted rail for PureSteel Plastic Shelf Bins 1

26. PS-BTSPEAKER The PureSteel Bluetooth Speaker 3

27. PS-LED-STRIP Color Changing LED light strip w/remote 8

28. PS-BRRK Brush Organizer and Rack 8

29. PSFPS-01 The FlexiPump Independent Flushing System 10

30. FP-DBBR Double bracket holder for the FlexiPump Independent Flushing System 5

31. FXITS-0515psi6-PH FlexiPump Independent Flushing System Tube Set; 5 lead; 15 psi 2

32. FXITS-0330psi6-PH FlexiPump Independent Flushing System Tube Set; 3 lead; 30 psi 8

33. ACC-KIT QTY 1 kit, includes: 20 female-to-female adapters, 25 end caps, 50 XL slip tips, 5 rubber cup adapters

34. PSC128-1 ProSpray Surface Disinfectant/Cleaner ready-to-use 1 gallon bottles.

QTY 4 bottles per case

35. DGH-02 Holds 2, 1-gallon bottles, QTY 1 8

36. PS-HAL-LGHT The PureSteel Task Light 8

37. PS-SLF-SBP The PureSteel SCOPE BUDDY PLUS Shelf 1

38. PS-SM-LTS Pegboard shelf

6”W x 8”H x 10.5”D (PureSteel Leak Tester Shelf

39. HD26300 stainless steel wire baskets w/ front facing slant

12”x12”x8”/4” size

40. HP6209 PureSteel stainless steel wire baskets

12”x6”x6” size

41. PS-C-SK-ETCH Workflow plates (Soak Workflow Plate) 8

42. PS-C-WS-ETCH Workflow plates (Wash Workflow Plate) 8

43. PS-C-RS-ETCH Workflow plates (Rinse Workflow Plate) 8

44. SSS-PB-2x4 Individual pegboard panels

21.5” x 45.5”

45. T-SK-PB-HOOD-04 Sink Light Hood

4’ in length

46. DGH-02 Holds 2, 1-gallon bottles, QTY 1 1

47. PS-GFGI-PCK-04 Additional electrical package to add 4 more outlets to a piece of stainless-steel equipment

48. PS-TSDK-03 3 Bay drain kit assembly with telescoping drains 8

49. PS-ASSEMBLY-T3 Factory assembly of back walls and/or pegboards, accessories, electrical wiring and channeling and product assembly. Final polish

50. SHIP ESTIMATE Shipping Estimate 1

2 General Conditions

2.1 Site Address

2.1.1 The address of the VA North Texas Health Care is listed below. Additional information on delivery is located in section 2.4.

VA North Texas Health Care System 4500 S Lancaster Rd Dallas, TX 75216

2.2 Site Visit Information for Vendors

2.2.1 Full Address (Please include Bldg./Rm): VANTHCS, 4500 S Lancaster Rd, Dallas, TX 75216; Sterile Processing Service, Basement Floor, Building: 2J/ Room: BA-236

POC Number (If multiple people are attending then please provide their names and telephone contact information): _Angela Tyner is the POC, (214) 857-2399 or Franco Cesar, (214) 857-0145

Date: TBD

Time: n/a

2.3 Delivery Schedule

Items shall be delivered no earlier than the estimated delivery start date and no later than the delivery end date listed in Table 2 below.

Table 2 – Anticipated Building Outfitting Schedule

Building Name Building # & Letter Acronym Est. Delivery Start Date

Est. Delivery End Date

VA North Texas Health Care System

2J VANTHCS 2023-8-30 2023-8-30

2.4 Schedule and Order Management

2.4.1 The above delivery schedule is based upon the current construction schedule, which is subject to change.

The vendor shall not increase prices for a change in delivery date for up to 30+ days due to construction delays.

