S06 - ATTACHMENT 1 - Updated SOW - Brownsburg Pkg 79 - v4.2 6.30.21.pdf

FY21-79 l JSN: A0911,U0521,U0521B | Power Supply, Uninterruptable / Power Distribution Units, Vertical / C14-

C15 Power Cords

Statement of Work, v4.2 Dated 6/30/2021 Page 1 of 7

Veteran Health Indiana (VHI)

Brownsburg VA Clinic

Initial Outfitting, Transition & Activation

Statement of Work

Power Supply, Uninterruptable / Power Distribution Units, Vertical / C14-C15 Power Cords (JSN:

A0911,U0521,U0521B) Version 4.2, Dated 6/30/2021

Veteran Health Indiana 557 Pit Road

Brownsburg, IN 46112 Brownsburg VA Clinic Project

FY21-79 l JSN: A0911,U0521,U0521B | Power Supply, Uninterruptable / Power Distribution Units, Vertical / C14-

Statement of Work, v4.2 Dated 6/30/2021 Page 2 of 7

INTRODUCTION

Veteran Health Indiana (VHI) has a requirement to purchase Power Supply, Uninterruptable / Power Distribution Units, Vertical / C14-C15 Power Cords (JSN: A0911,U0521,U0521B) with an authorized vendor to supply and deliver the item(s) identified in Table 1 below. See salient characteristics below. This is a Brand Name or Equal Requirement. This requirement is in support of the activation of VHI Brownsburg VA Clinic Project. The new clinic has a requirement to outfit the teledata Rooms (TR's) to support networking and networked device operations. In addition to the end user devices throughout the facility, multiple Building Automation Systems, medical systems, medical devices, and other networked support operations rely on the network to maintain their operations. The rack mounted UPS's provide the power bridge in the event of a power loss to the main building to keep the network operational. The PDUs will distribute power to the equipment in the racks. The power cords provide the necessary connectivity to the end devices. The Eaton Blade ZC0517708100000, APC AP8861, and CTG-4044098 are the basis of design.

Table 1 – Package Items Summary

Additional Item Requirements

The vendor will provide service manuals that includes theory of operation, maintenance requirements, repair information, schematics, part lists and troubleshooting information in electronic format for use by the VA IT Operations Department.

Date of manufacture must not be greater than 2 years before the purchase order date. The equipment must not be used or refurbished and must have the latest manufacturer’s software/hardware updates installed. Any batteries provided with the unit will not be manufactured more than 12 months before the purchase order issue date.

GENERAL CONDITIONS

Site Address

The address of the Brownsburg VA Clinic is provided below.

557 Pit Road Brownsburg, IN 46112

Item # JSN Item Description Part # (basis of design) Quantity

0001 A0911 Eaton Power Supply, Uninterruptable, Rack-Mounted (brand name or equal) ZC0517708100000 11

0002 U0521 APC Power Distribution Units, Vertical, Rack-Mounted (brand name or equal) AP8861 22

0003 U0521B C14-C15 Power Cords (brand name or equal) CTG-404498 34

FY21-79 l JSN: A0911,U0521,U0521B | Power Supply, Uninterruptable / Power Distribution Units, Vertical / C14-

Statement of Work, v4.2 Dated 6/30/2021 Page 3 of 7

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 *ARO = After Receipt of Order

Schedule and Order Management

2.3.1 The above delivery schedule is based upon the current construction schedule due to the nature of activation efforts and construction timelines and dates may vary and shift. Delivery dates need to be flexible. The delivery of items for installation are dependent upon the completion of applicable areas within the building. If there is a delay, the Contractor may be required to adjust the delivery date at no cost to the Government. The Contractor will coordinate with the on-site POC’s before delivery.

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

2.3.3 Post-award, the vendor will coordinate delivery identified in this document with the VA 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 CO, COR, and the vendor.

Delivery and Receiving

2.4.1 Delivery and receipt of the proposed items is anticipated to be directed to the location identified below. Confirmation of delivery location will be provided post-award. To coordinate delivery, contact VA POC Julie Webb at (317) 988-2747, Julie.Webb@va.gov; SME Solutions POC Soren Nicholson at (719) 761-4387, Soren.Nicholson@sme-solutions.co; Robert Stonerook at

(706) 304-7194, Robert.stonerook@sme-solutions.co; and Jerrell (Jeff) Cockrell at (636) 395-9761, Jerrell.cockrell@sme-solutions.co.

