Replace Broken DOM SUD bedroom furniture Design Intent and SOW.pdf

STATEMENT OF WORK

VAMC Northport Station 632- Replace broken DomSUD Bedroom furniture

NORTHPORT VA MEDICAL CENTER

Background:

The Department of Veterans Affairs, Northport VA Medical Center Dom SUD program currently has furnishings in their resident bedrooms that do not pass EOC inspections because their drawers are broken and can no longer be repaired (they are quite old). These individual items are beyond economical repair. The Dom SUD bedrooms are patient care areas where patients respite and sleep; they require appropriate furniture to support the veteran during their continued recovery and reintegration. The current furnishings are facilitating unsafe conditions for the veterans and staff in the programs per regulations: EC.02.06.01, NFPA 101-19.7.5.6.

Scope:

The purchase of 4 BH Wardrobes, 4 BH beds, 4 BH drawers for wardrobes, and 8 nightstands.

Delivery:

Will be inside delivered and installed on the unit, Building 64 2nd floor.

Order is to be shipped within 90 days ARO.

Each item will be fully assembled and placed on the DOM SUD unit inside specified room # with a floor plan to be provide.

Vendor to provide a warranty for 10+ years as designated by the

Healthcare Furniture IDIQ contract.

Provide phased shipments and 30 day storage period as needed if determined at the time of acknowledgement confirmation.

Furniture is to be delivered by awarded vendor, to building 64 2nd floor to 2 separate rooms to match the provided floor plan, TBD.

POC Engineering:

Inventory List/Invoicing:

The VA purchase order (PO) number shall be clearly noted on all invoices and inventory lists for accurate processing. The PO number will start with 632 followed by 5 digits beginning with an “A”. Ex: 632-AXXXXX.

Place of Performance:

Northport VAMC 79 Middleville Road

Northport, NY 11768

Patient Information Privacy and Protection:

The furniture does not store any PHI/PII/PI, nor are there any hard drives/storage devices to service or remove.

BHPR1 – Behavioral Health Patient Room Wardrobe (2 each – left hinge)

Moduform #ZE6BS-1DL Zeal Wardrobe | 1 Door | J-Bar hanger | Wall Mounting Kit Door hinged Left | no locks Inset Pull 23D x 20W x 78H Color: Light Oak

• Sloped top single wardrobe

• Continuous hinge

• Tamper proof screws on all units

• Oak Veneer over hardwood

Plywood construction with a UV Cured finish required

BHPR2 – Behavioral Health Patient Room Wardrobe (2 each – right hinge)

Moduform #ZE6BS-1DR Zeal Wardrobe | 1 Door | J-Bar hanger | Wall Mounting Kit Door hinged Right | no locks Inset Pull 23D x 20W x 78H Color: Light Oak Sloped top single wardrobe Continuous hinge Tamper proof screws on all units

Oak Veneer over hardwood Plywood construction with a UV Cured finish required

BHPR3 – Behavioral Health Patient Room Platform bed offset right (2 each)

Moduform #EV9-2R Everest Platform Bed | 2 Drawers OFFSET RIGHT Color: Light Oak Tamper proof screws on all units Oak Veneer over hardwood Plywood construction with a UV Cured finish required All inset or integral pulls on drawers Mattress and bedding NIC

BHPR4 – Behavioral Health Patient Room Platform bed offset left (2 each)

Moduform #EV9-2L Everest Platform Bed | 2 Drawers OFFSET LEFT Color: Light Oak Tamper proof screws on all units Oak Veneer over hardwood Plywood construction with a UV Cured finish required

Mattress and bedding NIC

BHPR5 – Behavioral Health Patient Room 3 drawer nightstand (8 each)

Moduform #ZE5B-3D Zeal Nightstand | 3 Drawers Color: Light Oak Tamper proof screws on all units

BHPR6 – Behavioral Health Patient Room 2 drawer nightstand (4 each)

Moduform #ZEAB-2D Zeal Nightstand | 2 Drawers For use inside wardrobe Color: Light Oak Tamper proof screws on all units

BHPR1 – Behavioral Health Patient Room Wardrobe (2 each – left hinge)