2.4.2 The awardees actual delivery dates will be confirmed by VA upon award.

2.4.3 Post-award the vendor will coordinate delivery prior to beginning any work (see section 2.4). Once the dates have been confirmed, modifications to the schedule are subject to written approval by the VA POC and the vendor. Schedule changes that are beyond the dates specified in the contract will require approval by the Contracting Officer and a contract modification.

2.5 Delivery and Receiving

2.5.1 Delivery and receipt of the proposed items is anticipated to be directed to the location identified below.

Confirmation of delivery location will be provided by the VA POC post-award. Delivery must be coordinated with VA Logistics Warehouse (primary), ______________ prior to any attempts at delivery. Any item that has not been coordinated will be turned away and any additional charges will be the responsibility of the sender/transportation company.

☒ VA North Texas Health Care System

(Direct Delivery to address detailed in paragraph 2.1.1)

2.5.2 Delivery shall be freight on board (FOB) – Destination.

2.5.3 The vendor is required to define the need for a staging area to accommodate item delivery, if needed. Post-award, this information will be confirmed with the vendor.

2.5.4 The delivery of items identified in this document shall take place during normal business hours which are defined as: 0800 to 1600 (i.e.: 8:00am to 4:00pm Central Time), Monday through Friday, and excluding Federal Holidays.

2.5.5 Delivery trucks will not be permitted to remain at the loading dock. Trucks shall be unloaded, moved from the dock, and then brought back to the dock if required to haul out any waste, tools, or excess materials.

2.5.6 Labeling of delivered items shall include the awarded contract number and VA purchase order number for identification and reference upon receipt of product.

2.6 Use of Warehouse

2.6.1 If the vendor requires the use of the Government’s activation contractor’s warehouse to meet the requirements of this contract the vendor must provide a certificate of insurance prior to the delivery and offloading of the item(s). This insurance certificate must be completed and presented to the activation contractor prior to delivery.

2.6.2 The vendor shall communicate through the VA POC any required coordination requirements.

2.7 Clean Up and Disposal

2.7.1 There are no dumpsters available for vendor use.

2.7.2 The removal of waste and/or excess material shall be conducted through the loading dock area. Delivery trucks and/or other vendor vehicles will not be permitted to remain at the loading dock. Vehicles will need to be brought back to the dock if required to remove any waste, tools, or excess materials.

2.8 Deliverables

2.8.1 The vendor shall provide CAD drawings (including shop drawings) and specifications for site prep for their product as required.

2.8.2 The vendor shall provide a completed VA Form 6550 with submittal documents for any and all item(s) that may connect to the VA network and medical devices that store sensitive patient information.

2.9 Assembly and Installation [ ☒ is ☐ is not required]

2.9.1 The vendor is required to manage and coordinate installation at the VANTHCS with the VA POC.

2.9.2 On-site assembly and installation of items, and performance of services identified in this document shall take place during normal business hours which are defined as: 0800 to 1600 (i.e.: 8:00am to 4:00pm Central Time), Monday through Friday, and excluding Federal Holidays.

2.9.3 The vendor is required to define the need for a staging area to accommodate item assembly and installation, if needed. Post-award, this information will be confirmed with the vendor.

2.9.4 The vendor is required to provide tools, labor and materials to complete assembly and installation of the items detailed in this document.

2.9.5 The vendor shall protect all finished spaces and surfaces as required from delivery and installation damage.

The vendor shall use covering and protection to the extent necessary to prevent damage to finished spaces.

Any damage occurred during delivery and installation is the responsibility of the vendor. The vendor will be responsible for paying for and repairing any damage or noted deficiencies to finished spaces and surfaces that occur as a result of the vendor’s (or associated sub-contractors) installation.

2.9.6 During the entire duration of assembly and installation, the vendor will have a competent representative on-site as the vendor’s contact, and to serve as the interface between the vendor and VANTHCS. On-site representative can be the installer. All instructions provided from COR to the representative will be binding as if given to the vendor’s main contact. The COR may provide specific instructions, however, only the Contracting Officer may change the terms or conditions of the contract.

