Inactive

VA Chesapeake Community Based Outpatient Clinic (CBOC) Chesapeake HCC1 2 Chesapeake HCC1 Initial Outfitting, Transition & Activation Project Equipment Package #168 Surgical Microscope, Ceiling Mounted... VA Chesapeake Community Based Outpatient Clinic (CBOC) Chesapeake HCC1 2 Chesapeake HCC1 Initial Outfitting, Transition & Activation Project Equipment Package #168 Surgical Microscope, Ceiling Mounted General Conditions and Statement of Work Page 6 of 6 INTRODUCTION The Chesapeake, Virginia HCC1 has a requirement to purchase a surgical microscope, ceiling mounted with an authorized vendor to supply and deliver the item(s) identified in Table 1 below. This requirement is in support of a brand name or equal requirement. See FAR Clause 52.211-6 Brand Name or Equal (AUG 1999) for additional information. See attachments for salient characteristics. This requirement is in support of the activation of the Chesapeake HCC1. Item(s) are to be delivered to the location specified in section 2.4.1. Table 1 Package Items Summary Item# JSN Description QTY 0001 M8530 M A1006, 6-Step A-Series microscope, AXIS , system, angle arm and coupler, Brand Name or Equal Brand Name or Equal 1 0002 M8530 M A1022-10 Inclinable binocular, 0-220 degrees,f:160, 10X eyepieces, Brand Name or Equal Brand Name or Equal 1 0003 M8530 M 1028ML Multi-focal lens, 200-350mm optical, Brand Name or Equal 1 0004 M8530 M A730C Ceiling mount, mounting plate, Brand Name or Equal 1 0005 M8530 M A730-C10 Ceiling column for 10 ft. mounting, surface (not drop ceiling height) Brand Name or Equal 1 0006 M8530 M A730-45A 45 degree arm, spring arm, extension, arm (for use with high wall and ceiling mount), Brand Name or Equal 1 0007 M8530 M A801-LED LED lightsource for the A-Series , microscope, green and amber (UV), Brand Name or Equal 1 0008 M8530 M 517-4K CAMERA, 4K, USB POWER WITH Foot Pedal, Brand Name or Equal 1 0009 M8530 M 528X X mount adapter without camera ring coupler, Brand Name or Equal 1 0010 M8530 M 528XAPSC X-MOUNT CAMERA ADAPTER WITH T-MOUNT, FOR APS-C REMOVABLE LENS DIGITAL CAMERAS, Brand Name or Equal 1 0011 M8530 M 528XSLR-NEX T mount to E mount adapter for Sony NEX and A6000 cameras Sony PC100 and 110, Brand Name or Equal 1 0012 M8530 M 528XSPC Camera ring coupler, 37mm thread for Sony PC100 and 110, Brand Name or Equal 1 0013 M8530 M A528STHDC Camera adapter, HD video, A-Series, Brand Name or Equal 1 0014 M8530 M A1061-D50 Dual port beam splitter, 50/50 and 50/50 ports, dove tail mount Brand Name or Equal 1 0015 M8530 Installation 1 GENERAL CONDITIONS SITE ADDRESS The address of the Chesapeake VA HCC1 is listed below. Additional information on delivery is located in section 2.4. 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. The installation of the Microscope must be coordinated with the general contractor after delivery of the microscope to site. Table 2 Anticipated Building Outfitting Schedule Building Name Building # & Letter Order Items Est. Delivery Start Date Est. Delivery End Date Chesapeake VA HCC1 HCC1 Surgical Microscope, Ceiling mounted JSN: M8530 12/11/2023 12/19/2023 Chesapeake VA HCC1 HCC1 Installation of Microscope by supplier 12/19/2023 12/22/203 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 90 days due to construction delays. The vendor shall coordinate installation with the VA POC and general contractor to ensure the infrastructure and ceiling mounts are installed and the site is ready for installation of the microscope. 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: Curtis Dawson_(Office); 757-315-3924 (Cell) 757-633-2741_ 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. Vendor responsible for conducting a site visit to verify logistics and loading dock access/egress. Chesapeake VA HCC1 70 Knells Ridge BLVD Chesapeake VA 23320 Chesapeake VA Off-Site Activation Warehouse TBD 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 Eastern Standard 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. 