36C26218Q9457-005.docx

Attachment C: Confirmation of SOW – Certification 664-18-3-118-0090

1. I have reviewed the Scope of Work and fully understand the requirements which include supplying new provider workstations, monitor arms and seating, labor services to perform all work over the weekend.

Yes No

2. I understand this is an active hospital and providing safety when delivering product down the hallways is a critical portion of the work.

Yes No

3. All unboxing is to be completed at the VA warehouse, no cardboard is to be brought into the hospital.

Yes No

4. I understand that the current furniture in the active clinic exam rooms is to be removed prior to the new furniture is installed. Furniture to be broken down and placed in the VA storage in the basement. All furniture that is removed will need to be replaced in the same day, as the clinic needs to be operational on Monday Morning.

Yes No

5. On the final day, it is understood that the Interior Designer will be present to direct a crew to adjust furniture placements, arrangements to assure that proper ADA and circulation flow is maintained with adjustments to the furniture and ancillary items arrangements.

Yes No

6. I have been given the opportunity to submit any additional Requests of Information and had all my questions addressed prior to award.

Yes No

Name: ___________________________________ Title: ____________________________

Company: ________________________________ Date: ____________________________