P09 - SOW Final - Mayo Stands PHX 017.pdf

FY22Q1‐017 l JSN: M8810 l Stand, Mayo

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Phoenix VA Health Care System Initial Outfitting, Transition & Activation

Statement of Work

Stand, Mayo (JSN: M8810)

Phoenix VA Health Care System 400 North 32nd St.

Phoenix, AZ 85008 Phoenix VA Clinic – 32nd Street Project

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INTRODUCTION

Veteran Affairs Phoenix Health Care System has a requirement to purchase Stand, Mayo (JSN:

M8810) with an authorized vendor to supply and deliver the item(s) identified in Table 1 below.

See salient characteristics below. This is a Brand Name or Equal Requirement. This requirement is in support of the activation of Phoenix VA Clinic – 32nd Street Project. The new Outpatient Clinic has the need for Two Hundred and Thirty (230) Mayo Stands to be used within the Exam and Procedure Rooms in new VA clinic. Adjustable instrument tray used to assist in procedures. Petigo is the basis of design.

Table 1 – Package Items Summary

Item # JSN Item Description Part # (basis of design) Quantity

1 M8810 Stand, Mayo P-1068-A-SS 230

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 IT Operations 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 Phoenix VA Health Care System Phoenix VA Clinic – 32nd Street is provided below.

400 North 32nd St.

Phoenix, AZ 85008

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.

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Table 2 – Anticipated Building Outfitting Schedule

Building Name Building # & Letter

Est. Delivery Start Date

Est. Delivery End Date

Phoenix VA Clinic – 32nd Street 400 28 Feb 2022 9 April 2022

Schedule and Order Management

2.3.1 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.

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 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

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 VA POC David Charnetsky at (602) 277-5551 ext. 5228, david.charnetsky@va.gov; SME-Solutions POC, Soren Nicholson at (719) 761-4387, Soren.Nicholson@sme-solutions.co; and Jerrell (Jeff) Cockrell at (636) 395-9761, Jerrell.cockrell@sme-solutions.co.

☒ Phoenix VA Clinic – 32nd Street (Direct Delivery to address detailed in paragraph 2.1)

☐ IOT&A Contractor provided warehouse: Address TBD

2.4.2 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.

2.4.3 The delivery of items identified in this document shall take place during normal loading dock business hours which are defined as: 8:15 AM to 3:00 PM Mountain Standard Time, Monday through Friday, and excluding Federal Holidays.

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2.4.4 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.

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

2.4.6 NOTE: Due to the COVID19 situation, masks are required to be worn by all individuals when in common areas on VA property. Any individuals who need to enter the building for installation &/or training will be required to be screened by the site staff prior to entry. Please allow time for this in your schedule.

Clean Up and Disposal

2.5.1 There are no dumpsters available for vendor use.

2.5.2 The removal of waste and/or excess material shall be conducted through the loading dock area.

Assembly, Installation, and Calibration Required (Yes ☐ No ☒)

Training Required (Yes ☐ No ☒)

Confidentiality and Non-Disclosure

2.8.1 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.

2.8.2 This equipment does not hold or store patient information. Therefore, in accordance with Appendix A, Handbook 6500.6 Checklist block 7, Appendix B and C provisions do not apply.

SALIENT CHARACTERISTICS

Stand, Mayo (JSN: M8810)

Basis of Design is Petigo MFG P/N: P-1068-A-SS

Brand Name or Equal

Salient Characteristics:

Shall have removable stainless steel instrument tray 12” x 19” or comparable

Shall hold a minimum of 50lbs capacity or more

Total Quantity: 230

☐ Network Required if Checked ☐ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☐ End User Training Required if Checked

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Shall be height adjustable 37-61” or comparable

Shall have 2 caster wheels