2.4.7 Delivery and Installation includes: Offloading the equipment from the truck, moving the equipment to the correct delivery location in the space, uncrating or unboxing the equipment and removing all trash, setting up the equipment according to the manufacturers specification and testing the equipment to verify that it is operational. Equipment installation paperwork & warranty information must be handed to the approved government contact onsite. See Sections 2.8, 2.9, & 2.10 below USE OF WAREHOUSE-NOT APPLICABLE DIRECT DELIVERY TO THE NEW FACILITY 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. AutoCad or Revit drawings are not a requirement of this SOW 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. 2.7.3 Network Required if Checked Manufacturer Certified Installation Required if Checked BMET Training Required if Checked End User Training Required if Checked ASSEMBLY AND INSTALLATION [ IS IS NOT ] REQUIRED. The vendor is required to manage and coordinate installation at the Chesapeake VA HCC1 with the VA POC. Installation and assembly shall take place during normal business hours which are defined as: 0800 to 1630 (i.e.: 8:00am to 4:30pm Eastern Standard 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 Chesapeake VA HCC1. 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 an 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. If checked in Section 2.7.3 the vendor is to provide training to the onsite and/or regional BioMed Representative working for the VA. All documents related to the installation, maintenance, and warranty information is to be turned over to the BioMed representative(s) once training is completed. STANDARD WARRANTY The products shall be covered by vendor s standard warranty terms and provisions. Vendors to provide their standard warranty information in their proposals. It should be noted however that the warranty coverage shall be no less than 1 YEAR per VA policy. The warranty period set forth therein shall be for one year following the first patient day at the new . 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 RCVAHC premises, the vendor shall perform all work in such a manner that will cause a minimum interference with RCVAHC 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 (GC) 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). 2.11.4 The vendors shall abide by all rules and regulations set forth by the CDC & the RCVAOPC due to the Coronavirus (COVID-19) and have their own personal protective equipment (PPE) in use for the time they are on the GLA campus grounds. SALIENT CHARACTERISTICS Next Page Project Name: Hampton Roads Project Location: Chesapeake, Virginia Cat Code: VC JSN: M8530 Date Prepared: August 3, 2023 Brand Name or Equal Nomenclature: Microscope, Operating, Ceiling Mounted Manufacturer: Global Surgical Corporation Model Name: M A 730 Series Dealer: Model Number: 6-Step AXIS Microscope Email: 3rd Party Install: No Room Nbr(s): See Attached Phone: 800-767-8726 Dimensions: D 60.00 in W 60.00 in H 62.00 in D 1524 mm W 1524 mm H 1574.8 mm 1: Plumbing: 2: Electrical: Hospital Grade (115/230 VAC, 15A, 50/60 Hz) Earth Grounded, Duplex Rec. controlled by wall switch, Locking IEC with an equivalent power cord DC: Yes EP: No Addl Outlets: Amps: Medical Gas: 3: 4: Misc Gas: 5: NonMed Gas: 6: Misc: WALL/CEILING SUPPORT REQUIRED Outlet Type: 7: Data: 8: Drops: 9: Warranty: 10: Training: 11: Weight: 12: Wall Blocking: No limited lifetime Yes No Salient Characteristics Ceiling mounted operating microscope. Unit consists of a binocular microscope body equipped with a range of available accessories for co-observation, documentation and illumination, motorized zoom and precision focusing system. Unit is held by an adjustable arm attached to a ceiling support mechanism. A3 Series Magnification/ Field of view: 3.2 / 62 6.4 / 32 12.8 / 16 Three-stage filter: clear, amber, and green Ergonomic handles with integrated magnification changer LED light source Ceiling mounted microscope parts: M A1006 6-Step A-Series microscope, angle arm and coupler M A1022-10 Inclinable binocular, 0-220 degrees,f:160, 10X eyepieces M 1028ML Multi-focal lens, 200-350mm optical range M A730C Ceiling mount, mounting plate, standard drop ceiling