6515-- Otoscope\Ophthalmoscope

General Requirements: Brand name or equal scopes are needed for the San Antonio, TX in accordance with the following requirements:

ITEM NUMBER

DESCRIPTION OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

0001

15.00

EA

$00.00

$00.00

JSN# M4050 - HEIGHT MEASURING DEVICE, PRECISION HEIGHT GUAGE F/SCALE

LOCAL STOCK NUMBER: 845010W

0002

11.00

EA

$00.00

$00.00

JSN# M4100 - SPYGMOMANOMETER, ANEROID, WALL MOUNTED WALL ANEROID W/ 8" TUBING

LOCAL STOCK NUMBER: 7670-02

0003

107.00

EA

$00.00

$00.00

JSN: M4100A - SPYGMOMANOMETER, ANEROID, WALL MOUNTED W/8" TUBING, RAIL MOUNTED

LOCAL STOCK NUMBER: 7670-02

0004

107.00

EA

$00.00

$00.00

M4100a - SPHYGMOMANOMETER, ANEROID, RAIL MOUNTED RAIL MOUNT KIT, 767 WALL

LOCAL STOCK NUMBER: 7670-09

0005

10.00

EA

$00.00

$00.00

JSN# M4200 - OTOSCOPE/OPHTHALMOSCOPE, WALL MOUNTED WALL TRANSFORMER W/ SPECULA DISPENSER

LOCAL STOCK NUMBER: 77510

0006

10.00

EA

$00.00

$00.00

JSN#: M4200 - OTOSCOPE/OPHTHALMOSCOPE, WALL MOUNTED DISPENSER, SM EAR SPEC_CONNEX IWS, FULL

LOCAL STOCK NUMBER: 52400-PF

0007

10.00

EA

$00.00

$00.00

JSN#: M4200 - OTOSCOPE/OPHTHALMOSCOPE, WALL MOUNTED, DIAGNOSTIC BOARD ONLY, NO INSTRUMENTS, 30" (W) X 12" (H)

LOCAL STOCK NUMBER: 77790-3

0008

106.00

EA

$00.00

$00.00

OTOSCOPE / OPHTHALMOSCOPE, RAIL MOUNTED WALL TRANSFORMER W/SPECULA DISPENSER

LOCAL STOCK NUMBER: 77510

0009

106.00

EA

$00.00

$00.00

JSN#: M4200A - OTOSCOPE/OPHTHALMOSCOPE, RAIL MOUNTED DISPENSER, SM EAR SPEC_CONNEX IWS, FULL

LOCAL STOCK NUMBER: 52400-PF

0010

2.00

EA

$00.00

$00.00

JSN#: M4205 - OTO/OPHTHALMOSCOPE SET, 3.5V HALOGEN OPHTHALMOSCOPE/MACROVIEW OTOSCOPE SET

LOCAL STOCK NUMBER: 97151-M

0011

116.00

EA

$00.00

$00.00

3.5V STANDARD OPTHALMOSCOPE HEAD (HEAD ONLY)

LOCAL STOCK NUMBER: 11710

0012

116.00

EA

$00.00

$00.00

3.5V STANDARD OTOSCOPE HEAD W/ SPECULA (HEAD ONLY)

LOCAL STOCK NUMBER: 25020

GRAND TOTAL

$00.00

South Texas Veterans Health Care System (San Antonio, TX)

SA Northwest Health Care Center Outpatient Clinic

9939 State Hwy 151

San Antonio, TX 78251

SA Northwest Health Care Center Outpatient Clinic

Initial Outfitting, Transition & Activation Project

Equipment Package

General Conditions and Statement of Work

Package #043

South Texas Veterans Health Care System (San Antonio, TX)

SA Northwest Health Care Center Outpatient Clinic

9939 State Hwy 151

San Antonio, TX 78251

General Conditions and Statement of Work

Med Equip

Page 2 of 3

Introduction

The VA SA Northwest Health Care Center Outpatient Clinic (NWHCC) has a requirement to purchase Med Equip with an authorized vendor to supply and deliver the item(s) identified in Table 1 below. This requirement is in support of a basis of design brand or equal requirement. See FAR Clause 52.211-6 Basis of Design Brand or Equal (AUG 1999) for additional information. See attachments for salient characteristics. This requirement is in support of the activation of the NWHCC. Item(s) are to be delivered to the location specified in section 2.4.1.

