6515--BRAND NAME - WELCH ALLYN Green Series 777 w/accessories Wall Vital Machines

Statement of Work

General Scope Statement

Equipment Procurement for the Canandaigua Outpatient Clinic

Procurement Delivery Need: Tentative September 2022

Scope: Construction for the new Canandaigua Outpatient Clinic is scheduled for completion in early September 2022 and ready for equipment/furnishing installation. The Canandaigua VA has a requirement to procure new equipment for the services as well as trade in old units where opportunities exist to maximize costs savings. For the purpose of this SOW, the Canandaigua Outpatient Clinic requires to outfit all the medical Clinics. Reference both brand name or equal section for complete equipment listing.

Cut sheets specific to the brand name make and model were provided to the developer to avoid construction delays. Â Equipment must be fully compatible with current onsite utilities and plumbing, any adjustments in construction will cause significant impact on operations and finances. The Vendor must provide White glove installation and delivery onsite.

Procurement Requirement/Specifications:

Tentative deliveries are scheduled to begin in August 2022; however, delivery schedules could vary based upon construction delays and may be adjusted as required. DO NOT deliver items until coordinated with POC that will be provided upon contract award

Vendor must provide White Glove Delivery of all contracted items due to potential construction delays onsite storage limitations at the VA. White Glove Delivery consists of the following:

Vendor delivers contracted equipment or supplies on day of installation or schedules delivery of all contracted items 24 hours prior to install as there is no onsite storage for any equipment during construction.

Vendor is responsible to remove all packaging material from VA premises upon installation.

Vendor is responsible for Training and education when applicable and shall be completed prior to clinical use.

Brand Name only request. Device is currently utilized at Calkins Rd Outpatient and Bath VAMC. Procurement is for standardization throughout Finger Lakes VA Healthcare System

Project Delivery Location:

Canandaigua VAMC Clinic Bldg. 2

400 Fort Hill Avenue

Canandaigua, NY 14424

Additional Requirement: If applicable, vendors must complete VA Directive 6550 and a Manufacturer Disclosure Statement for Medical Device Security (MDS2) in order to be considered for this request. The VA Directive 6550 and MDS2 forms are required before any potential item can be considered per Office of Information & Technology OI&T intake process requirements. Any media included with offers that store VA sensitive information become property of the VA after purchase and will be excluded from any returns to vendor at no extra cost to the VA. (VA 6500.1 Handbook page 8 section P).

Electrical Safety Requirements: For equipment that will be used in the patient care vicinity, the resistance between the equipment chassis, or any exposed conductive surface of the equipment, and the ground pin of the attachment plug shall be less than .50 ohm. The leakage current flowing through the ground conductor of the power supply connection to ground of permanently wired equipment installed in general or critical care areas shall not exceed 10.mA (AC or DC) with all grounds lifted.

Equipment must comply with standards outlined in both National Fire Protection Association Health Care Facilities (NFPA- 99) standard and the latest edition of The Joint Commission Comprehensive Accreditation Manual for Hospitals.

Standard Warranty Required: All products are required to be warranty free from defects in workmanship and materials, under normal use and conditions, for a period of one year from the date of delivery. During the warranty period, any defect in material or workmanship that requires repair or exchange of a product of comparable nature will occur by seller without charge incurred by the VA. Such repair or replacement is subject to verification and approval by the VA due to Medical Center governing policies.

Shipping: Standard freight on board FOB destination shipping must be included.

Brand name units: Welch Allyn Green Series 777 w/accessories

Qty 44 - WEL 1000981- LICENSE, CONNEX DEVICE (I-50)

Qty 1 - WEL S3-PREMIUM-CS - Connex CS Premium Support Agreement

Qty 44 - WEL 75CT-B - Welch Allyn Connex Spot Monitor with SureBP Non-invasive Blood Pressure, Cofidien Sp02, SureTempPlus Thermometer

Qty 44 - WEL 777-PM2WCX-US - WELCH ALLYN GREEN SERIES 777 Intergrated

Qty 44 - WEL 6000-916HS - KIT, 2D SCANNER, HS-1M, GEN 6 Platform

Qty 44 - WEL DELIVERYASSIST-INS Delivery and installation to Wall

Qty 4 - WEL 71-PM2LDX-US - WELCH ALLYN 3.5V DIAGNOSTIC SET