SCOPE OF WORK FOR SERVICE & SUPPORT:

GE Imaging Systems – Great Plains Area Indian Health Service

C-1 PURPOSE:

The purpose of this contract is to provide a comprehensive maintenance service and support agreement for various GE Imaging equipment located at multiple facilities within the region served by the Great Plains Area Indian Health Service (SD, ND, IA, NE). The award of a contract will be a firm-fixed price type.

C-2 SCOPE OF WORK:

Contractor shall provide to the Great Plains Area Indian Health Service, hereafter referred to as the Government, with the services described in this statement of work for the period specified.

Calibration/ Preventive Maintenance: The service to be performed by the contractor under this contract and for the bid price shall include ALL parts, labor, tools, equipment, literature, transportation, per diem necessary to provide complete onsite calibration/preventive maintenance and mechanical/electrical safety testing as recommended by the Original Equipment Manufacturer (OEM) and required by the Center for Medicare and Medicaid Services and various accrediting bodies. Only new or Original Equipment Manufacturer (OEM) certified replacement parts will be used for replacement of any component found defective.

The Contractor shall submit, upon issuance of the contract, a schedule showing the dates of future/scheduled services per the OEM recommended and/or statutorily required intervals. This schedule will comply with the interval/time definitions of TJC Environment of Care accreditation standards.

All services are to be performed within the windows prescribed by CMS, TJC, DNV-GL and other accrediting entities:

• Quarterly: once every three months +/- 10 days

• Semi-annual: 6 months from the last scheduled event month +/- 20 days

• Annual: 12 months from the last scheduled event month +/- 30 days

Unscheduled Maintenance and Parts: Unscheduled maintenance, repair, emergency call back, recall, modification, breakdown repair is covered under this contract, except as specifically listed under C-4 Exclusions. Contractor will provide at no additional cost to the Government all parts, labor, tools, equipment, literature, transportation and per diem necessary to provide complete repair of all unscheduled maintenance requirements. Only new or Original Equipment Manufacturer (OEM) certified replacement parts will be used for replacement of any component found defective.

Ultrasound Probes: Comprehensive service/ support on each Ultrasound unit shall include probe repair/ replacement coverage for a maximum of two (2) General/ Specialty ultrasound probes within a 12-month period. Loaner General/ Specialty Ultrasound probes of same make and model shall be made available at no cost to the Great Plains Area during servicing of defective probes

Removal: t no time shall the contractor remove, or cause to be removed, any device, operation option, or accessory from the healthcare clinic, hospital, or health station without express written consent from the Contracting Officer Representative or Clinical Engineering.

Hours of Performance:

Unless otherwise stated, or negotiated, work shall be performed Monday through Friday, 8am to 5 pm excluding weekends and holidays.

C-3 EQUIPMENT:

*TBD indicates medical equipment and/ or accessories which have been procured but not yet installed

Kyle Health Center; 1000 Health Center Rd; Kyle, SD 57752

Asset Identifier Make Model Modality Site ID Serial Number 45KYB-003233 GE Healthcare LOGIQ E R7 Ultrasound LE300574 300574US7 TBD GE Healthcare DEFINIUM 656 Rad System TBD TBD TBD GE Healthcare FLASHPAD HD 1417 Detector TBD TBD TBD GE Healthcare FLASHPAD HD 1717 Detector TBD TBD

Pine Ridge Hospital; 1 Highway 18; Pine Ridge, SD 57770

45PRB-003093 GE Healthcare OEC 9900 ELITE C-Arm OEC91550 E9-1550 45PRB-004751 GE Healthcare LOGIQ E R7 Ultrasound LE300147 LE300147US7 UNKNOWN GE Healthcare C1-5-RS Transducer N/A 1067919WX9 UNKNOWN GE Healthcare 12L-RS Transducer N/A 1074273WX2 UNKNOWN GE Healthcare E8C-RS Transducer N/A 536951WX7 45PRB-005960 GE Healthcare DISCOVERY XR656 Rad System 605867HD656 605867HD656 45PRB-006129 GE Healthcare FLASHPAD HD 1417 Detector 605867HDFP1A 6243541712876 45PRB-006128 GE Healthcare FLASHPAD HD 1717 Detector 605867HDFP1B 6242671707842 45PRB-005970 GE Healthcare LOGIQ E10s Ultrasound LEX401273 LEX401273 UNKNOWN GE Healthcare L6-24-D Transducer N/A BT-303832 UNKNOWN GE Healthcare L2-9-D Transducer N/A 237804PD0 UNKNOWN GE Healthcare ML4-20-D Transducer N/A 239940PD0 UNKNOWN GE Healthcare C1-6-D Transducer N/A 531466YP1 UNKNOWN GE Healthcare IC5-9-D Transducer N/A 1393333WX8 45PRB-006050 GE Healthcare DISCOVERY RF180 Rad/Flouro 605867RF180 605867RF180 45PRB-006130 Thales USA 3543 EZ-C HD Detector 2432BU 3432BU TBD GE Healthcare REVOLUTION ASCEND CT TBD TBD TBD GE Healthcare Prodigy DXA TBD TBD