Table 1 Package Items Summary

Item Number

Item Description

Quantity

M4050

Height Measuring Device, Precision

15

M4100

Sphygmomanometer, Aneroid, Wall Mounted

11

M4100A

Sphygmomanometer, Aneroid, Rail Mounted

107

M4200

Otoscope/Ophthalmoscope, Wall Mounted

10

M4200A

Otoscope/Ophthalmoscope, Rail Mounted

106

M4205

Oto/Ophthalmoscope Set

2

General Conditions

Site Address

The address of the VA SA Northwest Health Care Center Outpatient Clinic is listed below. Additional information on delivery is located in section 2.4.

SA Northwest Health Care Center Outpatient Clinic

Initial Outfitting, Transition and Activation Project

9939 State Hwy 151

San Antonio, TX 78251

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

Building Name

Building # & Letter

Acronym

Est. Delivery Start Date

Est. Delivery End Date

VA SA Northwest Health Care Center Outpatient Clinic

N/A

NWHCC

2021-07-01

2021-10-01

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 30+ 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 Ronnie Barber (primary), 210617530019264 or Joseph Catrucco (secondary), 210617530015306 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.

VA SA Northwest Health Care Center Outpatient Clinic

(Direct Delivery to address detailed in paragraph 2.1.1)

Warehouse

NWHCC/GoE Warehouse

9710 Ball Street, Suite #112

San Antonio, TX 78217

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.

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 Central 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.

Use of Warehouse

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.

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.

Assembly and Installation [ is is not required]

The vendor is required to manage and coordinate installation at the VA NWHCC with the VA POC.

On-site assembly and installation of items, and performance of services 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 Central Time), Monday through Friday, and excluding Federal Holidays.

The vendor is required to define the need for a staging area to accommodate item assembly and installation, if needed. Post-award, this information will be confirmed with the vendor.

The vendor is required to provide tools, labor and materials to complete assembly and installation of the items detailed in this document.

The vendor shall protect all finished spaces and surfaces as required from delivery and installation damage. The vendor shall use covering and protection to the extent necessary to prevent damage to finished spaces. Any damage occurred during delivery and installation is the responsibility of the vendor. The vendor will be responsible for paying for and repairing any damage or noted deficiencies to finished spaces and surfaces that occur as a result of the vendor s (or associated sub-contractors) installation.

During the entire duration of assembly and installation, the vendor will have a competent representative on-site as the vendor s contact, and to serve as the interface between the vendor and VA NWHCC. On-site representative can be the installer. All instructions provided from COR to the representative will be binding as if given to the vendor s main contact. The COR may provide specific instructions, however, only the Contracting Officer may change the terms or conditions of the contract.

Training [ is is not required]

The vendor shall coordinate through the VA POC to provide a hands-on training session to staff selected by the VA. Training shall be completed within 45 days after final installation of equipment. The vendor will record the training and provide a electronic copy of the training to the VA POC for VA to use to train additional personal at a future date. In addition, the vendor shall provide additional training documents to the VA POC for training additional persons at a future date.

Standard Warranty

The products shall be covered by vendor s standard warranty terms and provisions, provided, however that the warranty coverage shall be no less than the following:

The Vendor shall provide a warranty certificate/form stating the warranty period, terms, and information required to initiate the warranty.

The warranty period set forth therein shall run for one year following the first day of use at NWHCC;

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 VA NWHCC premises, the vendor shall perform all work in such a manner that will cause a minimum interference with VA NWHCC 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 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).

