P02 - Lactation Pod SOW - Revised Draft - V2.0 5.23.22.docx

San Francisco VA Health Care System Santa Rosa CBOC Statement of Work Mamava Lactation Pod (Brand Name or Equal)

San Francisco VA Health Care System Santa Rosa VA Clinic – 2285 Challenger Way Santa Rosa, CA 95401

Version 2.0, Dated 5/23/2022 Introduction The San Francisco Veteran Affairs Health Care System, Santa Rosa Community Outpatient Clinic, has a requirement to purchase a lactation pod 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 Santa Rosa VA Clinic – Challenger Way Project. The new Outpatient Clinic has the need for one lactation pod to be used for female nursing patients at the Santa Rosa VA Clinic. Mamava, is the basis for the lactation pod design, intended for patient privacy for lactating mothers.

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.

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 Santa Rosa VA Clinic is provided below.

2285 Challenger Way Santa Rosa, CA 95401

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

Schedule and Order Management

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 Jennifer Stutsman at (707) 621-1801, Jennifer.Stutsman@va.gov; Tawnie Williams at (707) 330-5083, Tawnie.Williams@va.gov.

☒ Santa Rosa VA Clinic – Challenger Way (Direct Delivery to address detailed in paragraph 2.1)

2.4.6 NOTE: Due to the COVID19 situation, the vendor must follow CDC guidelines when 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 There are no dumpsters available for vendor use.

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

Assembly, Installation, and Calibration Required (Yes ☒ No ☐) The vendor is required to manage and coordinate installation at the Santa Rosa VA Clinic – 2285 Challenger Way with the COR or his representative POC.

Training Required (Yes ☒ No ☐) The vendor is required to provide live clinical training on set up, operation, shut down, and troubleshooting procedures to two (2) staff members.

Confidentiality and Non-Disclosure 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.

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.

Salient characteristics

Basis of Design is Mamava Lactation Pod Model, MV8008-ADA Brand Name or Equal Salient Characteristics:

Exterior Material:

· Opaque walls provide user privacy

· Scratch resistant and shatterproof

Internal Material and Features:

· Food/hospital grade surface with rounded corners for effective sanitation – no fabric or upholstery

· Built in bench, table, mirror, coat hook

· Occupancy activated lighting and ventilation fans which includes white noise Safety:

· Open-grid ceiling for fire suppression system coverage and perception of visible and audible alarms.

· OSHPD Certified Seismic Bracketing system Access and Occupancy:

· Access with Mamava app or via external lock with numeric pad

· Pod control device provides real-time occupancy status

· Internal deadbolt with external indicator showing “vacant/occupied”

· ADA model for wheelchair accessibility

/End of SOW/

Statement of Work Page 1 of 8 Version 2.0, Dated 5/23/2022