SOW Site-Rite Ultrasound.doc

STATEMENT OF WORK (SOW)

Site Rite Ultrasound

1. Purpose

The VA hospital need more Site Rite Ultrasound so that each special care unit will have available equipment to ensure that veterans are receiving the best care possible and that enough equipment is available to do so.

2. Background. The Puget Sound VA hospital has clinics sharing the Site Rite Ultrasound with several of the specialty clinic to meet patient needs.

VA Puget Sound –HBPC Seattle

American Lake

Port Angeles, Silverdale 1660 South Columbian Way. Seattle, WA 98108 9600 Veterans Dr SW, Lakewood, WA 98493

1114 Georgiana St, Port Angeles, WA 98362

9177 Ridgetop Boulevard NW. Silverdale, WA 98383-8519

3. Description of Service SIMPLIFYING VASCULAR ACCESS, The Site~Rite® 9 Ultrasound System with integrated SHERLOCK 3CG™ Diamond Tip Confirmation System (TCS) is designed to be simple and intuitive. Our ultrasound and imaging technologies help you visualize vessels, needle trajectory, and final tip location.

Service Lines that are requesting this service includes:

SEA-IV Team HBPC – GEC Service Line

SCI – Specialty Rehab HPACT – Primary Care

4. Work Hours – 24/7 – On-call, active every day.

Contractor Shall inform the VA Puget Sound immediately of any issue that would impact the contract performance.

5. Payment and Billing

Contractor shall submit Medical Center specific invoices to the IPPS electronically Invoices shall include at a minimum:

· Contractor Name and address

· Contractor invoicing point of contact telephone number and email address

· Invoice number and date

· Purchase Order number covering the invoiced dates of service

· Date(s) of service

· Location of Service

· Description, quantity, unit of measure, unit price and extended price of the items delivered

· Amount due for the provided services

Frequency of billing: one-time transaction

6. Point of Contact.

a. The contractor shall provide a point of contact to be responsible for the performance of the work. The point of contact shall have full authority to act for the contractor on all matters relating to the daily operation of this contract. The contactor shall designate this individual, in writing, to the Contracting Officer within three (3) business days after receipt of contract.

7. Security Requirements: All personnel employed by the contractor in the performance of this contract, or any representative of the contractor entering the government installation, shall abide by all security regulations of the installation.

• Ensure contractor understands and implements the IT security requirements for system interconnection documents required per the Memorandum of Understanding or Interconnection Agreement (MOU-ISA). The standard operating procedure (SOP) and a template for a MOU-ISA are located on the Information Protection Risk Management (IPRM) Portal and can be provided to the contractor.

• Ensure contractor understands their participation in IT security requirements for C&A of the VA system to which they connect.

• Enforce contractor performance (timely submission of deliverables, compliance with personnel screening requirements, and appropriate termination activity as appropriate).

8. Contractor Conduct/Qualification: The contractor shall be responsible for the actions of any of their employees who are working at any location as required by this contract. Contractor personnel shall read, understand, speak, and write English.

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:

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.

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.

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.

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.

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.

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

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.

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. 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.

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.

End of Document