General Conditions and Statement of Work

Package 043: Med Equip

Page 6 of 6

STVHCS Consolidated Lease Project

M4050

9939 State Hwy 151

San Antonio, TX 78251

_

Project: STVHCS Consolidated Lease Project

Issue Date: August 2021

_

Total Quantity: 15

Finish Sample Required if Checked Manufacturer Certified Installation Required if Checked

_

BMET Training Required if Checked End User Training Required if Checked

_

Item Name: Height Measuring Device, Precision

Basis of Design Brand or Equal: Hillrom - Welch Allyn, Inc. | 845010W Height Gauge (Wall Mounted) | 845010W

Width: 4 in. Depth: 4 in. Height: 52 in.

Salient Characteristics: Main Image:

Wall mounted Stadiometer/Height gauge. Measures in inches and centimeters. Include wall mount hardware and bracket

General Conditions and Statement of Work

Package 043: Med Equip

Page 7 of 7

STVHCS Consolidated Lease Project

M4100

9939 State Hwy 151

San Antonio, TX 78251

_

Project: STVHCS Consolidated Lease Project

Issue Date: August 2021

_

Total Quantity: 11

Finish Sample Required if Checked Manufacturer Certified Installation Required if Checked

_

BMET Training Required if Checked End User Training Required if Checked

_

Item Name: Sphygmomanometer, Aneroid, Wall Mounted

Basis of Design Brand or Equal: Hillrom - Welch Allyn, Inc. | 767 Wall Gauge Only w/ 8ft Tubing | 7670-02

Width: 6.25 in. Depth: 4 in. Height: 6.25 in.

Salient Characteristics: Main Image:

Wall mount aneroid sphygmomanometer with 8ft Tubing. Certified accuracy to +/- 3mmHg, latex- and Mercury-free and lifetime calibration warranty reduces cost of ownership. 1- Adult cuff included. Include wall mount hardware and bracket

General Conditions and Statement of Work

Package 043: Med Equip

Page 8 of 8

STVHCS Consolidated Lease Project

M4100A

9939 State Hwy 151

San Antonio, TX 78251

_

Project: STVHCS Consolidated Lease Project

Issue Date: August 2021

_

Total Quantity: 107

Finish Sample Required if Checked Manufacturer Certified Installation Required if Checked

_

BMET Training Required if Checked End User Training Required if Checked

_

Item Name: Sphygmomanometer, Aneroid, Rail Mounted

Basis of Design Brand or Equal: Hillrom - Welch Allyn, Inc. | 767 Wall Gauge Only w/ 8ft Tubing | 7670-02

Width: 6.25 in. Depth: 4 in. Height: 6.25 in.

Salient Characteristics: Main Image:

Rail mount aneroid sphygmomanometer with 8ft Tubing. Certified accuracy to +/- 3mmHg, latex- and Mercury-free and lifetime calibration warranty reduces cost of ownership. Include mounting hardware for mount to rails

General Conditions and Statement of Work

Package 043: Med Equip

Page 9 of 9

STVHCS Consolidated Lease Project

M4200

9939 State Hwy 151

San Antonio, TX 78251

_

Project: STVHCS Consolidated Lease Project

Issue Date: August 2021

_

Total Quantity: 10

Finish Sample Required if Checked Manufacturer Certified Installation Required if Checked

_

BMET Training Required if Checked End User Training Required if Checked

_

Item Name: Otoscope/Ophthalmoscope, Wall Mounted

Basis of Design Brand or Equal: Hillrom - Welch Allyn, Inc. | Green Series 777 [77510] (with Specula Dispenser) | 77510 / 52400-PF

Width: 9.25 in. Depth: 5 in. Height: 8.25 in.

Salient Characteristics: Main Image:

Oto/Ophtalmoscope wall mount set. Features: Handles automatically turn on/off, 12 feet cord length, Includes 52400-PF Kleenspec specula dispenser, ophthalmoscope/otoscope Instrument heads must be included. Include wall mount hardware and bracket.

