S02 - ATTACHMENT 1 -SOW-A-Dec Dental Chairs and Del System - Santa Rosa.docx

VA Outpatient Clinic Santa Rosa Initial Outfitting, Transition & Activation Statement of Work Dental Chairs & Delivery Systems

05/25/2022 V4

VA Outpatient Clinic Santa Rosa 2285 Challenger Way Santa Rosa, CA 95407 Introduction The Santa Rose VA Clinic has a requirement to purchase A-Dec Dental Chairs & Delivery Systems 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. This requirement is in support of the activation of Santa Rosa Community Based Outpatient Clinic (CBOC). The new CBOC has the need for the dental chairs and delivery system identified below in Table 1, to be used in the new Santa Rosa Clinic.

Table 1 – Package Items Summary

MFG: A-Dec

MFG: A-Dec

MFG: A-Dec

MFG: A-Dec

MFG: A-Dec

MFG: Kavo

MFG: A-Dec

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 CBOC Santa Rosa Warehouse is provided below.

2285 Challenger Way Santa Rosa, CA 95407 ATTN: Alex Tannehill

DELIVERY APPOINTMENT REQUIRED

Dispatch 707-494-8794

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

Schedule and Order Management

Delivery and Receiving

2.4.1 Delivery and receipt of the proposed items is to be directed to the location identified below.

Shipping/Delivery Point of Contact (POC’s): Alex Tannehill (Supply Technician), 415-987-7924, Alex.Tannehill@va.gov. and Tawnie William (Back up) 707-330-5083, Tawnie.Williams@va.gov, include the Contract Specialist on all email correspondence related to shipping, delivery, installation, and training.

☒ VA CBOC Santa Rosa WAREHOUSE (Direct Delivery to address detailed in paragraph 2.1)

2.4.6 NOTE: Due to the COVID19 situation, the vendor must follow CDC guidelines when 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 There are no dumpsters available for vendor use.

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

Assembly, Installation, and Calibration Required (Yes ☒ No ☐) The vendor is required to manage and coordinate installation at the VA Outpatient Clinic Santa Rosa with the COR.

Training Required (Yes ☐ No ☒) Salient characteristics

VA Santa Rosa Health Care System D8250/ CLIN 0001

Project: Santa Rosa VA Clinic

Total Quantity: 8

☐ Finish Sample Required if Checked. Base Color White.

☒ Requires Installation if Checked

Item Name: 532 TRAD Dental Delivery System Mfg. A-Dec #532

Salient Characteristics:

- Factory-installed Electric Motor that allows Delivery System to operate handpieces

- Brushless motor

- Speed range from 100 to 40,000 rpm

- Field exchangeable LED bulb

- Sterilizable

- Integrated four position handpiece control block is capable of operating up to four active handpiece positions and is constructed of plated lead-free brass (per section 14.17 of the Safe Drinking Water Act).

- Each handpiece position has an individual drive air and water adjustment.

- Removable water cartridge valves allow for quick and easy servicing of block.

- A single sliding locking tab secures the handpiece tubing to the control block requiring no tools and allows easy access to connect or disconnect tubing.

-Unique waterflow system eliminates dead ends that can harbor stagnant water.

-Positive Positioning lets doctors smoothly place the delivery where they want—and keeps it in place.

-LED Coolant indicator lights up when a handpiece is lifted out of the holder.

-Customizable placement with six positions on the control head, so doctors can integrate almost any devices they choose.

-2 Removable tray holders that are integrated, stackable, and customizable.

-Left/Right convertible without the use of tools.

-Data Control System (DCS) is used to control all of the electrical components (fiber optics, heated syringe, touch pad, camera, electric micro-motors, and dental light). The DCS allows plug and play add-ons.

-Shall be compatible with existing installed “A-Dec 500 LED” A-Dec Dental Light.

-Chair lockout stop feature prevents the accidental movement of the chair when a handpiece or instrument is in use.

-Silicone handpiece tubing contains anti-microbial agent and quick-disconnects secured to the control block. Lighter, more flexible and more durable than vinyl tubing.

-A 2.0 liter, quick-connect water bottle is designed with an interior pickup tube which reduces the chance of cross-contamination.

