Attachment B SOW.pdf

36C25723Q0909

B.4 SCOPE OF WORK

General: McAllen OPC Remote Mammo WS

Description of Work: This statement of work defines the effort required for VA Texas Valley Coastal Bend Healthcare System (VATVCBHCS), within the Radiology Service department.

VATVCBHCS utilizes PACS workstations to evaluate radiology images throughout the healthcare system. VATVCBHCS requires the purchase of one mammo workstation for reviewing and completion of performed examinations remotely.

Manufacturer: Barco Medical Display, Brand name needed

Period of Performance: Period of performance shall be done in a reasonable time frame (no longer than one 90 days after receipt of order) unless unseen circumstances arise which need to be discussed with Radiology representative.

Place of Delivery - The vendor shall deliver the described herein to:

VATVCBHCS

VA Medical Health Care Center Receiving Dock 2601 Veterans Way Harlingen, TX 78550 POC: Hermilo Pena, Hermilo.pena@va.gov 956-366-4500 ext 67689

Mammo Workstations Salient Characteristics

Each system will include:

Documentation: Contractor shall furnish a detailed field service report upon completion of work to Radiology Staff. Payment will not be processed until a properly completed service report is received. The service report shall contain, at a minimum, the following information:

• Date and time of contractor’s arrival on station

• Type, model and serial number (s) of all equipment on which maintenance was performed

• Total time spent performing maintenance and travel time

• Detailed narrative description of the services required

• Copies of all test reports

• Complete list of parts replaced

• Date and time the repair was completed

• Cost Estimate of all labor (including travel), parts/supplies, and shipping charges

The service report shall itemize every item in the specification. Each item shall state the "as found" condition or values, the "calibrated to" or "adjusted to" values, the factory design tolerances, and a complete description of all work performed concerning the items

Information Systems Officer, Information Protection: The contractor will not have access to VA Desktop computers, nor will they have access to online resources belonging to the government while conducting services.

Privacy Officer: The contractor will not have access to Patient Health Information (PHI) nor will they have the capability of accessing patient information during the services provided to the VA.

Records Manager: There will be no federal records created, maintained, used or dispositioned with this contract; regardless of format [paper, electronic, etc.] or mode of transmission [e-mail, fax, etc.].

Invoicing:

Payment to be made monthly in arrears by certified invoices and must contain the contract number in addition to the requirements detailed in 52.212-4 (G) to be considered valid. All invoices shall be submitted to the VA Financial Service Center and emailed to the CO. All invoices will reference the purchase order number assigned to the contract.

B.4 SCOPE OF WORK