SOW-Salient Characteristics.docx

Tiber Rubin VA Long Beach MHIP & MHIP Initial Outfitting, Transition & Activation Project Equipment Package #660.875 Defibrillators General Conditions and Statement of Work

Tiber Rubin VA Long Beach Healthcare System, MHIP &MHOP

Introduction The Tiber Rubin VA Long Beach, California has a requirement to purchase, Defibrillators with an authorized vendor to supply and deliver the item(s) identified in Table 1 below. This requirement is in support of a brand name or equal requirement. See FAR Clause 52.211-6 – Brand Name or Equal (AUG 1999) for additional information. See attachments for salient characteristics. This requirement is in support of the activation of the Mental Health MHIP and MHOP buildings. Item(s) are to be delivered to the location specified in section 2.4.1.

Brand Name or Equal “Brand Name Or Equal” equipment is being requested, in accordance with FAR 52.211-6, that meets or exceeds the salient physical, functional, and performance characteristics listed below. As a basis of design, Make and model are provided for reference. The identified equipment features are essential to the technical requirements of the requesting department’s current and future standards of care.

Table 1 – Package Items Summary

5.8 Ah Capacity, Brand Name or Equal

High density lithium ion chemistry RunTime Indicator Automatic calibration ready Stores history of use and maintenance

General Conditions Site Address The address of the VA Long Beach MHIP and MHOP is listed below. Additional information on delivery is located in section 2.4.

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 The above delivery schedule is based upon the current construction schedule, which is subject to change. The vendor shall not increase prices for a change in delivery date for up to 90 days due to construction delays.

The awardees actual delivery dates will be confirmed by VA upon award.

Post-award the vendor will coordinate delivery 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 VA POC and the vendor. Schedule changes that are beyond the dates specified in the contract will require approval by the Contracting Officer and a contract modification.

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 by the VA POC post-award. Delivery must be coordinated with VA Logistics POC: Victoria Orloff_(Office) 562-335-2953 prior to any attempts at delivery. Any item that has not been coordinated will be turned away and any additional charges will be the responsibility of the sender/transportation company. Vendor responsible for conducting a site visit to verify logistics and loading dock access/egress.

☒ VAMC Long Beach MHIP & MHOP

☐ VAMC Long Beach Off-Site Activation Warehouse

Delivery shall be freight on board (FOB) – Destination.

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 By POC.

The delivery of items identified in this document shall take place during normal business hours which are defined as: 0800 to 1630 (i.e.: 8:00am to 4:30pm Pacific Standard Time), Monday through Friday, and excluding Federal Holidays.

Delivery trucks will not be permitted to remain at the loading dock. Trucks shall be unloaded, moved from the dock, and then brought back to the dock if required to haul out any waste, tools, or excess materials.

Labeling of delivered items shall include the awarded contract number and VA purchase order number for identification and reference upon receipt of product.

2.4.7 Delivery and Installation includes:

Offloading the equipment from the truck, moving the equipment to the correct delivery location in the space, uncrating or unboxing the equipment and removing all trash, setting up the equipment according to the manufacturers specification and testing the equipment to verify that it is operational. Equipment installation paperwork & warranty information must be handed to the approved government contact onsite. See Sections 2.8, 2.9, & 2.10 below Use of Warehouse-Not applicable direct delivery to the new facility If the vendor requires the use of the Government’s activation contractor’s warehouse to meet the requirements of this contract the vendor must provide a certificate of insurance prior to the delivery and offloading of the item(s). This insurance certificate must be completed and presented to the activation contractor prior to delivery.

The vendor shall communicate through the VA POC any required coordination requirements.

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. Delivery trucks and/or other vendor vehicles will not be permitted to remain at the loading dock. Vehicles will need to be brought back to the dock if required to remove any waste, tools, or excess materials.

Deliverables The vendor shall provide CAD drawings (including shop drawings) and specifications for site prep for their product as required. AutoCad or Revit drawings are not a requirement of this SOW The vendor shall provide a completed VA Form 6550 with submittal documents for any and all item(s) that may connect to the VA network and medical devices that store sensitive patient information.

2.7.3 ☐ Network Required if Checked ☐ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☐ End User Training Required if Checked Assembly and Installation [ ☐ is ☒ is not ] required.

Training [ ☐ is ☒ is not ] required Standard Warranty The products shall be covered by vendor’s standard warranty terms and provisions. Vendors to provide their standard warranty information in their proposals.

The vendor shall extend such warranty directly to the customer as if such customer had purchased the Products directly from the vendor.

The vendor shall warrant the products against defects in material and workmanship under normal use and service, repair or replace at vendor’s cost any defective Product (or issue a credit or refund, as the case may be, based on the purchase price paid therefor); and The vendor shall pay (or refund the amount of) all freight and shipping charges for any defective Products returned under this paragraph.

