P09 - PKG 018 - 600-20-3-391-0123 - SOW rev 2.pdf

VA Long Beach Healthcare System 5901 E 7th St.

Building 149 Long Beach, CA 90822

VA Long Beach Healthcare System – 402 Phase 5- Equipment Package – Basis of Design (BOD)

General Conditions and Statement of Work

Ophthalmic Instrument Tables, Hand Held Tonometers, Ophthalmic Instrument Stands, Handheld Pachymeter, and Refractor Phoropter – PKG 018

5901 E 7th Street Long Beach, CA 90822

General Conditions and Statement of Work Ophthalmic Instrument Tables, Hand Held Tonometers, Ophthalmic Instrument Stands, Handheld

Pachymeter, and Refractor Phoropter – PKG 018

Introduction The VA Long Beach Healthcare System has a requirement to purchase Ophthalmic Instrument Tables, Hand Held Tonometers, Ophthalmic Instrument Stands, Handheld Pachymeter, and Refractor Phoropter – PKG 018with 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. See FAR 52.211-6, Brand Name or Equal (AUG 1999) for additional information. See attachments for salient characteristics. This requirement is in support of the activation of the VA Long Beach Healthcare System Project. Item(s) are to be delivered to the location specified in section 2.4.1.

Table 1 – Package Items Summary

Item Number Item Description Quantity

M5025A Table, Instrument, Ophthalmic, Fixed Height, Topcon Medical Systems, Inc. | AIT-250W | 25042-11-001, Brand Name or Equal

M5575 Tonometer, Hand Held, Reichert Technologies Ophthalmic Instruments | Tono-Pen AVIA | 230650, Brand Name or Equal

M5730 Stand, Ophthalmic, Instrument w/3 Rechargable Welch Allyn Wells, Reliance Medical Products | 7900-ICWC (Wheelchair Access) | 790001-WC, Brand Name or Equal

M5730A Third arm for Ophthalmic Stand (Optometry)

M6040A Pachymeter, Handheld, Reichert Technologies Ophthalmic Instruments | iPac | 16040, Brand Name or Equal

U1051 Phoropter, Refractor, Reichert Technologies Ophthalmic Instruments | Ultramatic RX Master-Minus Cylinder 11625B | 11625B, Brand Name or Equal

U1051A Phoropter, Refractor, Reichert Technologies Ophthalmic Instruments | Ultramatic RX Master-Plus Cylinder 11635B | 11625B, Brand Name or Equal

M5730B Installation of Phoropter and 3rd arm on stand 20

General Conditions

2.1 Site Address

2.1.1 The address of the VA Long Beach Healthcare System is listed below. Additional information on delivery is located in section 2.4.

Long Beach, CA 90822

General Conditions and Statement of Work

5901 E. 7th Street Building 149 Long Beach, CA 90822

2.2 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

Building Name Building # & Letter

Acronym Est. Delivery Start Date

Est. Delivery End Date

VA Long Beach Healthcare System

OP126

VALB 5/27/2020 8/31/2020

2.3 Schedule and Order Management

2.3.1 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 30+ days due to construction delays.

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

2.3.3 Post-award the vendor will coordinate delivery 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 COR 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.

2.4 Delivery and Receiving

2.4.1 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 Brian Fleenor at (562) 743-9263, Brian.Fleenor@va.gov or Vickie Orloff at (714) 904- 8850, Victoria.Orloff@va.gov

☒ VA Long Beach Healthcare System (VALBHCS) Direct Delivery to address detailed in paragraph 2.1.1)

☐ IOT&A Contractor-Provided Warehouse Local to the

VALBHCS

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

2.4.3 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.

2.4.4 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 Pacific Standard Time), Monday mailto:Brian.Fleenor@va.gov mailto:Victoria.Orloff@va.gov

Long Beach, CA 90822

General Conditions and Statement of Work through Friday, and excluding Federal Holidays.

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

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

2.5 Use of Warehouse

2.5.1 If the vendor requires the use of the Government’s activation contractor’s warehouse to meet the requirements of this contract the vendor must provide a certificate of insurance prior to the delivery and offloading of the item(s). This insurance certificate must be completed and presented to the activation contractor prior to delivery.

2.5.2 The vendor shall communicate through the VA POC any required coordination requirements.

2.6 Clean Up and Disposal

2.6.1 There are no dumpsters available for vendor use.

2.6.2 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.

2.7 Deliverables

2.8 Use of Premises

2.8.1 During the performance of this contract, work will be carried out on VALB premises. The vendor will perform all work in such a manner that will cause a minimum interference with VALB operations and the operations of other contractors on the premises.

2.8.2 The project may be an active construction site during delivery and installation. The vendor will take all necessary precautions to protect the premises and all persons and property therein from damage or injury. The vendor will 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).

Long Beach, CA 90822

General Conditions and Statement of Work

VA Long Beach 402 M5025A

Long Beach, CA 90822 Project: VA Long Beach 402 Issue Date: April 2020 Total Quantity: 4 ☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☐ End User Training Required if Checked Item Name: Table, Instrument, Ophthalmic,Adjustable Height Brand Name or Equal: Topcon Medical Systems, Inc. | AIT-250W | 25042-11-001

• Salient Characteristics:

Height adjustable table for two diagnostic eye instruments.

