S02 - FY23-024 M7651 M7651C AEDs SOW V2.1.docx
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FY23-024 JSNs: M7651, M7651C AEDs
VA Pacific Islands Health Care System Initial Outfitting, Transition & Activation Statement of Work Defibrillator, External, Automated and Cabinet, Storage, AED, Surface Mounted with Wall Mounted Sign (JSNs: M7651, M7651C)
VA Pacific Islands Health Care System New Akaka VA Clinic 91-1051 Franklin D. Roosevelt Avenue Kapolei, Hawaii 96707 Version: 2.1 4/25/2023 Introduction The VA Pacific Islands Health Care System has a requirement to purchase Defibrillator, External, Automated and Cabinet, Storage, AED, Surface Mounted with Wall Mounted Sign (JSNs: M7651, M7651C) 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 New Akaka VA Clinic. The new Akaka VA Clinic has the need for automatic external defibrillators and wall mounted boxes. Defibtech is the basis for design.
Table 1 – Package Items Summary
| Item # |
| JSN |
| Item Description |
| Part # (basis of design) |
| Quantity |
| 1 |
| M7651 |
| Lifeline AUTO AED |
| DCF-A120-EN |
| 8 |
| 2 |
| M7651C |
| Wall Mount Cabinet (Alarmed) |
| DAC-220 |
| 5 |
| 3 |
| M7651C |
| V Shaped AED Wall Sign |
| AB 3204 |
| 5 |
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 Biomed 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 Akaka VA Clinic is provided below.
91-1051 Franklin D. Roosevelt Avenue Kapolei, Hawaii 96707
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
| Building Name |
| Building # & Letter |
| Est. Delivery Start Date |
| Est. Delivery End Date |
| Akaka VA Clinic |
| 91-1051 |
| 3 January 2024 |
| 17 February 2024 |
Schedule and Order Management 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.
The awardees actual delivery dates will be confirmed by VA upon award.
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 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, Peter “Kelii” Won at (808)433-0167, peter.won@va.gov; SME-Solutions POC, Soren Nicholson at (719) 761-4387, Soren.Nicholson@sme-solutions.co, and Nathan Chong at (210) 268-7678, nathan.chong@sme-solutions.co.
☒ Akaka VA Clinic (Direct Delivery to address detailed in paragraph 2.1) There is no loading dock available. All delivery vehicles must be equipped with a “Tommy Gate” type lift to facilitate unloading to ground level.
☐ IOT&A Contractor Provided warehouse: Address TBD 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.
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 Hawaii Standard Time, Monday through Friday, and excluding Federal Holidays.
Delivery trucks will not be permitted to remain at the receiving area. Trucks shall be unloaded, moved from the receiving area, and then brought back to the receiving area if required to haul out any waste, tools, or excess materials.
Labeling of delivered items shall include the VA facilities contract number and VA purchase order number for identification and reference upon receipt of product.
NOTE: Due to the COVID19 situation, the vendor must follow VA guidelines when on VA property. Any individuals who need to enter the building for installation &/or training will be required to wear a mask and 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 not required to manage and coordinate installation at the Akaka VA Clinic with the COR or his representative IOT&A POC.
Training Required (Yes ☐ No ☒)
2.7.1 The vendor is not required to provide live clinical training on set up, operation, shut down, and troubleshooting procedures to clinical staff.
Confidentiality and Non-Disclosure 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.
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 Defibrillator, External, Automated (JSN: M7651) Total Quantity: 8 ☐ Network Required if Checked ☐ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☐ End User Training Required if Checked
Basis of Design is Defibtech Auto AED, MFG P/N: DCF-A120-EN
Brand Name or Equal Requirement Salient Characteristics:
· Fully automatic external defibrillator
· Batter pack must have a seven (7) year standby life with capacity for 300 shocks
· Include voice prompts
· Charge time of 5 seconds, ±3 seconds
· Shall automatically monitor for proper pad contact
· Must fit into a wall mounted AED cabinet that has a depth of 4”
· Shall include automatic self-tests
· Shall include both audible and visual low battery indicators
Cabinet, Storage, AED, Surface Mounted & Wall Sign (JSN: M7651C) Total Quantity: 5 ☐ Network Required if Checked ☐ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☐ End User Training Required if Checked
Basis of Design Lifesavers, Inc. Wall Mount Cabinet (Alarmed), MFG P/Ns DAC-220 and AED Wall Display Sign V-Shape, MFG P/N: AED Sign (3-Way) Brand Name or Equal Requirement
Salient Characteristics:
· Must be surface mounted and cannot extend beyond 4 (four) inches from wall
· Cabinet shall have audible alarm that sounds upon opening the door
· Wall sign must extend minimum 3 (three) inches from wall
· Wall sign shall have holes for mounting to the wall
Statement of Work Page 1 of 8 image2.jpeg
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