Statement of Work.pdf

Indian Health Service

Mid-Atlantic Service Unit

Monacan Health Center Pharmacy Equipment

Statement of Work for the

Purchase of Pharmacy Equipment for the Monacan Health Center

01/07/2025

SOW for Purchase of Pharmacy Equipment for the Monacan Health Center Page 1 of 5

Statement of Work (SOW) for the

Purchase of Pharmacy Equipment for the Monacan Health Center

1.0 General

1.1 Background

The Mid-Atlantic Service Unit’s (MASU) mission is to raise the physical, mental, and spiritual health of the Native American population that lives in the geographic area. The mission is implemented by developing Direct Care Services and administering the Purchased/Referred Care (PRC) program. This acquisition will assist the MASU, who is moving to direct care services by establishing two comprehensive health care clinics for seven newly federally recognized tribes. This purchase is for the pharmacy equipment necessary to establish and conduct business in the Monacan Health Center.

1.2 Objective

The primary objective of this action is to obtain Pharmacy Equipment for the newly established Monacan Health Center. The equipment will be used to store vaccines at critical temperatures and to keep narcotics secure in order to serve the MHC patients.

1.3 Scope of Work

Monacan Health Center needs to purchase the following equipment:

•Helmer Scientific iPR256GX pharmacy refrigerator or equivalent (per discretion of service unit) •Temp Armour BFRV36 Vaccine Refrigerator with built in 4-day or longer critical temperature control or equivalent (per discretion of service unit). Size constrictions 35”W x 36 H X 25.5 D •Corepoint Scientific White Diamond Series Countertop Freezer 1.7 Cu Ft PF021WWW-0M or equivalent (per discretion of service unit) •Corepoint Scientific White Diamond Built-In Undercounter Refrigerator 4.6 Cu Ft, under counter solid door, PR051WWW/0 or equivalent (per discretion of service unit) •AMSEC Narco3839 Double Door Narcotics Pharmacy Safe with 10 Roll Out Trays or equivalent (per discretion of service unit), must have audit trail electronic locking mechanism and time delay functionality

Acceptance Criteria:

The vendor must be able to provide all the items on the statement of work.

The vendor must meet or exceed all requirements included in the statement of work. Any equivalents must be approved by the Monacan Health Center.

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The vendor is responsible for the replacement of any and all goods that are damaged during the shipping process at no additional cost to the IHS or MASU.

The vendor shall furnish all personnel, labor, materials, tools, equipment, supervision, and oversight required for the delivery, and setup of the pharmacy equipment in the appropriate location within the clinic.

1.4 Period of Performance

The period of performance of this contract for all items to be delivered is preferably within 90 days from date of award.

1.5 Place of Performance

The contractor shall deliver shipment and provide to the address below. Contractor shall confirm shipping address and delivery date prior to actual shipping. Monacan Health Center Administrative Officer, Lindsey Taylor must be contacted at 804-583-6856 to arrange a date for delivery and installation. The vendor is responsible for delivery to the Pharmacy area of the clinic and for the setup of the equipment.

Indian Health Service MASU – Monacan Health Center 108 Dixie Airport Rd Madison Heights, VA 24572

2.0 Specific Requirements/Tasks

2.1 Technical Requirements

• The vendor must be able to provide all the items in the statement of work and the corresponding Table 1 List of Deliverables.

• The vendor must meet or exceed all requirements included in the statement of work.

• The contractor must assure shipments are packaged properly for safe shipping.

• The contractor is responsible for the replacement of any and all goods that are damaged during the shipping process at no additional cost to the IHS or Mid-Atlantic Service Unit.

• The contractor will assure all pieces meet the specifications in the statement of work or that any changes that the contractor proposes are agreed to by IHS in writing prior to shipment.

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• The contractor will deliver, unpack, and place or install component into the appropriate location within the clinic in accordance to the specification outlined in the statement of work.

• The contractor will remove packing material and any debris associated with the delivery, unpacking or placement of the equipment, from the premises at the time of unpacking and properly dispose of all boxes off of the IHS property.

• The facility does not have a loading dock, the shipping vehicle will be required to have a lift gate to accommodate delivery.

3.0 Delivery or Deliverables

• See Table 1 for Specifications of equipment needed.

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Table 1: Model for List of Deliverables

Line Item

Description Product or Service

Quantity Delivery schedule

OR

Period of performance

Destination

OR

Place of performance

Specifications

001 High Performance Medical Grade Pharmacy Refrigerator

Helmer Scientific iPR256GX pharmacy refrigerator or equivalent

1 90 days after Award

In pharmacy, to the left of the sink area

Energy Star Certified High Performance Refrigerator;

non-residential use; Temp Range 2°C to 10°C;

Lockable doors, password protection settings; remote alarm contacts; alarms for power failure, door ajar, high/low temperature; condenser temperature alarm; downloadable event and temperature logs;

battery back-up for alarm and display; 2 door set up;

less than 60” width; swivel locking caster wheels;

powder coated shelves and/or drawers

002 Vaccine Refrigerator

Temp Armour BFRV36 Vaccine Refrigerator with built in 4-day or longer critical temperature control or equivalent

1 90 days after Award

In pharmacy receiving room to the left of the counter

Size constrictions 35”W x 36 H X 25.5 D; must meet CDC and VFC Vaccine Program requirements and recommendations; chest style opening;

pharmaceutical grade; must be able to maintain critical 2°C to 8°C temperatures for up to four days in the event of a power outage; min-max thermometer;

data logger for temperatures; lockable unit.

003 Countertop Freezer for Vaccine Storage

Corepoint Scientific White Diamond Series Countertop Freezer 1.7 Cu Ft

PF021WWW-0M

or equivalent

1 90 days after Award

In pharmacy receiving room on the counter

Countertop model medical/laboratory grade freezer;

less than 2 cu ft capacity; temperature range -15°C to -25°C; digital temperature display; alarms for high and low temperatures; remote alarm capability;

lockable unit.

004 Undercounter refrigerator for vaccine storage

Corepoint Scientific White Diamond Built-In Undercounter Refrigerator 4.6

1 90 days after Award

In pharmacy receiving room under the counter

Size constrictions 25”W x 34 H X 25.5 D;

medical/laboratory grade; undercounter model;

temperature range 1°C-10°C; digital temperature display; alarms for high and low temperatures;

remote alarm capability; lockable unit.

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Cu Ft, under counter solid door, PR051WWW/0 or equivalent

005 Board of Pharmacy grade narcotics safe with time delay and audit trail mechanism

AMSEC

Narco3839 Double Door Narcotics Pharmacy Safe with 10 Roll Out Trays or equivalent, must have audit trail electronic locking mechanism and time delay functionality

1 90 days after Award

In pharmacy storage room

Double door narcotics safe; minimum 11 gauge steel body; built to Board of Pharmacy specifications;

minimum height of 36”; maximum width of 48”;

maximum depth of 25”; three way locking mechanism to avoid pry attempts; 10 rollout trays; electronic lock with an audit trail that will support a minimum of 10 users with unique codes; audit trail of a minimum of 500 records; time delay functionality; lock out feature after too many code attempts.