General Conditions and Statement of Work

Package 043: Med Equip

Page 10 of 11

STVHCS Consolidated Lease Project

M4200A

9939 State Hwy 151

San Antonio, TX 78251

_

Project: STVHCS Consolidated Lease Project

Issue Date: August 2021

_

Total Quantity: 106

Finish Sample Required if Checked Manufacturer Certified Installation Required if Checked

_

BMET Training Required if Checked End User Training Required if Checked

_

Item Name: Otoscope/Ophthalmoscope, Rail Mounted

Basis of Design Brand or Equal: Hillrom - Welch Allyn, Inc. | Green Series 777 [77510] (with Specula Dispenser) | 77510 / 52400-PF

Width: 9.25 in. Depth: 5 in. Height: 8.25 in.

Salient Characteristics: Main Image:

Oto/Ophtalmoscope rail mounted set. Features: Handles automatically turn on/off, 12 feet cord length, Includes 52400-PF Kleenspec specula dispenser. ophthalmoscope/otoscope Instrument heads must be included. Include mounting hardware for mount to rails

STVHCS Consolidated Lease Project

M4205

9939 State Hwy 151

San Antonio, TX 78251

_

Project: STVHCS Consolidated Lease Project

Issue Date: August 2021

_

Total Quantity: 2

Finish Sample Required if Checked Manufacturer Certified Installation Required if Checked

_

BMET Training Required if Checked End User Training Required if Checked

_

Item Name: Oto/Ophthalmoscope Set

Basis of Design Brand or Equal: Hillrom - Welch Allyn, Inc. | 97151-M | 97151-M

Width: 7.25 in. Depth: 3.5 in. Height: 8 in.

Salient Characteristics: Main Image:

Oto/Ophthalmoscope set with universal charger with two 3.5v rechargeable, 60-minute power handles with Nickel-Cadmium batteries. To include otoscope heads with wide-angle viewing lens. Sealed system for pneumatic otoscopy.

52.211-6 Brand Name or Equal.

As prescribed in 11.107(a), insert the following provision:

Brand Name or Equal (Aug 1999)

     (a) If an item in this solicitation is identified as brand name or equal, the purchase description reflects the characteristics and level of quality that will satisfy the Government s needs. The salient physical, functional, or performance characteristics that equal products must meet are specified in the solicitation.

     (b) To be considered for award, offers of equal products, including equal products of the brand name manufacturer, must-

          (1) Meet the salient physical, functional, or performance characteristic specified in this solicitation;

          (2) Clearly identify the item by-

               (i) Brand name, if any; and

               (ii) Make or model number;

          (3) Include descriptive literature such as illustrations, drawings, or a clear reference to previously furnished descriptive data or information available to the Contracting Officer; and

          (4) Clearly describe any modifications the offeror plans to make in a product to make it conform to the solicitation requirements. Mark any descriptive material to clearly show the modifications.

     (c) The Contracting Officer will evaluate equal products on the basis of information furnished by the offeror or identified in the offer and reasonably available to the Contracting Officer. The Contracting Officer is not responsible for locating or obtaining any information not identified in the offer.

     (d) Unless the offeror clearly indicates in its offer that the product being offered is an equal product, the offeror shall provide the brand name product referenced in the solicitation.

(End of clause)

VAAR 852.212-72 Gray Market Items:

a) Gray market items are Original Equipment Manufacturers' (OEM) goods sold through unauthorized channels in direct competition with authorized distributors. This procurement is for new OEM medical equipment only for VA Medical Centers. No remanufactures or gray market items will be acceptable.

(b) Vendor shall be an OEM, authorized dealer, authorized distributor or authorized reseller for the proposed equipment/system, verified by an authorization letter or other documents from the OEM, such that the OEM's warranty and service are provided and maintained by the OEM. All software licensing, warranty and service associated with the equipment/system shall be in accordance with the OEM terms and conditions.

(End of clause)

FAR 52.212-2 Evaluation-Commercial Items: A copy of the authorized distributor letter from the contractor to verify that you are an authorized distributor of the products/services SHALL BE SUBMITTED WITH THE QUOTE AND IS MANDATORY.