P09 SOW Steris Parts Only Contract.doc

STATEMENT OF WORK (SOW)

Amarillo VA Steris Parts-Only I. Background: Steris Medical equipment specializes in cleaning and sterilization of reusable surgical products for the US Healthcare System, that are used directly in the care of our patients.

II. Scope:

A. The Amarillo VA Health Care System (AVAHCS) is interested in a “Parts Only” contract for 2 of our campuses: Amarillo VA Health Care System, Amarillo TX and our Lubbock CBOC, Lubbock TX. This contract will include repair parts, some required labor for certain pieces of equipment and software, preventive maintenance kits, and any needed vendor travel during the hours of 7:30AM-4:00PM Monday-Friday. The contract will also encompass the deep Chamber Cleaning of the facilities 4 autoclaves (3 in Amarillo, TX and 1 in Lubbock, TX) and the facilities 4 washers (2 in Amarillo, TX and 2 in Lubbock, TX). These cleanings must follow Steris cleaning process/requirements. All repair parts will be genuine Steris replacement parts or Steris suggested replacements. Any charges for parts, services, manuals, tools, or software required to successfully complete scheduled PM are included within this contract, and it’s agreed upon price, unless specifically stated in writing otherwise.

B. The Amarillo VA Health Care System is requesting this “Parts Only” contract to be a sole source contract as well. Our Steris equipment is very important to our facility to keep patients, who are receiving invasive procedures, healthy. When these units need repair, we need these repair parts ASAP to continue patient care. When there is a 3rd party involved to order parts through, this slows the repair process and keeps that unit out of service longer. Prolonging health care to our veterans. In some cases, this may cause work stoppage and divert patient care to another hospital.

III. Equipment Identification A. Amarillo VA Health Care System (Thomas E Creek VA Medical Center)

1. Name/Description of equipment – Steam sterilizer

Manufacturer - Amsco

Model – V-116

Serial number - 010900004

Equipment I.D. number – EE17242

Location – 4270A-28

2. Name/Description of equipment – Medivator Manufacturer - Steris Model – ADVANTAGE PLUS ADV-1007 Serial number- 13106462 Equipment I.D. number EE43091 Location - SPS room 0523-29

3. Name/Description of equipment – Medivator Manufacturer - Steris

Model- ADVANTAGE PLUS ADV-1007 Serial number - 13106456 Equipment I.D. number EE43092 Location - SPS room 0523-29

4. Name/Description of equipment - Evolution 54 transfer carriage

Manufacturer - Steris

Model-Evolution Serial number - 052611202

Equipment I.D. number- EE52522 Location - SPS room 3863-28

5. Name/Description of equipment - Evolution 54 transfer carriage

Manufacturer - Steris

Model-Evolution Serial number - 053531201

Equipment I.D. number EE52524 Location - SPS room 3863-28

6. Name/Description of equipment - Evolution 54 transfer carriage

Manufacturer - Steris

Model-Evolution Serial number - 052611201

Equipment I.D. number EE52521 Location - SPS room 3863-28

7. Name/Description of equipment – Automated pass-through window

Manufacturer - Steris

Model – 34” width, 120v

Serial number – S1048

Equipment I.D. number EE52530 Location - SPS room 3864-28

8. Name/Description of equipment - Automated pass-through window

Manufacturer - Steris

Model – 40” width, 120v

Serial number – S1028

Equipment I.D. number EE52529 Location - SPS room 3863-28

9. Name/Description of equipment - Medivator

Manufacturer - Steris

Model – ADVANTAGE PLUS SS Serial number – 13116866 Equipment I.D. number EE49098

Location - SPS room 3864-28

10. Name/Description of equipment - Washer

Manufacturer - AMSCO

Model – 7502HP

Serial number – 3613021012 Equipment I.D. number EE52371 Location - SPS room 3863-28

11. Name/Description of equipment - ACU-SINQ Manufacturer - Steris

Model – ACU-SINQ DOSING SYS Serial number – 8574307 Equipment I.D. number EE52525 Location - SPS room 3865-28

12. Name/Description of equipment - ACU-SINQ Manufacturer - Steris

Model – ACU-SINQ DOSING SYS Serial number – 8574308

Equipment I.D. number EE52526

Location - SPS room 3865-28

13. Name/Description of equipment – MANIFOLD RACK

Manufacturer - Steris

Model – MANIFOLD RACK

Serial number – RA001634 Equipment I.D. number EE52536 Location - SPS room 3863-28

14. Name/Description of equipment – INNOWAVE WASHER

Model – INNOWAVE PCF Serial number – 03248478304 Equipment I.D. number EE55643 Location - SPS room 3865-28

15. Name/Description of equipment – AUTOCLAVE

Model – EVOLUTION HC 1200 Serial number – 032542449 Equipment I.D. number EE56005

