6520--BRAND NAME ONLY Promeca ProMax TO BE DELIVERED NO EARLIER THAN NOVEMBER 12, 2021

VA HANDBOOK 6500.6 MARCH 12, 2010

APPENDIX C

C-12

STATEMENT OF WORK

Planmeca ProMax

TOGUS VA MEDICAL CENTER

General Information: Contractor shall provide delivery, installation, and training for (1) Planmeca ProMax 3D Classic 2D/3D Imaging Platform with accessories. This equipment will be installed and delivered to The New Portland Community Based Outpatient Clinic. THIS EQUIPMENT NEEDS TO BE DELIVERED NO EARLIER THAN NOVEMBER 12, 2021 AND NOT TO EXCEED 30 DAYS AFTER THIS DATE.

Location: Department of Veterans Affairs, Portland Community Based Outpatient Clinic, 141 W. Commercial St. Portland, ME, 04102

Type of Contract: Firm-Fixed Price

Description: The VA Maine Healthcare System has a new super-size CBOC outpatient clinic in Portland Maine under construction to expand access to more veterans in the southern part of the state. This clinic will a have a 6-room dental treatment clinic, including dental treatment chairs, delivery systems and treatment lights to support dental operations identical to dental services offered at the main VA campus at Togus, as well as the other super CBOC in Bangor. All of these items with these particular configurations and options are required to provide the new CBOC in Portland with the same capabilities, treatment services offered, work flow, and staff familiarity and competency as those at the main VA campus at Togus, and the Bangor CBOC. This is a brand name requirement.

Equipment to be procured:

Model No.

Description

Quantity

CBVT-P-SP

Planmeca ProMax 3D Classic 2D/3D Imaging Platform

(ECAT # UGSCBVT-P-SP)

1

GOVT FREE GOODS

CALM®, EFOV, Endo Module and Implant Library

1

INSTALL3D

PLANMECA 3D ASE Installation (ECAT # UGSINSTALL3D)

1

ONSITE TR

Full Day Onsite 2D/3D/Romexis® Software and Image Acquisition Training (ECAT #

UGSTRAINING)

1

PROX-80

ProX with Single Stud Mount and 80" arm (ECAT # UGSPROX-80)

6

FE003793ETH-K

PLANMECA ProSensor HD Set with Sensor Size 2 (ECAT # UGSFE003793)

6

FE003796

PLANMECA ProSensor HD Size 1 with 3ft Cable (ECAT # UGSFE003796)

2

0006001012

Round Cone 30cm (12 in cone extension) (ECAT # UGS6001012)

6

INSTALLIOD

PLANMECA Intra Oral X-ray with Digital Sensors ASE Installation (ECAT # UGSINSTALLIOD)

6

FE001393

DICOM Full License Romexis (ECAT # UGSFE001393)

1