LOMBART SOW.docx

M5016 Desk, Refraction w/ console, w/o sink

VHA New Jersey Health Care System Initial Outfitting, Transition & Activation Statement of Work Desk, Refraction w/ Console, w/o Sink (JSN: M5016)

VHA New Jersey Health Care System Toms River VA Clinic 1051 Hooper Avenue Toms River, NJ 08753 Introduction The VHA New Jersey Health Care System has a requirement to purchase Desk, Refraction w/ Console, w/o Sink (JSN: M5016) with an authorized vendor to supply and deliver the item(s) identified in Table 1 below to properly outfit 6 Exam/Treatment Rooms ion the Eye Clinic. See salient characteristics below. This is a Brand Name or Equal Requirement. This requirement is in support of the activation of the New Toms River VA Clinic. Lombart is the basis of design.

Table 1 – Package Items Summary

Additional Item Requirements The vendor will provide service manuals that includes theory of operation, maintenance requirements, repair information, schematics, part lists and troubleshooting information in electronic format for use by the VA HTM Department.

Date of manufacture must not be greater than 2 years before the purchase order date. The equipment must not be used or refurbished and must have the latest manufacturer’s software/hardware updates installed. Any batteries provided with the unit will not be manufactured more than 12 months before the purchase order issue date.

General Conditions Site Address The address of the Toms River VA Clinic is provided below.

1051 Hooper Avenue Toms River, NJ 08753

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 due to the nature of activation efforts and construction timelines and dates may vary and shift. Delivery dates need to be flexible. The delivery of items for installation are dependent upon the completion of applicable areas within the building. If there is a delay, the Contractor may be required to adjust the delivery date at no cost to the Government. The Contractor will coordinate with the on-site POC’s before delivery.

The awardees actual delivery dates will be confirmed by VA upon award.

Post-award, the vendor will coordinate delivery identified in this document with the VA prior to beginning any work (See Section 2.4). Once the dates have been confirmed, modifications to the schedule are subject to written approval by the CO, COR, and the vendor.

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 post-award. To coordinate delivery, contact VA POC, David Stoff at (973) 968-1842, David.Stoff@va.gov; SME-Solutions POC, Heather Arvesen at (619) 504-4869, heather.arvesen@sme-solutions.co, and Robert Stonerook at (706) 304-7194, Robert.stonerook@sme-solutions.co.

☒ Toms River VA Clinic (Direct Delivery to address detailed in paragraph 2.1)

☐ IOT&A Contractor Provided warehouse: Address TBD 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 loading dock business hours which are defined as: 8:00 AM to 3:30 PM Eastern Standard Time, Monday through Friday, and excluding Federal Holidays.

Delivery trucks will not be permitted to remain at the receiving area. Trucks shall be unloaded, moved from the receiving area, and then brought back to the receiving area if required to haul out any waste, tools, or excess materials.

Labeling of delivered items shall include the VA facilities contract number and VA purchase order number for identification and reference upon receipt of product.

NOTE: Due to the COVID19 situation, the vendor must follow VA guidelines when on VA property. Any individuals who need to enter the building for installation &/or training may be required to wear a mask and be screened by the site staff prior to entry. Please allow time for this in your schedule.

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.

Assembly, Installation, and Calibration Required (Yes ☒ No ☐) The vendor is required to manage and coordinate installation at the Toms River VA Clinic with the COR or his representative IOT&A POC.

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 4:00 PM Eastern Standard Time, Monday through Friday, and excluding Federal Holidays.

Proposed installation date will occur after delivery of equipment. The current timeframe of delivery is November 1, 2023 – December 15, 2023.

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 Toms River VA Clinic. The 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 Required (Yes ☐ No ☒)

2.7.1 Confidentiality and Non-Disclosure

This equipment Does Not connect to a VA network. Therefore, in accordance with Appendix A, Handbook 6500.6 Checklist, block 6, the C&A requirements Do Not apply to this requirement, and a Security Accreditation Package is Not required.

Salient Characteristics Desk, Refraction, with Console, without Sink (JSN: M5016) Total Quantity: 6 ☐ Network Required if Checked ☒ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☐ End User Training Required if Checked

Basis of Design is Lombart Standard Right-Handed Refraction Desk

Brand Name or Equal Requirement

Description: The ophthalmic refraction desk shall be specifically designed to conduct eye examinations in ophthalmic clinics and hospital. It shall have a control console consisting of three rechargeable instrument wells, two low voltage switches to control fixation lights, a separate on/off dimmer control for room lights. There shall be a trial lens drawer. The refraction desks must meet the following specifications and have the following operating features:

Salient Characteristics:

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