FVideo Laryngoscope_SOW_12_03.docx

Hunter Holmes VA Medical Center, Richmond Fredericksburg Health Care Center Initial Outfitting, Transition & Activation Project

General Conditions and Statement of Work Package HCC-070: Video Laryngoscope

Introduction The Richmond VAMC (Hunter Holmes McGuire VA Medical Center) has a requirement to purchase Video Laryngoscopes for the new Fredericksburg HCC. This VA will work with an authorized vendor to supply and deliver the item(s) identified in Table 1 below. This requirement is in support of a brand name or equal requirement in accordance with the FAR. See attachments for salient characteristics. This requirement is in support of the activation of the new Fredericksburg Health Care Center. Item(s) are to be delivered to the location specified in section V.

Make/Model

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Site Location Site Address The address for delivery is listed below. Additional information on delivery can be found in section IV.

Fredericksburg HCC 10432 Patriot Highway Fredericksburg, VA 22408

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, which is subject to change. The vendor shall not increase prices for a change in delivery date for up to 90 days due to construction delays. The awardees actual delivery dates will be confirmed by VA upon award. Post-award the vendor will coordinate delivery prior to beginning any work (see section IV). Once the dates have been confirmed, modifications to the schedule are subject to written approval by the VA POC and the vendor. Schedule changes that are beyond the dates specified in the contract will require approval by the Contracting Officer and a contract modification.

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 by the VA POC post-award. Delivery must be coordinated with IRIS Solutions Project Management team POC- Courtney Baker at cbaker@chesapeakehealthcareplanning.com or 757-758-0519 prior to any attempts at delivery. Any item that has not been coordinated will be turned away and any additional charges will be the responsibility of the sender/transportation company.

☒ Fredericksburg Health Care Center Fredericksburg HCC 10432 Patriot Highway Fredericksburg, VA 22408

Delivery shall be freight on board (FOB) – Destination.

On-Site Delivery:

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

· The delivery of items identified in this document shall take place during normal business hours which are defined as: 0800 to 1630 (i.e.: 8:00am to 4:30pm Central Time), Monday through Friday, and excluding Federal Holidays.

· Delivery trucks will not be permitted to remain at the loading dock. Trucks shall be unloaded by the vendor, 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 awarded contract number and VA purchase order number for identification and reference upon receipt of product.

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. Delivery trucks and/or other vendor vehicles will not be permitted to remain at the loading dock. Vehicles will need to be brought back to the dock if required to remove any waste, tools, or excess materials.

Deliverables The vendor shall provide CAD drawings (including shop drawings) and specifications for site prep for their product as required. AutoCad or Revit drawings are not a requirement of this SOW. The vendor shall provide a completed VA Form 6550 (newly updated as of 10/01/2023) with submittal documents for any and all item(s) that may connect to the VA network and medical devices that store sensitive patient information. The C&A requirements do not apply, and a Security Accreditation Package is not required.

Assembly and Installation [ ☒ is ☐ is not required] The vendor is required to manage and coordinate installation at the Fredericksburg HCC with the COR or his representative IOT&A POC directly. Do not reach out to schedule installation with any clinical end-users.

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 EST, Monday through Friday, and excluding Federal Holidays.

Proposed installation date will occur after delivery of equipment. See current delivery schedule above.

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 IOT&A team, IRIS Solutions and the Richmond VAMC POC. 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 [ ☐ is ☒ is not required] The vendor is required to provide live clinical training on set up, operation, shut down, and troubleshooting procedures to facility 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 November 2024.

The vendor shall provide documentation and/or certification to each staff member that has successfully completed the training.

Security and Confidentiality VA Network Connection: ☒ is ☐ is not required

· If checked above, this equipment does connect to a VA network. Therefore, in accordance with Appendix A, Handbook 6500.6 Checklist, block 6, the C&A requirements do apply to this requirement, and a Security Accreditation Package is required.

· This equipment does hold or store patient information. Therefore, in accordance with Appendix A, Handbook 6500.6 Checklist block 7, Appendix B and C provisions 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 , is required and available at the linked website (Click Here). 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.

Standard Warranty

· The products shall be covered by vendor’s standard warranty terms and provisions. Vendors to provide their standard warranty information in their quotes. It should be noted however that the warranty coverage shall be no less than 1 YEAR.