☒ Brownsburg VA Clinic (Direct Delivery to address detailed in paragraph 2.1) ☐ IOT&A Contractor Provided warehouse: Address TBD

2.4.2 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.

2.4.3 The delivery of items identified in this document shall take place during normal loading dock business hours which are defined as: 8:15 AM to 3:00 PM Eastern Standard Time, Monday through Friday, and excluding Federal Holidays.

Building Name Building # & Letter

Est. Delivery Start Date

Est. Delivery End Date

Brownsburg VA Clinic

557 15 Days ARO*

30 Days ARO* mailto:Julie.Webb@va.gov mailto:Soren.Nicholson@sme-solutions.co mailto:Robert.stonerook@sme-solutions.co mailto:Jerrell.cockrell@sme-solutions.co

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2.4.4 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.

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

2.4.6 NOTE: Due to the COVID19 situation, masks are required to be worn by all individuals when in common areas on VA property. Any individuals who need to enter the building for installation &/or training will be required to be screened by the site staff prior to entry. Please allow time for this in your schedule.

Clean Up and Disposal

2.5.1 There are no dumpsters available for vendor use.

2.5.2 The removal of waste and/or excess material shall be conducted through the loading dock area.

Assembly, Installation, and Calibration Required (Yes ☐ No ☒)

2.6.1 The vendor is not required to manage and coordinate installation at the VHI Brownsburg VA Clinic with the COR or his representative IOT&A POC.

Training Required (Yes ☐ No ☒)

2.7.1 The vendor is not required to provide live clinical training on set up, operation, shut down, and troubleshooting procedures to nursing staff.

Confidentiality and Non-Disclosure

2.8.1 This equipment does not connect to a VA network. Therefore, in accordance with Appendix A, Handbook 6500.6 Checklist, block 6, the C&A requirements do not apply to this requirement, and a Security Accreditation Package is not required.

2.8.2 This equipment does not hold or store patient information. Therefore, in accordance with Appendix A, Handbook 6500.6 Checklist block 7, Appendix B and C provisions do not apply.

*See pages 5-7 for item salient characteristics

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SALIENT CHARACTERISTICS

Power Supply, Uninterruptable, Rack Mounted (JSN: A0911)

Basis of Design is the Eaton ZC0517708100000

Brand Name or equal

Salient Characteristics:

Uninterruptable Power Supply, Rack Mount with extendable Run Time. Unit must incorporate hot user swappable batteries and must have an overload indicator, replace battery indicator, audible alarm, automatic voltage regulation and include Smart Slot card and software. L21-20P power input connector, and L21-20R power output connector.

• Remote monitoring via Ethernet

• Emergency Power Off capability

• Include mounting kit for rack mount.

• Contains at least 2 internal batteries.

• Accept 3 phase 208V power.

• 5KW rated

• Energy star rated.

• L21-20P input

• L21-20R output

CLIN 0001 Total Quantity: 11

☒ Network Required if Checked ☐ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☐ End User Training Required if Checked

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Statement of Work, v4.2 Dated 6/30/2021 Page 6 of 7

Power Distribution Units, Vertical, Rack mounted (JSN: U0521)

Basis of Design is the APC AP8861

Brand Name or equal

Salient Characteristics:

0u vertical Power Distribution Unit

• 208 v 3 phase 20 amp unit

• NEMA L21-20P input

• Minimum 21 C13 outlets

• Minimum 3 C19 outlets

CLIN 0002 Total Quantity: 22

☐ Network Required if Checked ☐ Manufacturer Certified Installation Required if Checked

FY21-79 l JSN: A0911,U0521,U0521B | Power Supply, Uninterruptable / Power Distribution Units, Vertical / C14-

Statement of Work, v4.2 Dated 6/30/2021 Page 7 of 7

C14-C15 Power Cords (JSN: U0521B)

Basis of Design is the CTG-404498

Brand Name or equal

Salient Characteristics:

C14 to C15 cord

• C14 to c15 adapter.

• 6ft 14awg minimum

• Support 15 Amps

• Support 250 Volts

CLIN 0003 Total Quantity: 34

☐ Network Required if Checked ☐ Manufacturer Certified Installation Required if Checked