• Wheelchair accessible in all positions

• Dimensions: max. 36” x 24”

• Must be able to hold 300 lb.

• Must have mounted Electric power strip with a minimum of 3 outlets.

Main Image:

Long Beach, CA 90822

General Conditions and Statement of Work

VA Long Beach 402 M5575

Long Beach, CA 90822 Project: VA Long Beach 402 Issue Date: April 2020 Total Quantity: 21 ☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☐ End User Training Required if Checked Item Name: Tonometer, Hand Held Brand Name or Equal: Reichert Technologies Ophthalmic Instruments | Tono-Pen AVIA | 230650 Salient Characteristics:

• Handheld tonometer with LED display on both sides of pen handle.

• Battery pack must be good for over 2,500 measurements.

• Must be accurate in any position

• Includes the device, carrying case, minimum

150 wrapped Ocu-Film + tip covers, and battery pack.

Long Beach, CA 90822

General Conditions and Statement of Work

VA Long Beach 402 M5730

Long Beach, CA 90822 Project: VA Long Beach 402 Issue Date: April 2020 Total Quantity: 20 ☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☐ End User Training Required if Checked Item Name: Stand, Ophthalmic, Instrument w/3 rechargeable Welch Allyn Wells Brand Name or Equal: Reliance Medical Products | 7900-ICWC (Wheelchair Access) | 790001-WC Salient Characteristics:

Ophthalmic instrument stand with console and Wheelchair Access option (lower slit lamp arm).

• Slit lamp arm must hold 12 to 60 lbs with at least 12" of travel range.

• Refractor/Phoropter arm must hold instrument up to 60 lbs

• Membrane switches control charge projector, raise/lower/auto down of exam chair, intensity of overhead lamp and binding posts..

Long Beach, CA 90822

General Conditions and Statement of Work

VA Long Beach 402 M6040A

Long Beach, CA 90822 Project: VA Long Beach 402 Issue Date: April 2020 Total Quantity: 12 ☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☐ End User Training Required if Checked Item Name: Pachymeter, Handheld Brand Name or Equal: Reichert Technologies Ophthalmic Instruments | iPac | 16040 Salient Characteristics:

• Handheld pachymeter.

• Must have Bluetooth wireless connectivity, one-button navigation, rotating color LCD screen and rechargeable lithium ion battery.

• Patient data must be converted into custom algorithms for accurate measurement.

• Intuitive user interface must be available for easy setup.

• The color display must show IOP correction, standard deviation, and L/R or OD/OS notation in seconds.

• Must include nclude carrying case and USB wall charger.

Long Beach, CA 90822

General Conditions and Statement of Work

VA Long Beach 402 U1051

Long Beach, CA 90822 Project: VA Long Beach 402 Issue Date: April 2020 Total Quantity: 10 ☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☐ End User Training Required if Checked Item Name: Phoropter, Refractor Brand Name or Equal: Reichert Technologies Ophthalmic Instruments | Ultramatic RX Master-Minus Cylinder 11625B | 11625B Salient Characteristics:

Phoropter, refractor, with lus Cylinder/ Black.

• Must include precision geared rotary prism, 0.25D graduations for minus lens system to 0.12D and 2.00D in accessory cells included

• Cylinder power 0.00D to 6.00D, cylinder axis 360° (double 0°-180° scale), cross cylinder ± 0.25

• precision geared rotary prism, P.D. 48 mm to 75 mm, vertex distance 13.75 mm (normal), reading distance 5" to 28", centimeter and diopter scales included

• Auxillary dial - 10 lenses plus 2 open apertures.

• Must include:

±.25 Flip cross cylinder + 1.50 Retinoscopic lenses accessory case 3 pair nylon face shields= Rotochart™ Reading rod with card holder.

Long Beach, CA 90822

General Conditions and Statement of Work

VA Long Beach 402 M573oA

Long Beach, CA 90822 Project: VA Long Beach 402 Issue Date: April 2020 Total Quantity: 10 ☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☐ End User Training Required if Checked Item Name: Third arm for Ophthalmic stand Salient Characteristics:

Third arm for Ophthalmic instrument stand with console

• Must be compatible with stand

• Include table top for keratometer

Long Beach, CA 90822

General Conditions and Statement of Work

VA Long Beach 402 U1051A

Long Beach, CA 90822 Project: VA Long Beach 402 Issue Date: April 2020 Total Quantity: 10 ☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☐ End User Training Required if Checked Item Name: Phoropter, Refractor Brand Name or Equal: Reichert Technologies Ophthalmic Instruments | Ultramatic RX Master-Plus Cylinder 11635B | 11635B Salient Characteristics:

Phoropter, refractor, with Plus Cylinder/ Black.

• Must include precision geared rotary prism, 0.25D graduations for plus lens system to 0.12D and 2.00D in accessory cells included

• Cylinder power 0.00D to 6.00D, cylinder axis 360° (double 0°-180° scale), cross cylinder ± 0.25

• precision geared rotary prism, P.D. 48 mm to 75 mm, vertex distance 13.75 mm (normal), reading distance 5" to 28", centimeter and diopter scales included

• Auxillary dial - 10 lenses plus 2 open apertures.

• Must include:

±.25 Flip cross cylinder + 1.50 Retinoscopic lenses accessory case 3 pair nylon face shields= Rotochart™ Reading rod with card holder.

2.2 Delivery Schedule