-The system flush toggle has a flow-through design that eliminates stagnant water and flushes all tubing’s simultaneously.

-All interior water lines used throughout delivery system contain anti-microbial agent which protects against microbial colonization on interior and exterior surfaces.

-The control head provides ample space to integrate up to six clinical devices.

-The flex arm enables easy routing of cables and tubing’s.

-USB extension cable is provided in delivery system umbilical.

-Handpiece holders are independently adjustable a full 45 degrees to allow precise positioning of instruments.

A quad-volt intra-oral light source provides up to four independently adjustable output voltages to accommodate intra-oral illumination.

-The deluxe touchpad is center mounted for easy left- or right-handed access and offers expanded functions required for specialized instruments, such as electric micro-motor(s), programmable endodontic motor(s), ultrasonic instrument(s), etc. The screen provides help in troubleshooting and system diagnostics.

VA Santa Rosa Health Care System D3320/ CLIN 0002

Project: Santa Rosa VA Clinic

Total Quantity: 8

☐ Finish Sample Required if Checked. Color for 511 Chair: Driftwood, Base Color White

Item Name: Patient Chair, Dental Mfg. A-Dec #511 OR EQUAL

Salient Characteristics:

-Ultra-thin flexible back rest, measuring minimum 1.25” thick on the seamless upholstery -Headrest, standard dual articulating with gliding cushion and quick release adjustment lever.

-Minimum 2-position armrests, mounted mid-thigh position, design articulates forward for patient access.

-Lift range mimium13.5”-31.5” (Note: measurements are made from the floor to the bottom of the seat cushion.)

-Chair swivels minimum 60° (30° each side of center) enhances patient and operator accessibility.

-Automatic Chair-Stop reduces risk of injury or damage to equipment when sensors detect obstruction. Lock-out feature disables chair movement when handpiece is in use.

-Integrated 300 Watt power supply provides electrical requirements for chair-mounted dental light and ancillary products.

-UL rated to minimum 500LB. (227 kg) maximum patient load.

-Accumulators in the hydraulic lift system provide a soft chair start and stop. Lift Cylinders are guaranteed for ten (10) years.

-Self-diagnosing circuit board that is easily programmable, with “limp-along” lift activation.

-Bi-directional hydraulic motor pump, compact.

-Cast iron base-plate, powder coat painted and sealed with an elastomeric polymer finish.

-Vacuum-formed seamless upholstery is constructed of 40 ounces per yard/67 gauge superior grade vinyl. Vinyl meets flammability specifications for: California Flammability Regulation 117-2013.

-Upholstery shall be chemically resistant to sani wipes that are bactericidal, tuberculocidal and virucidal, and maintain its integrity over time.

-Virtual-Pivot design aligns the natural spine rotation of the seated patient with the chair’s rotational axis.

VA Santa Rosa Health Care System /CLIN 0003 Project: Santa Rosa VA Clinic Total Quantity: 8

☐ Finish Sample Required if Checked. Base Color White.

☒ Requires Installation if Checked Item Name: Dental Assistant Instrumentation Chair – Mounted Mfg. A-Dec # 551 OR EQUAL

Salient Characteristics:

-Articulated 6-axis arm (long arm) and 5-axis (short arm) allows for vertical and horizontal adjustments and greater than 270 range of positioning of the assistant’s instrumentation, promoting improved ergonomics and safety for the assistant, and accommodating both two and four handed dentistry.

-Vertical movement of 22.75" (short arm) to a horizontal movement of 36" (long arm).

-Multiple holder configurations including 3-position, 4-position, or dual 2-position.

-Individually articulating holders for maximum flexibility in instrument positioning.

-Long arm and short arm versions provide options to suit all requirements.

-Integral solids collector with fine mesh screen to trap materials from entering vacuum system and is easily maintained.

-Modular, push-on connections on both ends of vacuum tubings for reliable seal and easy maintenance.

-Standard multi-function touchpad provides secondary control of the chair, light, and accessory functions. Designed to be used as a handle for easy positioning of the assistant’s arm.

-Capability of holding ancillary devices (such as curing light, warm water syringe, etc…).

