06-SOW-updated.docx

STATEMENT OF WORK (SOW)

1.0 TITLE

Preventative Maintenance for GE Aisys CS2 Anesthesia Units at Pine Ridge Hospital

2.0 BACKGROUND

The Anesthesia Units at Pine Ridge Hospital are important life support devices that require annual maintenance. The annual maintenance and calibration is important to ensure the safety of patients who are anesthesized during procedures. CRNAs and the surgery department require these units to be functioning well to ensure patient safety.

2.1 OBJECTIVE

The primary objective of this project is to perform preventive maintenance and calibration of the GE Aisys CS2 anesthesia units and the GE anesthesia modules they use. The Field Engineer or Technician will need to travel onsite, perform annual preventative maintenance and calibration on 3 GE Aisys CS2 anesthesia machines along with the modules that serve those machines.

3.0 SCOPE

The company will provide a field service engineer or technician (FSE) to travel to Pine Ridge Hospital. The travel and labor time will be included in the cost of the PO. Once the FSE is onsite, they will perform annual maintenance on the following equipment:

The Indian Health Service will provide staff to work with the company to help facilitate entry into the area, and to assist with any facilities related issues the technician may have. The IHS will prove the FSE with reasonable access to perform on-site maintenance, troubleshooting, and system testing for the anesthesia units.

4.0 CONTRACT REQUIREMENTS/ AND PERSONNEL QUALIFICATIONS

The field service engineer or technician shall have training on the GE Aisys CS2 Anesthesia Units.

The end product of the contract will be for the three anesthesia unit systems to have their annual preventive maintenance completed and for service reports to be sent to the Pine Ridge Clinical Engineering Team.

5.0 TYPE OF ORDER

This is a firm fixed price purchase order.

6.0 PERIOD OF PERFORMANCE

The period of performance shall be for 30 days from time of award.

7.0 PLACE OF PERFORMANCE

Pine Ridge Hospital, 607 Indian Health Rd, Pine Ridge, SD 57770

8.0 REPORT(S)/DELIVERABLES AND DELIVERY SCHEDULE

A service report will be required within one week of services. If additional repairs are required, a quote for follow up parts/labor will be needed within one week of services.

9.0 PAYMENT

All payments are due and payable upon receipt of complete and accurate invoices and in accordance with the Prompt Payment Act. Invoices shall be submitted with all information and supporting documentation. A complete and accurate invoice is substantially correct in that all aspects of the required information are clearly evident on the invoice. If items such as invoice number, date, dates of service, contract/purchase order number, etc., are not on the invoice, it will be returned to the Contractor for resubmission.

Invoices shall be submitted monthly via the U.S. Treasury’s Invoice Processing Platform (IPP) system for review, reconciliation and approval for payment. Net 15 after invoice is submitted in IPP.