Attachment 1 DRAFT Statement of Work Nitric Oxide.docx

STATEMENT OF WORK

Nitric Oxide Therapy System

MADIGAN ARMY MEDICAL CENTER, TACOMA, WA

1. DESCRIPTION: Contract to provide specialized gas as well as delivery systems to patients that exhibit sever hypoxemia at Madigan Army Medical Center. The system delivers specific amounts of nitric gas to patients exhibiting signs and/or symptoms related to right heart failure and/or pulmonary hypertension.

2. LOCATION OF WORK: Madigan Army Medical Center currently utilizes Nitric Oxide gas administration predominantly in the Neonatal Intensive Care Unity (NICU) for patients that have a diagnosis of persistent pulmonary hypertension of the newborn (PPHN). The gas is also utilized in the cardiac cath lab to assist in evaluating patients with suspected right heart failure and finally in the Adult ICU for patients with severe hypoxemia.

3. SCOPE OF WORK: The contractor shall provide two (2) Nitric Oxide delivery devices on-site, as well as 9-12 G type Nitric Oxide tanks and calibration gases for administration to patients at Madigan Army Medical Center, Tacoma, WA 98431 on Joint Base Lewis McChord. All the equipment and durable supplies and other items necessary to perform as defined in this Performance Work Statement except for those items specified as government furnished property and services, if any. Contractor will exchange used tanks quarterly as well as replace delivery devices bi annual for preventative maintenance. Work is conducted IAW all applicable information security regulations, standards, and policies. The staff of the respiratory care section work via telephone with Customer Support Desk.

4. HOURS OF OPERATION: The Contractor shall provide points of contact (POC) information for administration of the contract during normal business hours and after normal business hours. The POC for other than normal business hours will be contacted only in the event of emergencies. Accordingly, the named individual(s) shall possess sufficient corporate authority to effectively deal with emergency situations and the telephone number provided shall be functioning at all times other than normal business hours. If there are different POCs for different conditions, such as weekdays, weekends, holidays, clearly provide such information.

4.1 EQUIPMENT. Respiratory Care Section at Madigan will store the equipment within and notify the contractor of any issues related to system operation and performance. The Government shall provide storage space for nitric oxide tanks, delivery devices and consumables. Madigan will pay for services related to gas usage per hour via IRAPT.

5. CONTRACTOR FURNISHED PROPERTY AND SERVICES.

5.1 EQUIPMENT. Contractor shall provide any technical manuals, calibration gases, consumables and parts needed to successfully administer therapy safely at no cost to Madigan Army Medical Center.

5.1.2. SPECIFIC EQUIPMENT: Two gas delivery systems, 9-12 full Nitric oxide G type tanks, Nitric Oxide injectors (2), Specialized tubing (4 set sets), High and Low calibration tanks. Contractor will exchange used tanks quarterly. On a schedule to include delivery on or about the 15th of January, 15, April, 15 July and 15 October of each period of performance or as needed. Additionally, to replace delivery devices bi annually on or about the 15 June for preventative maintenance for each option period.

5.2. SPECIFIC TASKS/FUNCTIONAL AREAS. Replacement equipment/parts will be shipped on the next business day via overnight priority shipping to Madigan Army Healthcare System Bldg. 9040A Fitzsimmons Drive, Tacoma WA 98431 ATTN: Respiratory Care.