VA Santa Rosa Health Care System /CLIN 0004

Project: Santa Rosa VA Clinic Total Quantity: 8

☐ Finish Sample Required if Checked. Color for 521/522 Stools: Charcoal. Base Color White.

☒ Requires Installation if Checked Item Name: Dental Assistant’s Stool OR EQUAL Mfg. A-Dec #522

Salient Characteristics:

-Dynamic seat armature has three layers of flexible seating; cushion foam, comfort-flex armature, and flex frame. The seat provides an extra 8 degrees of forward tilt in the thigh zone.

-Adjustable seat tilt feature for enhanced ergonomic positioning provides 4 degrees forward and 4 degrees backward tilt.

-Distributes weight from seat to feet allowing proper circulation.

-Optional contoured backrest with one-handed push button height control and adjustable backrest tilt.

-Four Points of Adjustability: Seat tilt, seat height, backrest tilt, and backrest height.

-Seat height minimum range: 23.1" to 28.7" (578 mm-729 mm).

-Integral gas cylinder for height adjustment.

-High performance base with five casters that provide movement on both carpet and hard flooring surfaces.

-Stool is rated for minimum350lb.

-Sewn upholstery with minimal seams, available in multiple color choices.

-Easy-to-clean adjustment paddles, numbered for easy identification and control.

-Height-adjustable foot ring.

-Height-adjustable contoured torso support convertible for left or right hand operators.

-Durable Powder Coat finish.

-Sewn upholstery material is 100% Polyurethane Surface with 100% reinforced Rayon backing.

-Upholstery shall be chemically resistant to sani wipes that are bactericidal, tuberculocidal and virucidal, and maintain its integrity over time.

VA Santa Rosa Health Care System /CLIN 0005

Project: Santa Rosa VA Clinic Total Quantity: 8

☐ Finish Sample Required if Checked. Color for 521/522 Stools: Charcoal. Base Color White.

☒ Requires Installation if Checked Item Name: Operator’s Stool OR EQUAL Mfg. A-Dec #521

Salient Characteristics:

-Dynamic seat armature has three layers of flexible seating; cushion foam, comfort-flex armature, and flex frame. The seat provides an extra 8 degrees of forward tilt in the thigh zone.

-Adjustable seat tilt feature for enhanced ergonomic positioning provides 4 degrees forward and 4 degrees backward tilt.

-Distributes weight from seat to feet allowing proper circulation.

-Contoured backrest with one-handed push button height control and adjustable backrest tilt.

-Four Points of Adjustability: Seat tilt, seat height, backrest tilt, and backrest height.

-Two seat height range available: Tall range 19.6" to 24.1" (498mm - 612mm) or standard range 16.4” to 21.7” (417mm – 551mm).

-Integral gas cylinder for height adjustment.

-High performance base with five casters that provide movement on both carpet and hard flooring surfaces.

-Stool is rated for minimum 350lb.

-Sewn upholstery with minimal seams, available in multiple color choices.

-Easy-to-clean adjustment paddles, numbered for easy identification and control.

-Durable Powder Coat finish.

-Material is 100% Polyurethane Surface with 100% reinforced Rayon backing.

-Upholstery shall be chemically resistant to sani wipes that are bactericidal, tuberculocidal and virucidal, and maintain its integrity over time.

VA Santa Rosa Health Care System /CLIN 0006

Project: Santa Rosa VA Clinic Total Quantity: 32 each

☐ Finish Sample Required if Checked [none]

Item Name: Motor, Electric HDPC,KL 703 Mfg. Kavo #54.0838.00 OR EQUAL

Salient Characteristics:

Electric Motor (54.0838.00):

- Brushless motor

- Speed range from 100 to 40,000 rpm

- Field exchangeable LED bulb

- Sterilizable

VA Santa Rosa Health Care System /CLIN 0007 Project: Santa Rosa VA Clinic Total Quantity: 1

☐ Finish Sample Required if Checked.

Item Name: Blanketwrap Service with Installation

Salient Characteristics:

- With this service the equipment will be pre-assembled at the factory, blanket-wrapped in plastic, and delivered to the clinic.