P09 SOW 25AP4679.docx

STATEMENT OF WORK (SOW)

as of 29/APR/2025

The SOW must have an “as of” date. When SOWs are revised for modifications (after award) each revised SOW will have a new “as of” date.

REMEMBER to delete all italicized text, contained within parentheses herein when completing your SOW.

It is shown here for instructional purposes only and must not remain part of the final document. Requestor fills out red text and Contracting Officer fills out blue text.

Contract Number:

Task Order Number:

Follow-on to Contract and Task Order Number:

1. Contracting Officer’s Representative (COR). Identify the individuals who will act as the COR. COR responsibilities are explained in VA IL xxx dated xxx.

Name:

Section:

Environment of patient

Phone Number:

Fax Number:

E-Mail Address:

2. Contract Title.

Stratasys Post Process

3. Background The VA Northeast Ohio Healthcare System is requesting Stratasys Poast Processing Equipment from Stratasys, Ltd.

These machines, along with the associated material, and consumables will be used to support the application of 3D printing technology with operations focused on Pre-Procedural Modeling and Dental applications including Denture arches, occlusal guards and surgical implant guides.

The requested equipment will allow the utilization of existing 3D Printing Systems and legacy software already in use at the facilities.

The requested Post Processing Equipment is essential to implementing and sustaining a Pre-Procedural Modeling and Digital Dentistry 3D Printing program for the VA Northeast Ohio Healthcare System by providing design & manufacturing services of patient specific 3D printed products.

4. Scope.

The VA Northeast Ohio Healthcare System is requesting that the contractor shall provide all resources necessary to accomplish the deliverables described in the statement of work.

5. Specific Tasks.

5.1 Task 1 - Vendor shall provide the delivery of the following items:

Deliverables:

6. Performance Monitoring

Performance monitoring will be completed by the COR. COR will be responsible to ensure all work is done in accordance with the award.

7. Security Requirements The contract will not involve sensitive information or contractor/vendor access to VA OIT/computer systems. This equipment will not have access to PHI or PII.

8. Government-Furnished Equipment (GFE)/Government-Furnished Information (GFI).

Not applicable to this request.

9. Other Pertinent Information or Special Considerations.

Not applicable to this request.

a. Identification of Possible Follow-on Work.

Follow-on work is not anticipated.

b. Identification of Potential Conflicts of Interest (COI).

There are no known conflicts of interest related to this request.

c. Identification of Non-Disclosure Requirements.

Not applicable to this request

d. Packaging, Packing and Shipping Instructions.

Louis Stokes Cleveland VA Medical Center ATTN: 3D Print Lab 10701 East Blvd Cleveland, OH 44106

e. Inspection and Acceptance Criteria.

COR, Requestor and warehouse staff will be responsible for all inspection and acceptance criteria related to this request.

10. Risk Control No risk control assessment is required.

11. Place of Performance.

Louis Stokes Cleveland VA Medical Center 3D Print Lab 10701 East Blvd Cleveland, OH 44106

12. Period of Performance.

Delivery schedule/installation will be determined and agreed upon with vendor at the time of award.

13. Delivery Schedule.

Delivery schedule/installation will be determined and agreed upon with vendor at the time of award.