640-25-1-500-0012 SOW.docx

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J065--Notice of Intent to Sole Source Medtronic Ziehm C-Arm Repair
Solicitation number
36C26125Q0061
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This document is a Statement of Work (SOW) for the repair and restoration of a Ziehm C-Arm medical device at the Veterans Affairs Palo Alto Health Care System. The Contractor shall provide all parts, labor, and shipping to repair the Ziehm C-Arm EE# 172654, which has a broken controller and cracked screen. The work must be completed within 15 days after receipt of items, submission of cost estimate, and issuance of a Purchase Order. The estimated total cost for the repair, including a motorized RFD RVC remote, Gigastar SDI modification kit, position control center RFD, labor, travel, and shipping, is $22,086.72.

The related federal contract opportunity is a Notice of Intent to execute a sole source award to Ziehm-Orthoscan, Inc. for Medtronic Ziehm C-Arm repair services under the Department of Veterans Affairs, Network Contracting Office (NCO) 21. The NAICS code is 811210 Electronic and Precision Equipment Repair and Maintenance, and the Product Service Code is J065 Maintenance, Repair, and Rebuilding of Medical, Dental, and Veterinary Equipment and Supplies.

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Statement of Work

1.0 General Information:

1.1 The Contractor shall provide all parts, labor and shipping to repair the Ziehm C-Arm EE# 172654 for the Veterans Affairs Palo Alto Health Care System located at 3801 Miranda Avenue, Palo Alto, California 94304.

2.0 Scope of Work: The Contractor shall repair and restore the Ziehm C-Arm EE# 172654 to their original manufacturer’s specifications. The Ziehm C-Arm EE# 172654 are used during invasive and non invasive patient procedures in the pain clinic.

2.1 The Ziehm C-Arm EE# 172654 – Major Customer Complaint: C-arm controller is broken and the screen is cracked.

3.0 Period of Performance: The Period of Performance shall not exceed more than 15 days. The work shall begin after receipt of items, submission of cost estimate to the Contracting Officer, as stated in the Price Delivery Schedule, and issuance of Purchase Order.

4.0 Background: While equipment is being cleaned, it was dropped to the ground and cracked the console.

5.0 Performance Objectives: The Contractor shall repair and restore the Ziehm C-Arm EE# 172654 to their original manufacturer’s specifications. In order to bring the system back to working order, a motorized RFD RVC remote, a modification kit Gigastar SDI and a position control center RFD need to be replaced. Also, labor and travel time plus shipping cost for the part add up to an estimate total of $22,086.72.

6.0 Information Security. Contractors, contractor personnel, subcontractors, and subcontractor personnel shall be subject to the same Federal laws, regulations, standards, and VA Directives and Handbooks as VA and VA personnel regarding information and information system security as per VA Handbook 6500.6, Contract Security, and Appendix C. The C&A requirements do not apply and a Security Accreditation Package is not required.

7.0 Invoicing: The Contractor shall submit final invoice after the completion of the repairs. Invoice shall include the Purchase Order number, Order Date, Performance Period, Description of Services and itemized prices as negotiated.

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