Use of Premises If during the performance of this contract, work will be carried out on VAMC remises, the vendor shall perform all work in such a manner that will cause a minimum interference with TRVAMC operations and the operations of other contractors on the premises.

The vendor shall communicate through the VA POC any required coordination requirements with the General Construction contractor (GC) prior to and during delivery and installation activities.

The project may be an active construction site during delivery and installation. The vendor shall take all necessary precautions to protect the premises and all persons and property therein from damage or injury. The vendor shall assume responsibility for taking precautions for the vendor's (and associated subcontractors’) employees, agents, licensees, and permittees. The vendor shall abide by any safety requirements imposed by the GC (e.g. hard hats, safety vests).

2.11.4 The vendors shall abide by all rules and regulations set forth by the CDC & the TRVAMC due to the Coronavirus (COVID-19) and have their own personal protective equipment (PPE) in use for the time they are on the GLA campus grounds.

Salient characteristics Next Page

Project Name: Long Beach MHOP Project Location:

Date Prepared: April 30, 2024

Brand Name or Equal Nomenclature: Defibrillator Transport, Advisory

-0855 Email: 3rd Party Install: No Room Nbr(s): See Attached Phone: 800-348-9011

Dimensions: D 7.00 in W 17.50 in H 17.50 in D 177.8 mm W 444.5 mm H 444.5 mm

6: Misc:

Salient Characteristics

-Protocol: Semi-automatic AED -LCD display with touch panel controls and rugged case -Defibrillation Advisory: Evaluates electrode connection and patient ECG to determine if defibrillation is required -CPR Metronome Rate 105 (+/-) CPM -Energy Selection: Factory preprogrammed selection Adult: 120J, 150J, 200J, Child: 50J, 70J, 85J, User Configurable -Patient connections must be electrically isolated.

-Data recording and storage abilities, up to 120 minutes minimum. with voice and CPR data minimum of 60 minutes -Data Recovery ability: upload to USB, RescueNet CaseReview, or wifi network -Automatic Self-test Checks Battery capacity, status, and expiration; ECG and charge/discharge circuits; microprocessor hardware and software; CPR circuitry and pads sensor; audio circuitry -Drop Test: minimum of 3.28 feet -Suitable for use in high vibration environments -Battery Powered: Lithium Manganese dioxide battery pack, minimum of 5 year stand by with weekly testing -AED Measurements Approximately: H: 5" x W: 9.3" D: 9.7" -Display Screen Size: W: 3.74" x H: 2.12" Warranty: 5 years

Hospital package, must include:

-Standard Metal AED Wall Cabinet with signage on cabinet and Alarms (Part# 8000-8555) -Cabinet approximate dimensions: W: 17.5" x H: 17.5" x D: 7" -AED Battery pack -One set each Adult and child pads

All Images are for representation only, may not reflect final product.

Qty: 10

Department, Room, Quantity

BHIP

WAITING RM-2200(1), WAITING RM-2500(1), NURSE WORK RM-2501(1)

BHIP ADMIN (MHOP)

OPEN OFFICE-2212(1), OPEN OFFICE-2422(1), OPEN OFFICE-2426(1)

COMMON AREAS (MHOP)

NURSE WORK RM-1302(1)

Corridors

LOBBY-2100A(1), CORRIDOR-C1-3A(1)

PACT SMI (MHOP)

WAITING RM-2300(1)

Project Name: Long Beach MHIP Project Location:

Date Prepared: April 30, 2024

Brand Name or Equal Nomenclature: Defibrillator Transport, Advisory with Cabinet

-0855 Email: 3rd Party Install: No Room Nbr(s): See Attached

Dimensions: D 7.00 in W 17.50 in H 17.50 in D 177.8 mm W 444.5 mm H 444.5 mm

4: Misc Gas:

5: NonMed Gas:

6: Misc:

Amps:

Outlet Type:

7: Data:

8: Drops:

9: Warranty:

10: Training:

11: Weight:

12: Wall Blocking:

No 0 5 years Yes 10.00 Yes

Salient Characteristics

- Protocol: Semi-automatic AED

- LCD display with touch panel controls and rugged case

- Defibrillation Advisory: Evaluates electrode connection and patient ECG to determine if defibrillation is required

- CPR Metronome Rate 105 (+/-) CPM

- Energy Selection: Factory preprogrammed selection Adult: 120J, 150J, 200J, Child: 50J, 70J, 85J, User Configurable

- Patient connections must be electrically isolated.