Lacreek District HIS Clinic; 119 1st Ave; Martin, SD 57551

45PRB-LAC00121 GE Healthcare LOGIQ E R7 Ultrasound LE300577 LE300577 UNKNOWN GE Healthcare C1-5-RS Transducer N/A 703367WX3 UNKNOWN GE Healthcare E8C-RS Transducer N/A 1122001WX9

Fort Thompson Indian Health Service; 1323 Bia 4; Fort Thompson, SD 57339

45FTB-002338 GE Healthcare LOQIQ E10 Ultrasound LE10502101US7 502101US7 UNKNOWN GE Healthcare C1-6-D Transducer N/A 326424YP9 UNKNOWN GE Healthcare IC5-9-D Transducer N/A 786834WX3 UNKNOWN GE Healthcare ML6-15-D Transducer N/A 225906WP7

Quentin Burdick Memorial Hospital; 1300 Hospital Loop; Belcourt, ND 58316

45BLB-003176 GE Healthcare OPTIMA XR200AMX Portable X-Ray 701477DIGI2 SR2001800042WK 45BLB-003177 GE Healthcare OPTIMA XR200AMX Portable X-Ray 701477DIGI1 SR2001800040WK 45BLB-004150 GE Healthcare LOGIQ E10 Ultrasound 511635US9 511635US9 UNKNOWN GE Healthcare L2-9-D Transducer N/A 2352353PD2 UNKNOWN GE Healthcare ML6-15-D Transducer N/A 338017WP7 UNKNOWN GE Healthcare C1-6-D Transducer N/A 499130YP3 45BLB-004211 GE Healthcare REVOLUTION ASCEND CT 701477CT1 MXL42444JN

Wanblee Health Center; 210 1st Street; Wanblee, SD 57577

45WNB-003403 GE Healthcare LOGIQ E R7 Ultrasound LE300576 300576US7 UNKNOWN GE Healthcare C1-5-RS Transducer N/A 703375WX6 UNKNOWN GE Healthcare E8C-RS Transducer N/A 698307WX6 TBD GE Healthcare DEFINIUM 656 Rad System TBD TBD TBD GE Healthcare FLASHPAD HD 1417 Detector TBD TBD TBD GE Healthcare FLASHPAD HD 1717 Detector TBD TBD

Woodrow Wilson Keeble Memorial Healthcare Center; 100 Lake Traverse Drive; Sisseton, SD 57262

45SIB-001869 GE Healthcare LOGIQ E10 Ultrasound 511608US9 511608US9 45SIB-001869A GE Healthcare L6-24-D Transducer N/A BT-303121 45SIB-001869B GE Healthcare ML6-15-D Transducer N/A 337116WP8 45SIB-001869C GE Healthcare L2-9-D Transducer N/A 231713PD9 45SIB-001869D GE Healthcare C1-6-D Transducer N/A 490484YP3 45SIB-001869E GE Healthcare IC5-9-D Transducer N/A 1329472WX3 45SIB-001869F GE Healthcare RIC5-9-D Transducer N/A 310765KR3 45SIB-001869G GE Healthcare RAB6-D Transducer N/A 1318702WX6 45SIB-001869H GE Healthcare IC5-9-D Transducer N/A 1355938WX0 45SIB-001950 GE Healthcare DISCOVERY XR656 Rad System 605698XR656 605698XR656 45SIB-001950A GE Healthcare FLASHPAD HD 3543 Detector 605698XR656FP1 6250241713305 45SIB-001950B GE Healthcare FLASHPAD HD 4343 Detector 605698XR656FP2 6245071708407

Fort Yates Indian Health Service Hospital; 10 Standing Rock Ave; Fort Yates, ND 58538

45FYB-002650 GE Healthcare LOGIQ E10 Ultrasound 511651US9 511651US9 45FYB-002650A GE Healthcare ML6-15-D Transducer N/A 341307WP7 45FYB-002650B GE Healthcare L2-9-D Transducer N/A 235588PD1 45FYB-002650C GE Healthcare C1-6-D Transducer N/A 503932YP6 45FYB-002650D GE Healthcare RAB6-D Transducer N/A 1367501WX2

Cheyenne River Health Center; 24276 166th St; Eagle Butte, SD 57625

45EBB-A01136 GE Healthcare VENUE GO Ultrasound VGD002253 VGD002253 UNKNOWN GE Healthcare C1-5-RS Transducer N/A 1317164WX0 UNKNOWN GE Healthcare 12L-RS Transducer N/A 1314790WX5