2.10 Training [ X is is not required]

2.10.1 The vendor shall coordinate through the VA POC to provide a hands-on training session to staff selected by the VA. Training shall be completed within 45 days after final installation of equipment. The vendor will record the training and provide an electronic copy of the training to the VA POC for VA to use to train additional personal at a future date. In addition, the vendor shall provide additional training documents to the VA POC for training additional persons at a future date.

2.11 Standard Warranty

2.11.1 The products shall be covered by vendor’s standard warranty terms and provisions, provided, however that the warranty coverage shall be no less than the following:

2.11.2 The Vendor shall provide a warranty certificate/form stating the warranty period, terms, and information required to initiate the warranty.

2.11.3 The warranty period set forth therein shall run for one year following the first day of use at VANTHCS;

2.11.4 The vendor shall extend such warranty directly to the customer as if such customer had purchased the Products directly from the vendor.

2.11.5 The vendor shall warrant the products against defects in material and workmanship under normal use and service, repair or replace at vendor’s cost any defective Product (or issue a credit or refund based on the purchase price paid therefor); and

2.11.6 The vendor shall pay (or refund the amount of) all freight and shipping charges for any defective Products returned under this paragraph.

2.12 Use of Premises

2.12.1 If during the performance of this contract, work will be carried out on VANTHCS premises, the vendor shall perform all work in such a manner that will cause a minimum interference with VANTHCS operations and the operations of other contractors on the premises.

2.12.2 The vendor shall communicate through the VA POC any required coordination requirements with the General Construction contractor prior to and during delivery and installation activities.

2.12.3 The project may be an active construction site during delivery and installation. The vendor shall take all necessary precautions to protect the premises and all persons and property therein from damage or injury.

The vendor shall assume responsibility for taking precautions for the vendor's (and associated subcontractors’) employees, agents, licensees, and permittees. The vendor shall abide by any safety requirements imposed by the GC (e.g. hard hats, safety vests).

VANTHCS Sterile Processing Service – Reprocessing Sinks

PS-11030-HA-

03-301810B

4500 S Lancaster Rd.

Dallas, TX 75216

Project: VANTHCS Sterile Processing Service – PureSteel Healthcare Reprocessing Sinks

Issue Date: June 2025

3_

Total Quantity: 1

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

☐ BMET Training Required if Checked ☐ End User Training Required if Checked

Item Name: Reprocessing Sinks

Basis of Design Brand or Equal: Reprocessing Sinks | PS-11030-HA-03-301810B

Main Image:

*Salient Characteristics: (* indicates required items)

• Stainless Steel

• Triple basins (AAMI Standards compliant)

• Internal sink basin dimensions: 30” L x 18” W x 10” D (custom)

• External sink dimensions: 110” L x 30” W (custom)

• Corner drain (protects instruments)

• Height adjustable (push button)

• Power: 15A, 120V, or 60H required, one outlet required for power and must be within 12’ from the back.

VANTHCS Sterile Processing Service –Reprocessing Sink Pegboards

PS-SK-PB-

11024-S

Reprocessing Sink Pegboards

Issue Date: August 2023

Total Quantity: 1

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

☐ BMET Training Required if Checked ☐ End User Training Required if Checked

Item Name: Reprocessing Sink Pegboards

Basis of Design Brand or Equal: Reprocessing Sink Pegboards | PS-SK-PB-11024-S

• Pegboard dimensions: 110” L x 24” H (custom)

• Organize and store customized set of reprocessing tools and supplies.

• Height adjustable with sink

PS-10830-HA-

03-301810B

Project: VANTHCS Sterile Processing Service –Reprocessing Sinks Issue Date: June 2025 3_

Total Quantity: 1

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

☐ BMET Training Required if Checked ☐ End User Training Required if Checked

Item Name: Reprocessing Sinks

Basis of Design Brand or Equal: Reprocessing Sinks | PS-10830-HA-03-301810B

• Triple basins (AAMI Standards compliant)

• Internal sink basin dimensions: 30” L x 18” W x 10” D (custom)

• External sink dimensions: 108” L x 30” W (custom)

• Corner drain (protects instruments)

• Power: 15A, 120V, or 60H required, one outlet required for power and must be within 12’ from the back.

