Forum Software - SOW.doc

(Zeiss Forum Software - Statement of Work)

1) Scope of Work Purchase of Zeiss Forum Software which will provide seamless integration between OCT devices. Currently, OCT machines can’t share data, so if veterans have studies done on the two different machines, we can’t pool the data. In addition, we should be able to upload data from our visual field testers, IOLMasters and OCT machines without having to print and scan them.

2) Item/Quantity Description

3) Installation Vendor will come on site to provide install and Inservice on equipment.

4) Place of Performance / Delivery

Equipment is to be delivered to the warehouse/loading dock at each campus.

All sites within New York Harbor Healthcare System Manhattan Campus

Brooklyn Campus

St. Albans Campus

Staten Island CBOC

5) Travel/Parking

The contractor will be responsible for their travel. As stated earlier, due to other construction projects and limited parking available at the site, contractor must coordinate any parking needs with the assigned COR and the Police Service. Details of any vehicles entering the site must be provided in advance. (Driver’s Full Name, Driver’s License Number, Vehicle Description, Vehicle License Plate Number)

6) Government-Furnished Property

Contractor will not need any government furnished equipment or property.

7) Education and Training Requirements

The Vendor shall be responsible for ensuring that vendor employees providing work on the required equipment are fully trained and completely competent to perform the required work.

8) VA Service Point of Contacts

Joel Solomon Joel.Solomon@va.gov

9) VA Patient Privacy and Network Infrastructure

None of the equipment listed within this procurement package will access the VA Network or store any sensitive patient information. Any contractors that will come on site for install will not need access to VA network. All contractors must comply with VA regulation and complete the following training: “VA Privacy Training for Personnel without Access to VA Computer Systems or Direct Access or use to VA Sensitive Information.”

· Reference the attached Handbook 6500.6 Appendix A - Checklist for Information Security in the initiation phase of acquisitions.

· The system does not transmit or maintain electronic Protected Health Information. A Manufacturer Disclosure Statement for Medical Device Security (MDS2) form in not applicable.

· A VA Directive 6550 Pre-Procurement Assessment form is not applicable.

10) Recalls

The Vendor shall immediately notify all affected VA Medical Centers and designated POC in the event of a device recall, removal, required adjustment, or required modification that is suggested or mandated by the Vendor, distributor, manufacturer, or any regulatory or government agency. The following information shall be included in this notification:

· A complete item description and identification (to include lot and serial numbers where applicable);

· Administrative identification data including order numbers and order date;

· Reasons for recall, removal, adjustment, or modification; and

· Instructions for appropriate corrective action.

11) Defective Items/Warranty

Minimum 1 year warranty.