16. Name/Description of equipment – AUTOCLAVE

Model – EVOLUTION HC 1200 Serial number – 032542450

Equipment I.D. number EE56006

17. Name/Description of equipment – WASHER

Manufacturer - AMSCO

Model – AMSCO 7052HP Serial number – 3629224004 Equipment I.D. number EE56132

18. Name/Description of equipment – Total Care Connect

Manufacturer - AMSCO

Model – M!LINK SOFTWARE SUBSCRIPTION Serial number –

Equipment I.D. number

Location - SPS room 3863-28

B. Lubbock Outpatient Clinic – Lubbock Texas:

1. Name/Description of equipment – Electric steam sterilizer

Manufacturer – Amsco

Model – 400

Serial number - 033611819

Equipment I.D. number – EE41917

Location – SPS room 604-98

2. Name/Description of equipment – Washer

Manufacturer – Amsco

Model – 7052HP

Serial number - 3628720004

Equipment I.D. number – EE49604

Location – SPS room 820-98

3. Name/Description of equipment – Washer

Manufacturer – Amsco

Model – 7052HP

Serial number - 3627920005

Equipment I.D. number – EE49605

Location – SPS room 820-98

4. Name/Description of equipment – INNOWAVE UNITY Manufacturer – Steris

Model – Unity

Serial number - 07200137499

Equipment I.D. number – EE51513 Location – SPS room 820-98

5. Name/Description of equipment – Prep Pac Table Manufacturer – Steris

Model – PREPP55 Serial number - 345200305 Equipment I.D. number – EE51518 Location – SPS room 820-98

6. Name/Description of equipment – Prep Pac Table

Manufacturer – Steris

Model – PREPP55

Serial number - 345200303 Equipment I.D. number – EE5151 Location – SPS room 820-98

7. Name/Description of equipment – Prep Pac Table

Manufacturer – Steris

Model – PREPP55

Serial number - 345200301 Equipment I.D. number – EE51520

Location – SPS room 820-98

8. Name/Description of equipment – Reprocessing sink

Manufacturer – Steris

Model – SINK5097

Serial number - 52009171R Equipment I.D. number – EE51521 Location – SPS room 820-98

9. Name/Decription of equipment – Reprocessing sink

Manufacturer – Steris

Model – SINK5097

Serial number - 52009283S Equipment I.D. number – EE51522

Location – SPS room 820-98

10. Name/Description of equipment – ACU-SINQ Manufacturer – Steris

Model – ACU-SINQ DOSING SYS Serial number - 8564656 Equipment I.D. number – EE52527 Location – SPS room 820-98

11. Name/Description of equipment – ACU-SINQ Manufacturer – Steris

Model – ACU-SINQ DOSING SYS Serial number - 8564657 Equipment I.D. number – EE52528 Location – SPS room 820-98

IV. Performance Monitoring:

A. The COR, or VA Electronic Technician, will visually inspect daily for quality of work and adherence to the SOW, ILSM and ICRA.

B. The COR, or VA Electronic Technician, will verify daily cleanliness of the area before, after, and during the workday.

C. The contractor, with the VA representative and Chief of Chaplain Services, will inspect and test the system to insure 100% operability and stability.

D. The Contractor will provide step by step training pertaining to using the system (from start up to shut down) to the VA Electronic Technician and the Chaplain Services members.

V. Security Requirements:

A. Contractor will check in with the VA Police Service for temporary ID badges.

B. The Thomas E Creek VA Medical Center Police Service will determine the status of each Contractor or Affiliate’s background investigation status for the issuance of a Non-PIV or PIV-Flash card.

C. Contractor will not have access to PHI or PII information or sources.

D. Contractor will have supervised access to the TV Systems/Server while connecting and testing the system in the Biomed Server Bay room 5102-01.

VI. Government-Furnished Equipment (GFE)/Government-Furnished Information (GFI): There will be no GFE provided. Contractor to provide their own HEPA carts for wire/fiber pull thru patient areas.

VII. Other Pertinent Information or Special Considerations:

A. 1 Site visit is mandatory

B. All outdated audio, sound and recording equipment will be removed and turned over to the COR for proper VA turn-in procedures.

C. All penetrations through walls will be filled with VA approved fire caulk. All penetrations will be inspected by VA Safety Personnel.

D. A copy of the approved Interim Life Safety Measures, (ILSM) and Infections Control Risk Assessment, (ICRA) documents must be always displayed during the deinstallation/installation.

E. Tour of Duty

1. Work shall be accomplished Monday-Friday 7:30am-4:00pm unless the day is considered a National Holiday.

2. The National Holidays observed by the Federal Government are: New Year Day, Martin Luther King's Birthday, Presidents Day, Memorial Day, Juneteenth Day, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving Day, Christmas Day

3. Any other day specifically declared by the President of the United States to be a national holiday

VIII. Risk Control: In areas where Patients will be present, minimize amount of cabling on the ground at one time and utilize safety cones when there is a trip hazard due to cabling. Full compliance with ICRA and ILSM shall be upheld.

IX. Place of Performance:

A. Amarillo VA Health Care System

(Thomas E. Creek VA Medical Center)

6010 Amarillo Blvd. West

Amarillo, Texas 79106 B. Lubbock VA Clinic

3510 4th St

Lubbock, TX 79415