Rosebud Hospital; 400 Soldier Creek Dr; Rosebud, SD 57570

45RBB-004348 GE Healthcare VOLUSON EXPERT 22 Ultrasound F164006 F164006 UNKNOWN GE Healthcare C1-6-D Transducer N/A 51353YP1 UNKNOWN GE Healthcare RM7C Transducer N/A 319410KR7 45RBB-004349 GE Healthcare VENUE R4 Ultrasound VED001454 VED001454 UNKNOWN GE Healthcare C1-5-RS Transducer N/A 1512092WX6 UNKNOWN GE Healthcare L4-12T-RS Transducer N/A 1501246WX1 UNKNOWN GE Healthcare 3Sc-RS Transducer N/A 1465376WX0 TBD GE Healthcare DEFINIUM 646 Rad System TBD TBD TBD GE Healthcare FLASHPAD HD 1417 Detector TBD TBD TBD GE Healthcare FLASHPAD HD 1717 Detector TBD TBD TBD GE Healthcare DISCOVERY RF180 Rad/Flouro TBD TBD TBD Thales USA UNKNOWN Detector TBD TBD

C-4 EXCLUSIONS:

Contractor is not responsible for damage caused by failure to operate the equipment in accordance with manufacturer’s instructions, abuse, misuse, or neglect, or damage by fire, lightning, flood, tornado, windstorm, hail, earthquake, explosion, smoke, aircraft accident, motor vehicle accident, collapse of building, strike, riot, vandalism, power failure or fluctuations, heating or air conditioning failure.

In the event that the Contractor determines that there is probable cause to believe that an operator or equipment user is abusing, neglecting, or mishandling an item of equipment, the Contractor shall notify the COR.

The following are specifically excluded from this contract:

• Operating supplies or accessories not furnished by Contractor during the course of normal Preventive Maintenance Inspection and Services, such as expendable items including recording charts, paper, ink, pens, ribbons, pen arms, etc.

• Work external to the equipment or maintenance of accessories, alterations, attachments or other devices not specifically covered under this contract unless noted in writing.

• Equipment which has been modified, altered, added to, improperly repaired, improperly installed, or used in violation of the manufacturer’s instructions or damages resulting from other than ordinary use.

Any questions regarding the applicability of any or all determinations and/or findings that are subject to protest and/or disputes will be adjudicated by the Great Plains Area Indian Health Service Senior Contracting Officer.

C-5 DOCUMENTATION:

The Contractor shall provide all inspection forms and labels necessary to perform services as specified.

Preventive Maintenance must be a checklist showing the OEM’s recommended checks, that they were performed, and the results of the checks, the date next due, and the recommended interval(s)

The Contractor is required to present the service tickets/calibration record with the P.O. number of the service contract on them for each time a service is performed on the equipment, including PM’s. These service tickets shall not take the place of the PM checklist. Lack of service tickets being presented will be cause for non-payment by the Government. One copy of the service ticket (together with the PM checklist) shall be left with the Department Supervisor and one copy (together with the PM checklist) shall be provided to the COR within one week of the service. Service tickets may be submitted via email to abr_oehbiomed@ihs.gov (note there is an underscore between abr and oeh (abr_oeh)). Notifications of service ticket availability for retrieval through iCenter is also acceptable.

C-6 QUALITY CONTROL:

The Government reserves the right to review and verify the contractor’s work.

The Contractor shall have a prior successful history in providing services that demonstrates and ability to provide these services to the Government.

C-7 BASIS OF 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 as described in C-5 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.

C-8 LIABILITY:

In no event shall the Government release the Contractor from liability arising from acts of omission, improper repair, negligence, or deliberate or non-deliberate acts that jeopardize the health and safety of patients and/or Government employees.

The rules of law governing such incidents or actions shall prevail.

C-9 RELEASES:

No information, findings, or determinations generated in pursuit of this contract may be released outside of the contractors’ immediate possession without the concurrence of the Contracting Officer.

mailto:abr_oehbiomed@ihs.gov

C-10 WARRANTY:

All contractor labor shall be warranted for 30 days from the date the work was performed. All parts and material sold/provided by the contractor for installation under this contract will be warranted for a minimum of 30 days. Warranty callback service shall be provided during the warranty period at no additional charge.

C-11 CONTRACTOR’S TERMS & CONDITIONS:

The contractor’s terms and conditions shall be incorporated into the contract by reference. Where conflicts arise, the Federal Acquisition Regulations, and other Federal Regulations, Laws and Rules shall take precedence.

C-12 CONTRACTING OFFICER’S (CO) AUTHORITY

1.1 No person other than the CO has authority to bind the Government with respect to this contract.

1.2 No action or omission of any government employee or representative other than the CO shall increase or decrease the scope of this contract or shall otherwise modify the terms and conditions of this contract.

1.3 In on event shall any of the following be effective or binding on the Government or imputed to the CO with respect to this contract.

1.3.1 An understanding or agreement between the contractor and anyone other that the CO.

1.3.2 A purported modification or change order issued by anyone other than the CO.

1.3.3 A promise by anyone other than the CO to provide additional funding or make payments.

1.3.4 An order, direction, consent, or permission from anyone other than the CO to:

1.3.4.1 Incur costs in excess of a specified estimated cost, allotment of funds, or other ceiling; or

1.3.4.2 Expend hours in excess of a specified level of effort.

C-13 CONTRACTING OFFICER’S REPRESENTATIVE (COR)

Janna Bollinger, COR Office of Environmental Health & Engineering Janna.Bollinger@ihs.gov 605-290-8603 mailto:Janna.Bollinger@ihs.gov