SOW DHA.pdf

DHA PWS Template V13 November 16, 2021

Department of Defense Defense Health Agency

Statement of Work

[Full Repair/ Maintenance Service Contract]

Main Operarting Room

November 16, 2021

PART 1

1.0 GENERAL INFORMATION

STATEMENT OF WORK

GENERAL REQUIREMENTS: The effort required hereunder shall be performed in accordance with this Statement of Work and with all other terms and conditions set forth herein.

SCOPE: The contractor shall provide all services, materials, and equipment necessary for the one-time corrective maintenance of one (1) Intuitive Surgical (Surgical) Telemanipulation System to ensure dependable and reliable equipment operation in accordance with manufacturer specifications.

LOCATION: Main Operating Room (MOR), Building 1, 4th Floor, Naval Medical Center San Diego, San Diego, CA, 92134

NMCSD ONE TIME CORRECTIVE MAINTENANCE REQUIREMENTS:

a. Installation of system update changes to resolve specific product reliability problems. Hardware and software upgrades, defined as those changes to enhance or add product features, are not included.

b. Perform corrective maintenance to the extent necessary to ensure functional equipment that will effectively serve its intended purpose.

c. Ensure that only fully qualified field engineers and technicians who have gone through original equipment manufacturer (OEM) or comparable third-party service schools for the above-mentioned equipment, shall be employed in the performance of any and all work performed under this contract. Upon request, contractor shall provide training certificates (or notarized copies) to the Material Management Department Biomedical Engineering for verification.

d. Ensure that original design and functional capabilities will not be changed, modified, or altered unless the Biomedical Engineering authorizes such changes.

RESPONSE TIME: Contractor shall use commercially reasonable efforts to complete all on site repairs within 2-4 business days. Available hours are Mon thru Fri 0730-1600.

TITLE TO EQUIPMENT: The government retains ownership to title of any equipment taken for manufacturer maintenance.

LIABILITY: The contractor shall not be liable for any loss, damage, or delay due to any cause beyond his reasonable control including but not limited to: acts of government, strikes, lockouts, fire, explosion, theft, floods, riot, civil commotion, war, malicious mischief or acts of God.

UTILITIES: The contractor may use government utilities (e.g., electrical power, compressed air, and water) that are available and required for any service performed under this contract. The building engineer, to ensure compatibility with the facility electrical wiring and equipment, must approve contractor electrical equipment.

ACCESS TO EQUIPMENT: The contractor shall be provided reasonable access to all equipment that is to be serviced and utility outlets required to do the service. The contractor shall be free to start and stop all primary equipment incidentals to the operation of the maintained equipment after permission is received form on-duty personnel responsible for such equipment.

LABOR: All compensation for labor from the hours of 0730-1600, PST is included in the contract price. Any labor performed outside of this timeframe is not included in the contract pricing.

FIELD SERVICE REPORTS: Contractor shall furnish a written or electronic vendor supplied Field Service Report (FSR) to the Duty Staff at the following address:

November 16, 2021

Naval Medical Readiness and Training Center San Diego Biomedical Engineering Building 1, Ground Floor, Room GD-18H1 Phone: 619-532-8010 Fax: 619-532-8013

Or electronically at: usn.san-diego.navmedcensanca.list.nmcsd-biomed-contract@health.mil

The contractor, or his/her representative, shall complete the vendor supplied Field Service Report to include the following:

a. Contractor Name

b. Technician’s Printed Name, Telephone Number and Signature

c. Date and Time of Arrival

d. ECN (Equipment Code Number) and Serial Number

e. Time Expended Repairing/Service; Labor Hours, Rate and Materials

f. Summary of work performed including all diagnostic data read outs.

All Field Service Reports shall be submitted within 72 hours of completion of service. Completed Field Service Reports are required prior to acceptance of any invoice.

Appendix A:

ECN Serial Common Model MFR PM Interval PM Due Date

380647-34 SK0457 DA VINCI INTUITIVE

SURGICAL

INC

N/A N/A