6515-- Brand Name or Equal to Hausmann Industries Model 1357 - Platform Mounted Parallel Bars with Electric Height and Width. Total Small Business Set-aside.

STATEMENT OF WORK (SOW)

1. Contracting Officer s Representative (COR).

Name:

Jason Tedrow

Section:

Lead Medical Technologist

Address:

University Drive, Pittsburgh, PA 15240

Phone Number:

412-360-1534

Fax Number:

E-Mail Address:

Jason.Tedrow2@va.gov

2. Contract Title. Brand Name or Equal to the Hausmann Industries Model 1357 Powered Platform Mounted Parallel Bars with electric height and width.

3. Background. The VA Pittsburgh Healthcare System (VAPHS) Medicine Department requires one (1) Brand Name or Equal to the Hausmann Industries Model 1357 Powered Platform Mounted Parallel Bars with electric height and width for patient care.

This request is for an additional Hausmann Industries 1357 Powered Platform Mounted Parallel Bars with electric height and width. The PM&R department currently has another Hausmann Industries Model 1357 Powered Platform Mounted Parallel Bars set and requires another set. The department desires standardization and requests that the additional set to be the same or similar to the existing set so that patients will be able to use either without change.

4. Scope.

The vendor shall deliver (1) Hausmann Industries Model 1357 Powered Platform Mounted Parallel Bars with electric height and width.

5. Specific Tasks.

Hausmann Industries Model 1357 Powered Platform Mounted Parallel Bars with electric height and width.

Specific criteria for the Hausmann Industries Model 1357 Powered Platform Mounted Parallel Bars with electric height and width:

Individual digital controls for both height and width adjustment

Battery powered.

Overhangs platform by 12 for wheelchair assistance.

600 lb weight capacity, 300 lb each side

Easy grip 2 bars

Includes extra battery and charging cradle.

3mm platform edge for durab

Length 10ft

Width range of 19in - 33in

Height range of 24in 40in

6. Place of Performance.

Government site: VA Hospital H J Heinz Campus, 1010 Delafield Rd, Pittsburgh, PA 15215

PM&R Department (Bldg. 71, Room 1C131)

7. Period of Performance. this is a one-time equipment purchase.

8. Delivery Location.

VA Hospital H J Heinz Campus University Dr

1010 Delafield Rd

Pittsburgh, PA 15215

Physical Medicine and Rehabilitation

Scheduling, Hours of Work, and Location: Deliver all line items specified under Data/Deliverables to point of contact during normal operating hours, M-F 8:00am 3:30pm:

Influenza Vaccination

VHA Directive 1192 requires all health care personnel (HCP) to participate in the seasonal influenza prevention program and outlines the key implementation steps. Health care personnel is defined in VHA Directive 1192 as all VA licensed and unlicensed, clinical and administrative, paid and unpaid, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, students, researchers, volunteers, and trainees who work in VHA locations. HCP covered by the policy are expected to receive annual influenza vaccination. This requirement is extended to all Contractor personnel with potential to come into minimal contact (passing in the corridor) with any patients, visitors, or staff members at VA Medical Center s.

Those individuals unable or unwilling to be vaccinated are required to wear a face mask throughout the influenza season. Masks are available at entrances throughout the medical center.

It is the responsibility of the contractor to ensure that all contract staff is compliant with the requirements outlined in VHA Directive 1192. The contractor shall maintain the following documentation:

- Documentation of vaccination, e.g., signed record of immunization from a health care provider or pharmacy, or a copy of medical records documenting the vaccination.

- Completed Health Care Personnel Influenza Vaccination Form (Attachment B of VHA Directive 1192) if unwilling or unable to receive the vaccine.

The contractor is required to submit annual certification in the form of a memorandum to the Contracting Officer s Representative (COR) that all contract staff performing services at VA facilities is in compliance with VHA Directive 1192.

Tuberculosis Prevention

Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for personnel within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year.

TUBERCULOSIS TESTING: Contractor shall provide proof of a negative reaction to PPD testing for all contract personnel. A negative chest radiographic report for active tuberculosis shall be provided in cases of positive PPD results. The PPD test shall be repeated annually.

COVID 19

Contractor shall provide evidence of vaccination records or a negative COVID testing result within 72 hours of planned onsite visitation. This is to include installation, training, maintenance, and repairs.

Emergency repairs will be evaluated on a case-by-case situation.

HIPAA Training Certificates

If Contractor will be working onsite for installation and activation of equipment, all HIPAA training completion documentation must be provided to the COR listed in the awarded contract.

Smoking

All VA Medical Center s property is smoke-free. Contractor personnel will comply with VA Medical Center s smoking policies. Violations will result in a warning and possible citation.