PS-SK-PB-

10824-S

Project: VANTHCS Sterile Processing Service – Reprocessing Sink Pegboards Issue Date: June 2025

Total Quantity: 1

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

☐ BMET Training Required if Checked ☐ End User Training Required if Checked

Basis of Design Brand or Equal: Reprocessing Sink Pegboards | PS-SK-PB-10824-S

• Pegboard dimensions: 108” L x 24” H (custom)

PS-97530-HA-

03-301810B

Project: VANTHCS Sterile Processing Service –Reprocessing Sinks Issue Date: June 2025 3_

Total Quantity: 3

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

☐ BMET Training Required if Checked ☐ End User Training Required if Checked

Item Name: Reprocessing Sinks

Basis of Design Brand or Equal: Reprocessing Sinks | PS-97530-HA-03-301810B

• Triple basins (AAMI Standards compliant)

• Internal sink basin dimensions: 30” L x 18” W x 10” D (custom)

• External sink dimensions: 97.5” L x 30” W (custom)

• Corner drain (protects instruments)

• Power: 15A, 120V, or 60H required, one outlet required for power and must be within 12’ from the back.

PS-SK-PB-

97524-S

Project: VANTHCS Sterile Processing Service – Reprocessing Sink Pegboards Issue Date: June 2025

Total Quantity: 3

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

☐ BMET Training Required if Checked ☐ End User Training Required if Checked

Basis of Design Brand or Equal: PureSteel | Healthcare Reprocessing Sink Pegboards | PS-SK-PB-97524-S

• Pegboard dimensions: 97.5” L x 24” H (custom)

PS-12730-HA-

03-301810B

Project: VANTHCS Sterile Processing Service –Reprocessing Sinks Issue Date: June 2025 3_

Total Quantity: 3

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

☐ BMET Training Required if Checked ☐ End User Training Required if Checked

Item Name: Reprocessing Sinks

Basis of Design Brand or Equal: Reprocessing Sinks | PS-12730-HA-03-301810B

• Triple basins (AAMI Standards compliant)

• Internal sink basin dimensions: 30” L x 18” W x 10” D (custom)

• External sink dimensions: 127” L x 30” W (custom)

• Corner drain (protects instruments)

• Power: 15A, 120V, or 60H required, one outlet required for power and must be within 12’ from the back.

VANTHCS Sterile Processing Service – PureSteel Healthcare Reprocessing Sink Pegboards

PS-SK-PB-

12724-S

Reprocessing Sink Pegboards

Issue Date: June 2025

Total Quantity: 3

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

☐ BMET Training Required if Checked ☐ End User Training Required if Checked

Basis of Design Brand or Equal: Reprocessing Sink Pegboards | PS-SK-PB-12724-S

• Pegboard dimensions: 127” L x 24” H (custom)

VANTHCS Sterile Processing Service – PureSteel Volume Indicator Etching Plates

PS-ST-VL-

ETCH

Project: VANTHCS Sterile Processing Service – Reprocessing Sinks Volume Indicator Etching Plates

Issue Date: June 2025

Total Quantity: 24

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

☐ BMET Training Required if Checked ☐ End User Training Required if Checked

Item Name: Volume Indicator Etching Plates

Basis of Design Brand or Equal: Volume Indicator Etching Plates | PS-ST-VL-ETCH

*Salient Characteristics: (* indicates required item)

• Facilitate accurate measurements of cleaning solutions inside sink basins

• Removable, cleanable

• Custom made to any sink basin

• For use with PureSteel Sinks

VANTHCS Sterile Processing Service – 45-Degree Ergonomic Wrist Rest Slants

SNK-ERG-

SLANT

Project: VANTHCS Sterile Processing Service – Reprocessing Sinks 45 Degree Ergonomic Wrist Rest Slants