- Data recording and storage abilities, up to 120 minutes minimum. with voice and CPR data minimum of 60 minutes

- Data Recovery ability: upload to USB, RescueNet CaseReview, or wifi network

- Automatic Self-test Checks Battery capacity, status, and expiration; ECG and charge/discharge circuits; microprocessor hardware and software; CPR circuitry and pads sensor; audio circuitry

- Drop Test: minimum of 3.28 feet

- Suitable for use in high vibration environments

- Battery Powered: Lithium Manganese dioxide battery pack, minimum of 5 year stand by with weekly testing

- AED approximate dimensions: H: 5" x W: 9.3" D: 9.7"

- Display Screen Size: W: 3.74" x H: 2.12" Warranty: 5 years

Hospital Package, Must include:

- Standard Metal AED Wall Cabinet with signage on cabinet and Alarms (Part# 8000-8555)

- Cabinet approximate dimensions: W: 17.5" x H: 17.5" x D: 7"

- AED Battery pack

- One set each Adult and child pads

All Images are for representation only, may not reflect final product.

Qty: 2

Department, Room, Quantity

COMMON AREAS (MHIP)

Lobby-1100(1)

GERIATRIC CARE (MHIP)

PUBLIC WAITING-2101(1)

Project Name: Long Beach MHIP Project Location:

Date Prepared: April 30, 2024

Brand Name or Equal Nomenclature: Defibrillator Monitor, Automatic, Advisory

8019-0535-01 Email: 3rd Party Install: No Room Nbr(s): See Attached

Dimensions: D 13.00 in W 11.00 in H 9.00 in D 330.2 mm W 279.4 mm H 228.6 mm

4: Misc Gas:

5: NonMed Gas:

6: Misc:

Outlet Type:

5-15 7: Data:

8: Drops:

9: Warranty:

10: Training:

11: Weight:

12: Wall Blocking:

No 0 5 years No 16.00 No

Salient Characteristics Portable defibrillator-monitor-recorder. Integral unit system operable from self-contained rechargeable batteries. ECG may be viewed through paddles or patient, include external pacing and 12-Lead.

· Unit must be Capable of providing Audible and visual advisory prompts with real time audio and visual feedback on CPR quality measures.

· Comprehensive readiness checks: indicators of readiness, including electronics, batteries, cables, electrodes, and defibrillator discharge.

· Lighted symbols: green and red lighted symbols on the defibrillator indicate the status of the device, failures indicated on display

· Visible low battery indicator

· All patient connections must be electrically isolated

· Waveform: Rectilinear Biphasic

· Patient impedance Range: 15 to 300 ohms

· Energy Selection: 1 to 10, 15, 20, 30, 50, 75, 100, 120, 150, and 200 joules selected using controls on defibrillator or sternum paddles.

· Smart Step Energy Levels: Automatically escalates energy through a configured adult or pediatric protocol.

· Charge Time Minimum: 7 seconds with a new fully charged battery

· Synchronized Mode: Synchronizes defibrillator pulse to patient’s “R” wave.

· Paddles: External apex/sternum paddles; adult plates slide off to expose pediatric electrode surface.

· Code Readiness Testing: Verifies defibrillator hardware, therapy delivery cable, electrode condition and expiration without the need for a separate test fixture.

ECG Monitoring:

· Patient Connection: OneStep 3-Lead ECG Cable with AHA Color-Coded Lead Wires

· Lead Selection: I, II, II, aVR, aVL, aVF, V, P1, P2, P3 with one step pacing electrode

· ECG Size: 0.5, 1.0, 1.5, 2.0 or 3.0 cm/mV display on monitor.

· Must include built in test port

· Power: Integrated AC Power and battery pack

· Warranty: 5 years

- Approximate Dimensions: 13” D x 11” W x 9” H Must include the following Options:

-Expansion Pack - See-Thru-CPR Filter/Compression Index, OneStep System w/CPR Cable, Defib Mentor, and WiFi 802.11 -OneStep Pacing - OneStep Pacing Cable (also supports CPR), OneStep Cable Manager & ECG Leads

- Masimo Pulse Oximetry - Signal Extraction Technology. Reusable Adult Sensor w/4 ft Extension Cable

- Ambicom WL 1100C-CF 802.11a,b,g,n WiFi Card - Compact Flash Form Factor - Type 1. Supports up to 11 Mbps data rate per channel

- EtCO2 - CAPNOSTAT® 5 Mainstream CO2 Sensor (use with adult, pediatric, and neonatal patients). Airway adapter not included.

- NIBP - 23-33 centimeter Reusable Cuff & 3 meter Air Hose, RMT Motion Tolerance (use with adult, pediatric, and neonatal patients)

- Battery pack: 120V, 60Hz Rechargeable Lithium Ion Battery Pack, Must include Battery pack: Lithium Ion Battery Order (part # 8019-0535-01)

All Images are for representation only, may not reflect final product.

Qty: 5

Department, Room, Quantity

GERIATRIC CARE (MHIP)

COMM CNTR/NURSE WORK-2316(2)

L 1 (MHIP)

Alcove-1416A(1)

L 2 (MHIP)

Alcove-1100B(1)

UMHC (MHIP)

MED RM-1223(1)

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