· The vendor shall extend such warranty directly to the customer as if such customer had purchased the Products directly from the vendor.

Use of Premises

· If during the performance of this contract, work will be carried out at the Fredericksburg HCC premises, the vendor shall perform all work in such a manner that will cause a minimum interference with facility operations and the operations of other contractors on the premises.

· The vendor shall communicate through the IOT&A POC and VA POC any required coordination requirements with the General Construction contractor prior to and during delivery and installation activities.

· The project may be an active construction site during delivery and installation. The vendor shall take all necessary precautions to protect the premises and all persons and property therein from damage or injury. The vendor shall assume responsibility for taking precautions for the vendor's (and associated subcontractors’) employees, agents, licensees, and permittees. The vendor shall abide by any safety requirements imposed by the GC (e.g. hard hats, safety vests).

· The vendors shall abide by all rules and regulations set forth by the Richmond VAMC, Fredericksburg HCC and/or state and federal governments due to the Coronavirus (COVID-19) and have their own personal protective equipment (PPE) in use for the time they are on the campus grounds, if required.

SALIENT CHARACTERISTICS:

CLIN 1: Video Laryngoscope

Total Quantity: 5 X Network Required if Checked ☐ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☐ End User Training Required if Checked

Basis of Design: 8" C-MAC® MONITOR FOR CMOS ENDOSCOPES AND C-MAC VIDEO LARYNGOSCOPES Brand Name or Equal

Salient Characteristics:

· 8” HD Monitor with an interactive touch screen (that can be used with gloves on) to view tube placement during intubating or endoscopies.

· Provides picture-in-picture side by side modes.

· Resolution: 1920 x 1200 pixels

· Must have a minimum of 160-degree wide angle display.

· USB port type 2.0

· IP54 Protection Class

· Rechargeable battery with a capacity indicator

· 2 Year Warranty

· 12 V Battery Input Voltage

CLIN 2: Imager for Use with Monitor

Total Quantity: 5 ☐ Network Required if Checked ☐ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☐ End User Training Required if Checked

Basis of Design: Karl Storz CMAC S Imager Use with Monitor, 8403ZC, 8404ZXK, PM 8403XDK 8403XSI; CMAC S-Blades Brand Name or Equal

Salient Characteristics:

· One Size Reusable Imager that fits 3 different size adult blades.

· Fully Immersible for cleaning and disinfection

· Screen Dimensions: 6” W x 3 ¾” H.

· Voltage: 12V

· Weight: 2 ¾” lbs.

· USB Port Type: 2.0

· Rechargeable Battery

· Battery Type: Li-Ion Battery

· Warranty: 2 Years

CLIN 3: Connection Cable, 200 cm

Total Quantity: 5 ☐ Network Required if Checked ☐ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☐ End User Training Required if Checked

Basis of Design: C-MAC Connection Cable, Length 200 cm, 8403X Brand Name or Equal

Salient Characteristics:

· USB Connecting Cables – 200cm for use with Clin 2

CLIN 4: 27” HD Monitor

Total Quantity: 5 X Network Required if Checked ☐ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☐ End User Training Required if Checked

Basis of Design: TM220-ANES; 27” HD Monitor Brand Name or Equal

Salient Characteristics:

· HD Monitor for clinical use.

· 27” diagonal screen

· 1920 x 1080, 16:9 Aspect Ratio

· Minimum warranty: 2 Years

CLIN 5: Intubation Platform Cart w/6 Drawers

Total Quantity: 5 ☐ Network Required if Checked ☒ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☐ End User Training Required if Checked

Basis of Design: C-MAC Platinum Plus-Video Intubation Platform Cart, w/6 Drawers, XUSM001 Brand Name or Equal

Salient Characteristics:

· Storage cart for video laryngoscopes and flexible scopes and accessories with adjustable monitor mounts.

· Must include a VESA style mounting plate for attaching the viewing monitor listed in CLIN 4. Plus a stationary VESA mount that supports an additional monitor if required.

· Two side holders for storage of an imager and stylet that can be removed for cleaning.

· Six drawers made out of melamine or hospital grade products, and lockable.

· Two scope holders for flexible intubation scopes and includes a holster to hold two boxes of single use scopes.

· Articulating arm that allows for the monitor to be adjusted.

· Locking and non-marking casters.

· Minimum warranty: 2 Years image1.jpg