Attachment1_PWS_7Oct2026.docx

Performance Work Statement (PWS)

Project Title: Slit Lamp Installation

1. General Requirement

The Captain James A Lovell Federal Health Care Center (FHCC) requires professional installation services for nine (9) slit lamps in the optometry department. The equipment is currently on-site, but proper installation services are needed to comply with manufacturer specifications, clinical safety requirements, and applicable regulatory standards.

2. Scope

This Performance Work Statement (PWS) covers the complete installation of the slit lamps, which are presently stored in a non-climate-controlled warehouse. The contractor shall relocate the equipment to the designated clinic rooms, perform assembly, mounting, alignment, and functional checks as required. The scope includes coordination with biomedical engineering staff, verification of proper operation, and completion of all tasks needed to transition the slit lamps from warehouse storage to full clinical readiness.

3. Contractor Qualifications

Any company submitting a quote must include a letter and/or certification from Haag-Streit/Reliance stating they are trained and authorized by Haag-Streit/Reliance to install Haag-Streit and Reliance equipment.

4. Conformance Standards

The contractor shall provide all qualified personnel, materials, equipment, and labor necessary to install the slit lamps and all other equipment essential for safe operation.

The contractor shall perform all work in accordance with Occupational Safety and Health Administration (OSHA), FHCC Safety guidelines, FHCC Infection control standards and per the manufacturer specifications.

The contractor shall comply with and dispose of all items associated with this contract in accordance with Resource Conservation and Recovery Act.

The contractor shall coordinate all services with the POC.

The contractor shall mitigate any new hazards created by installation.

5. Service Manuals/Tools/Equipment:

The VA shall not provide tools, (test) equipment, service manuals, or service diagnostics software to the Contractor. The Contractor shall obtain, have on file, and make available to their FSEs all operation and technical documentation (such as operational and service manuals, schematics, and parts lists) which are necessary to complete the services required herein. The location and listing of the service data manuals by name and/or manuals themselves shall be provided to the COR upon request.

6. Documentation Documentation shall include detailed descriptions of deinstallation performed. The Vendor Engineering Service Report (ESR) shall only reference and report on equipment covered by this Purchase Order and shall not be grouped with equipment covered under separate Purchase Orders. Each ESR must, at a minimum, legibly document the following data in complete detail:

a. Name of Contractor and Purchase Order Number.

b. Name of FSE who performed services.

c. Contractor service ESR number/log number

d. Date, Time (starting and ending) and hours on-site for the service call.

e. Description of problem reported by COR/End User (if applicable).

f. Identification of equipment to be serviced: Inv. ID Number (EE Number), manufacturer’s name, device name, model number, serial number and any other manufacturer specific information or identification information.

g. Itemized descriptions of services performed, including labor, travel, and parts (with part numbers), and Materials

h. Signatures of FSE performing services and a VA employee who witnessed the services described.

The Contractor shall design/develop an ESR report form that, at a minimum, incorporates the above criteria. The form shall be either a PDF file or Word file and shall be sent via email to and approved by the COR prior to use and implementation. In addition, a hardcopy of the ESR may also be submitted, this is optional.

7. Performance Requirements All services shall be performed in accordance with OEM specifications regarding safely deinstalling this equipment. During deinstallation the contractor must comply with all VA facility infection control, safety, and privacy polices during on-site service.

8. Deliverables

a. Fully installed and operational slit lamps, positioned and mounted according to manufacturer specifications.

b. Confirmation of proper alignment, calibration, and functional testing for each unit.

c. Installation report documenting all work performed, any adjustments made, and verification of readiness for clinical use.

d. All necessary manufacturer documentation, including setup notes, maintenance guidance, and warranty-related materials.

e. Completion of installation within the agreed-upon timeframe to prevent continued exposure of equipment to extreme temperatures.

9. Security The contractor must check in with Biomedical Engineering/Engineering upon arrival and adhere to all VA facility protocols. No patient information will be handled or accessed. All tools and materials must be secured and cleaned according to VA standards.

10. Place of Performance

The work will be conducted at the Captain James A. Lovell Federal Health Care Center (FHCC) located at 3001 Green Bay Rd., North Chicago, IL 60064.

11. Period of Performance

All work shall be completed within sixty (60) days after the contract is awarded.

12. Hours of Coverage and Federal Holidays Normal hours of coverage are Monday-Friday from 8:00 a.m. to 5:00 p.m. local time (Central), excluding Federal Holidays. All services/repairs shall be performed during normal hours of coverage, unless requested or approved by the CO, COR, or POC. Any exceptions/changes to the PM schedule shall be arranged and approved in advance with the COR or POC.

The Contractor shall not be required to provide service on the following Federal Holidays, nor shall the Contractor be paid for these Federal Holidays. The following Federal Holidays are observed by the Federal Government:

· New Year’s Day

· Birthday of Martin Luther King, Jr.

· Washington’s Birthday

· Memorial Day

· Juneteenth Day

· Independence Day

· Labor Day

· Columbus Day

· Veterans Day

· Thanksgiving Day

· Christmas Day

· Any other day specifically declared by the President of the United States to be a Federal Holiday When one of the above designated Federal Holidays falls on a Sunday, the following Monday shall be observed as a Federal Holiday. When a Federal Holiday falls on a Saturday, the preceding Friday shall be observed as a Federal Holiday by United States Government agencies.