ATTACHMENT 1 - FINAL SOW - COMBINED Brownsburg Pkg 90 _ Terre Haute Pkg 33 7.22.2021 UPDATED 8.19.2021.docx

FY21-97 l JSN: U0581 | Duress System

Veteran Health Indiana (VHI) Brownsburg, IN - VA Clinic

AND

Terre Haute, IN – VA Clinic Pkg’s 90 & 33 Statement of Work Duress System (JSN: U0581) Veteran Health Indiana 557 Pit Road Brownsburg, IN 46112 Brownsburg VA Clinic Project INtroduction Veteran Health Indiana (VHI) has a requirement to purchase a Duress System (JSN: U0581) from an authorized vendor to supply and deliver the item(s) identified in Table 1 below as well as meeting the salient characteristics in Section 3.1. This is a Brand Name or Equal requirement. This system is being procured in support of the activation of the VA Brownsburg and Terre Haute Clinics. The new clinics have a requirement to outfit a Duress System into the clinic area. This will provide protection for staff in areas where interaction with patients is required. Inovonics is 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

The address of the Terre Haute VA Clinic is provided below:

5080 Bill Farr Drive Terre Haute, IN 47803 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 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 therefore 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.

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

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 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) ☒ Terre Haute VA Clinic (Direct Delivery to address detailed in paragraph 2.1) 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.

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

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 There are no dumpsters available for vendor use.

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

Assembly, Installation, and Calibration Required (Yes ☒ No ☐) The vendor is required to manage and coordinate installation at both the VHI Brownsburg & Terre Haute VA Clinics with the COR or their representative IOT&A POC.

On-site assembly and installation of items, and performance of services identified in this document shall take place during normal business hours which are defined as: 8:00 AM to 4:30 PM Eastern Standard Time, Monday through Friday, and excluding Federal Holidays.

Proposed installation date will occur after delivery of equipment. Current timeframe of delivery is Brownsburg: September 15 – October 15, 2021 & Terre Haute: September 15 – October 15, 2021.

The vendor is required to define the need for a staging area to accommodate item assembly and installation, if needed. Post-award, this information will be confirmed with the vendor.

The vendor is required to provide tools, labor and materials to complete assembly and installation of the items detailed in this document.

The vendor shall protect all finished spaces and surfaces as required from delivery and installation damage. The vendor shall use covering and protection to the extent necessary to prevent damage to finished spaces. Any damage occurred during delivery and installation is the responsibility of the vendor. The vendor will be responsible for paying for and repairing any damage or noted deficiencies to finished spaces and surfaces that occur because of the vendor’s (or associated sub-contractors) installation.

During the entire duration of assembly and installation, the vendor will have a competent representative on-site as the vendor’s contact, and to serve as the interface between the vendor and the VHI Brownsburg VA Clinic. On-site representative can be the installer. All instructions provided from COR to the representative will be binding as if given to the vendor’s main contact. The COR may provide specific instructions, however, only the Contracting Officer may change the terms or conditions of the contract.

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

The vendor shall coordinate training dates with the on-site Project Manager. Post-award, these dates will be confirmed with the vendor to meet the clinical schedule. Proposed training date will occur after installation of equipment.

Current timeframe of training is: Brownsburg – August 2021 (TBD) and Terre Haute – October 2021 (TBD). The vendor shall provide documentation and/or certification to each staff member that has successfully completed the training.

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.

Appendix B: The contractor, their personnel, and their subcontractors shall be subject to the Federal laws, regulations, standards, and VA Directives and Handbooks regarding information and information system security as delineated in this contract.

Appendix C: VA will own this equipment. If vendor needs access during delivery, assembly, install or repair, the contractor shall be escorted by a VA employee to ensure there is no exposure to VA sensitive information. If the contractor is required to be on site for more than two consecutive days, VHA Privacy Training, TMS Course VA10203, is required and available at https://www.tms.va.gov/SecureAuth35/. The contractor will provide all consumable supplies necessary for training and competency assessment of hospital staff. Proof of training will be provided to the COR upon request.

*See Salient Characteristics on Page 7

Salient Characteristics Duress System (JSN: U0581) Total Quantity: 1 ☐ Network Required if Checked ☒ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☒ End User Training Required if Checked

Basis of Design is Inovonics Brand Name or Equal Salient Characteristics:

Provide Wireless panic buttons for use on wall.

Provide Wireless Panic buttons for use on desk.

Provide equipment to ensure signal is not interrupted in the building.

Provide interface in TR room to capture all signals.

Compatible with RS2 system.

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