Issue Date: June 2025

Total Quantity: 24

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

☐ BMET Training Required if Checked ☐ End User Training Required if Checked

Item Name: 45-Degree Ergonomic Wrist Rest Slants

Basis of Design Brand or Equal: 45-Degree Ergonomic Wrist Rest Slants| SNK-ERG-SLANT

• 45-degree ergonomic rest slants on the edge of the sink basin

• Reduce wrist droop and Musculoskeletal disorders caused by sustained exposure to repetitive motion, and awkward positions

VANTHCS Sterile Processing Service –Wall Mounted Pre-rinse Faucet Sprayer

T-SNK-SPRAY

Project: VANTHCS Sterile Processing Service –Reprocessing Sinks Wall Mounted Pre-rinse Faucet Sprayer

Issue Date: June 2025

Total Quantity: 16

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

☐ BMET Training Required if Checked ☐ End User Training Required if Checked

Item Name: Wall mounted pre-rinse faucet sprayer

Basis of Design Brand or Equal: Wall mounted pre-rinse faucet sprayer | T-SNK-SPRAY

• Stainless steel

• 10” gooseneck swivel spout

• Ergonomic grip handle

• A ring for hanging

• Faucet handle 8” off center

VANTHCS Sterile Processing Service – Deionized Spray Gun

ASG-11-LT-

V250-T1

Project: VANTHCS Sterile Processing Service –Reprocessing Sinks Deionized Spray Gun

Issue Date: June 2025

Total Quantity: 8

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

☐ BMET Training Required if Checked ☐ End User Training Required if Checked

Item Name: Deionized Spray Gun

Basis of Design Brand or Equal: Deionized Spray Gun | ASG-11-LT-V250-T1

• Provides consistent and copious rinsing of instrument sets and trays using treated water

• Base adapter

• 4-1/8th hook for mounting to pegboard

VANTHCS Sterile Processing Service – LED Basin Lights PS-LED-BSN

Project: VANTHCS Sterile Processing Service – Reprocessing Sinks LED Basin Lights

Issue Date: June 2025

Total Quantity: 24

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

☐ BMET Training Required if Checked ☐ End User Training Required if Checked

Item Name: Pegboard Shelf

Basis of Design Brand or Equal: PureSteel | LED Basin Lights PS-LED-BSN

• Aids in spotting bubbles in leak testing

• Enhances light at the sink

VANTHCS Sterile Processing Service – 3 Bay Drain Kit w/ Telescoping Drains

PS-TSDK-03

Project: VANTHCS Sterile Processing Service – Reprocessing Sinks 3 Bay Drain Kit w/ Telescoping Drains.

Issue Date: June 2025

Total Quantity: 8

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

☐ BMET Training Required if Checked ☐ End User Training Required if Checked

Item Name: Bay Drain Kit w/ Telescoping Drains

Basis of Design Brand or Equal: PureSteel | 3 Bay Drain Kit w/ Telescoping Drains | PS-TSDK-03

• Closed loop system that includes installation of QTY 3 telescoping drain assemblies to a 2” PVC waste line

• Telescoping drains are chrome plated brass construction with smooth walls.

• Internal stop collars prevent sections from separating

• 1 ½ slip nut for connection to basket strainer or flange and 1 ½ female pipe thread for connection to waste line

• Ships installed

VANTHCS Sterile Processing Service – Factory Assembly

PS-ASSEMBLY-

T3

Project: VANTHCS Sterile Processing Service – Reprocessing Sinks Issue Date: June 2025

Total Quantity: 8

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked

☐ BMET Training Required if Checked ☐ End User Training Required if Checked

Item Name: Factory Assembly

• Factory Assembly of back walls and or pegboards, accessories, electrical wiring and channeling, and product assembly. Final polish and cleaning included. Note: Does not include final connection, removal of pre-existing systems or equipment, or moving equipment into place.

PS-SM-LTS