SOW Radiology PM Services.pdf

STATEMENT OF WORK

Preventative Maintenance Services for Radiology Equipment

Crow Service Unit, Crow Agency, MT

A. BACKGROUND:

Crow Service Unit (CSU) is a PHS Indian Health Center that provides healthcare services to the Crow Indian Reservation.

B. OBJECTIVE / DELIVERABLES:

The objective is to obtain preventative maintenance services, including an annual inspection, for the existing CT System, two (2) X-Ray rooms, four (4) ultrasound units, and one (1) podiatry x-ray system at the CSU facility, located in Crow Agency, MT. The services are to ensure systems are functioning according to regulatory and manufacturer requirements. The deliverable is to clean and calibrate systems, test each system to ensure performance is within manufacturer specifications. Contractor shall provide CSU with Report upon completion of work.

C. SCOPE OF WORK:

Provide Preventative Maintenance Services for a CT System, two (2) X-Ray Rooms, four (4) Ultrasound Units, and one (1) Podiatry X-Ray system located at Crow Agency, Montana. The Contractor shall furnish all the necessary services, qualified personnel, material, equipment, and facilities.

The Contractor shall provide preventative maintenance and repair services for the following:

A. Hitachi Scenaria 128 CT System with Bayer Power Injector @ Crow Agency Hospital (Serial Number G110067315)

B. CoreLab Radiology Room DR Suite @ Crow Agency Hospital (Serial Number J0113049418)

C. CoreLab Radiology Room DR Suite @ Lodge Grass Clinic (Serial Number J0113505819)

D. Podiatry X-ray Unit @ Crow Agency Hospital (Serial Number 320399 ) E. Hitachi Ultrasound Unit @ Crow Agency Hospital (Serial Number 206H3572 ) F. GE Ultrasound Unit @ Crow Agency Hospital (Serial Number D10734) G. GE Ultrasound Unit @ Crow Agency Hospital (Serial Number VEN50607161) H. GE Ultrasound Unit @ Crow Agency Hospital (Serial Number VEN50607138)

Requirements include:

• Manufacturer recommended preventative maintenance service;

• Unlimited Repair Services as required by the Indian Health Service;

• Scheduled onsite Preventative maintenance inspections;

• Technical telephone consulting available to Crow Service Unit staff during normal business hours.

• Provide CSU Staff with Report upon completion of services.

D. PERIOD OF PERFORMANCE:

Period of Performance is expected from date of award for twelve months, with four (4) 12 month option years.

E. STANDARD REQUIREMENTS:

All work must be done to manufacturer’s specifications. This is so the CSU can continue using the diagnostic imaging equipment in support of direct patient care.

F. WORKFORCE REQUIREMENTS

Contractor must have the required expertise to perform and complete the clean-up, calibration and testing of units in accordance with manufacturer specifications.

G. ASSUMPTIONS:

1. Access to Buildings:

It shall be the Contractor's responsibility, through the Contracting Officer’s Representative (COR) or their designee, to obtain access to buildings and facilities and arrange for them to be opened and closed.

Crow Service Unit COR Contact Information:

James Reed (406) 638-3409

2. Permits:

The Contractor shall, without additional expense to the Government, obtain all appointments, licenses, and permits required to perform the work. The Contractor shall comply with all applicable federal, state, and local laws. If required, evidence of permits and licenses shall be provided to the Contracting Officer or the COR before work commences.

3. Contractor Furnished Items:

The Contractor shall provide all the equipment, tools, parts, labor and necessary resources to perform the requirements of this contract. Excludes post processing control components.

Excludes ultrasound probes.

H. GENERAL QUALITY ASSURANCE:

Contractor shall perform all work to manufacturer specifications, and coordinate service with James Reed, Crow Service Unit Radiology Supervisor.

I. INVOICE SUBMISSION AND PAYMENT:

The Contractor shall email its invoice to James Reed, Radiology Supervisor Crow Service Unit, Crow Agency, MT at james.reed@ihs.gov ; with a courtesy copy to the Billings Area Financial Management Office Yvonne.begay@ihs.gov and Purchasing Agent prudence.yellowowl@ihs.gov . The Contractor shall include the following information on each invoice:

1.) Contractors name, address and telephone number as provided in the System for Award Management (SAM) database;

2.) Taxpayer Identification Number (Employer Identification Number) 3.) Data Universal Numbering System (DUNS) number, to ensure payment is made to the correct bank account;

4.) Purchase Order number;

5.) Invoice number and date;

6.) Description, quantity, unit of measure, and unit price;

7.) Dates of Delivery; and 8.) Remit to address.

mailto:james.reed@ihs.gov mailto:Yvonne.begay@ihs.gov mailto:prudence.yellowowl@ihs.gov