INDIAN HEALTH SERVICE

PHOENIX INDIAN MEDICAL CENTER

Statement of Work

Background The Phoenix Indian Medical Center (PIMC) requires repair services for endoscopes used in the Operating Room. Services may include diagnostics, repair, replacement of parts as necessary, shipping, labor, and travel. While an endoscope is undergoing repair, the contractor shall provide a temporary loaner unit at no additional cost to the Government. The loaner equipment shall be returned upon completion of the repair services. All equipment covered under this requirement is located at the Phoenix Indian Medical Center in Phoenix, Arizona.

Objective The contractor shall provide all supervision, labor, parts, materials, tools, supplies, maintenance, ground transportation, and equipment services necessary to support and service all endoscopes covered under this requirement.

The contractor shall repair or replace all components required to restore the endoscopes to the original Equipment Manufacturer (OEM) specifications.

The contractor shall warrant all services performed. All serviced, maintained, or repaired units shall remain free from defects for a minimum of thirty (30) days from the date of Government acceptance.

Service Requirements The contractor shall provide all supervision, labor, replacement parts, materials, tools, supplies, maintenance, and repair services.

Services shall include, but are not limited to:

• Preventive and corrective maintenance

• Replacement of parts as required

• Required certifications

• Calibrations and calibration verifications

• Detailed service reports documenting all work performed

The contractor shall be authorized by the Original Equipment Manufacturer (OEM) to perform all services included in this SOW and any supporting documents. The contractor shall obtain and maintain all required manufacturer, Federal, Tribal, State, and local licenses and certifications necessary for performance of the services.

All work shall be performed in accordance with the SOW and supporting documents and shall comply with the following standards and requirements:

• Original Equipment Manufacturer (OEM) specifications

• National Fire Protection Association (NFPA) 99 and 101

• Standards for Health Care Facilities

• Environment of Care (EC.02.04.01 and EC.02.04.03)

• The Joint Commission standards

• Applicable Federal, Tribal, State, and local regulatory guidance related to biohazardous waste handling, disposal, and applications

Work shall be performed in an active hospital environment. The contractor shall comply with all Health Insurance Portability and Accountability Act (HIPAA) requirements to safeguard patient information and maintain confidentiality.

The contractor shall have ready access to new OEM parts. All replacement parts provided under this contract shall be new and OEM-approved.

Equipment Description No Make Serial No. Model No. Department 1 Olympus Pedi-scope 2404898 PCF-H190L OR

2 Olympus Arthroscope 662420 A70961A OR

3 Omni Rigid Hysteroscope 60-200 1635720 OR

4 Omni Rigid Hysteroscope 60-200 1637570 OR

5 Olympus Arthroscope A70961A 412688 OR

6 THS Hysteroscope OR

7 Hologic Moyosore Rod Lens Hysteroscope 40-903 OR

8 Linvatec 7570 OR

9 Adult Scope 2392579 CF-H0190L OR

10 Adult Scope 2392575 CF-H0190L OR

11 Peds Scope 2308840 PCF-H790L OR

12 Peds Scope 2404898 PCF-H190L OR

13 Peds Scope 2308832 PCF-HO190L OR

14 EGD Scope 2369001 GIF-H190 OR

15 EGD Scope 2369044 GIF-H790 OR

16 EGD Scope 2369029 GIF-H190 OR

17 EGD Scope 2368986 GIF-H770 OR

Contract Awardee Responsibilities & Tasks Documentation and Reporting Requirements: The Contractor shall submit complete, accurate, and legible field service reports and test reports for all services performed under this contract.

Each report shall include, at a minimum:

• A detailed description of all repair, maintenance, and inspection services performed

• Results of all testing, inspections, and certifications conducted

• Identification of all parts replaced, including part numbers and quantities

• Documentation of calibration or calibration verification, when applicable

• Detailed cost estimates for any recommended repair or replacement work requiring

Government approval

• Date(s) of service, equipment identification, and technician identification.

All documentation shall be submitted in accordance with the timelines specified in this SOW and

Report No. Description

No of Copies Recipient Due Date

INDIAN HEALTH SERVICE

PHOENIX INDIAN MEDICAL CENTER

1 Service repair report 1 COR/CS 15 calendar days after completion of service repair work.

*COR is Contracting Officers Representative

SCHEDULING: The Contractor shall provide a detailed service schedule to the Phoenix Indian Medical Center (PIMC) Point of Contact (POC) for review and approval prior to the commencement of any work.

Any exceptions or changes to the approved schedule shall be coordinated with and approved by the designated POC at least ten (10) calendar days in advance, unless otherwise authorized by the Government.

The Contractor shall notify the designated POC prior to initiating services and again upon completion of all services performed

EQUIPMENT CERTIFICATION OF INSPECTION: Upon completion of all services, the Contractor shall affix a certification label to each piece of equipment serviced. The label shall clearly identify the date(s) and time of service, the Contractor’s company name, and the initials of the service technician performing the work.

All services shall be performed only in Government-designated area(s) as approved by the PIMC Point of Contact (POC).

Support and Maintenance Services: All shipments of materials, equipment, and/or supplies associated with this project shall be addressed to the Contractor and not to the Indian Health Service (IHS). Preservation, packaging, and packing shall be in accordance with industry-standard practices appropriate for the item(s) involved.

The Indian Health Service shall not be responsible for, nor accept liability for, any deliveries intended for this project that are not generated or authorized by the Indian Health Service.

All equipment and materials provided by the Contractor shall be new and, where applicable, delivered in sealed, original manufacturer containers. The Government reserves the right to inspect and refuse acceptance of any items that do not meet these requirement

Training Initial Technician Training

• Contractors should ensure that all service technicians performing repairs or maintenance are trained and certified by the Original Equipment Manufacturer (OEM).

• Training should cover repair procedures, preventive maintenance, calibration, safety protocols, and troubleshooting.

Minimum Qualifications The Contractor shall submit valid documentation demonstrating that its technicians have received appropriate training and hold current manufacturer authorization to perform technical support and repair services for the equipment. This documentation shall be submitted with the offer.

The Contractor shall obtain, maintain, and, upon request, submit all required Federal, State, and local licenses, permits, and certifications necessary to perform the services required under this contract for the duration of the period of performance.

Failure to provide or maintain the required qualifications, licensure, or certifications may result in the Contractor being deemed non-responsible or in contract remedies as provided by law.

Delivery All deliverables shall be submitted no later than fifteen (15) calendar days from the date of performance for each applicable service.

The Contractor shall provide the following deliverable:

• Monthly service and repair reports, documenting all maintenance, repair, testing, certifications, and parts replacements performed during the reporting period.

Deliverables shall be submitted in a format acceptable to the Government and in accordance with the requirements of this SOW.