M A730-C10 Ceiling column for 10 ft. mounting surface (not drop ceiling height) M A730-45A 45 degree arm, spring arm, extension arm (for use with high wall and ceiling mount) M A801-LED LED light source for the microscope, green and amber (UV) filter Locking IEC with an equivalent power cord for microscope must be included. Video and Photography upgrades consists of 7 parts: M 517-4K CAMERA, 4K, USB POWER WITH FOOT PEDAL M 528X X mount adapter without camera ring coupler M 528XAPSC X-MOUNT CAMERA ADAPTER WITH T-MOUNT, FOR APS-C REMOVABLE LENS DIGITAL CAMERAS M 528XSLR-NEX T mount to E mount adapter for Sony NEX and A6000 cameras M 528XSPC Camera ring coupler, 37mm thread for Sony PC100 and 110 M A528STHDC Camera adapter, HD video, A-Series M A1061-D50 Dual port beam splitter, 50/50 and 50/50 ports, dove tail mount INSTALLATION NOTE: -This equipment needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided in the Owner s Manual 110-013-079. -The supporting structure for the ceiling mount must be capable of supporting a minimum of 500lbs -Required a hospital grade earth-ground AC outlet, duplex electrical outlet (115/230 VAC,15 Amp, 50/60 Hz) above the mounting surface and within 2 feet of the center of the microscope, recommended to be connected to a separate circuit breaker with the electrical outlet controlled by a wall switch. Outlet must meet all local and federal electrical code requirements. Locking IEC with an equivalent power cord is required Image Finishes/Options Qty: 1 Department, Room, Quantity DENTAL CLINIC DENTAL TRMNT 1-B2112(1)

Inactive

VA Chesapeake Community Based Outpatient Clinic (CBOC) Chesapeake HCC1 2 Chesapeake HCC1 Initial Outfitting, Transition & Activation Project Equipment Package #168 Surgical Microscope, Ceiling Mounted... VA Chesapeake Community Based Outpatient Clinic (CBOC) Chesapeake HCC1 2 Chesapeake HCC1 Initial Outfitting, Transition & Activation Project Equipment Package #168 Surgical Microscope, Ceiling Mounted General Conditions and Statement of Work Page 6 of 6 INTRODUCTION The Chesapeake, Virginia HCC1 has a requirement to purchase a surgical microscope, ceiling mounted with an authorized vendor to supply and deliver the item(s) identified in Table 1 below. This requirement is in support of a brand name or equal requirement. See FAR Clause 52.211-6 Brand Name or Equal (AUG 1999) for additional information. See attachments for salient characteristics. This requirement is in support of the activation of the Chesapeake HCC1. Item(s) are to be delivered to the location specified in section 2.4.1. Table 1 Package Items Summary Item# JSN Description QTY 0001 M8530 M A1006, 6-Step A-Series microscope, AXIS , system, angle arm and coupler, Brand Name or Equal Brand Name or Equal 1 0002 M8530 M A1022-10 Inclinable binocular, 0-220 degrees,f:160, 10X eyepieces, Brand Name or Equal Brand Name or Equal 1 0003 M8530 M 1028ML Multi-focal lens, 200-350mm optical, Brand Name or Equal 1 0004 M8530 M A730C Ceiling mount, mounting plate, Brand Name or Equal 1 0005 M8530 M A730-C10 Ceiling column for 10 ft. mounting, surface (not drop ceiling height) Brand Name or Equal 1 0006 M8530 M A730-45A 45 degree arm, spring arm, extension, arm (for use with high wall and ceiling mount), Brand Name or Equal 1 0007 M8530 M A801-LED LED lightsource for the A-Series , microscope, green and amber (UV), Brand Name or Equal 1 0008 M8530 M 517-4K CAMERA, 4K, USB POWER WITH Foot Pedal, Brand Name or Equal 1 0009 M8530 M 528X X mount adapter without camera ring coupler, Brand Name or Equal 1 0010 M8530 M 528XAPSC X-MOUNT CAMERA ADAPTER WITH T-MOUNT, FOR APS-C REMOVABLE LENS DIGITAL CAMERAS, Brand Name or Equal 1 0011 M8530 M 528XSLR-NEX T mount to E mount adapter for Sony NEX and A6000 cameras Sony PC100 and 110, Brand Name or Equal 1 0012 M8530 M 528XSPC Camera ring coupler, 37mm thread for Sony PC100 and 110, Brand Name or Equal 1 0013 M8530 M A528STHDC Camera adapter, HD video, A-Series, Brand Name or Equal 1 0014 M8530 M A1061-D50 Dual port beam splitter, 50/50 and 50/50 ports, dove tail mount Brand Name or Equal 1 0015 M8530 Installation 1 GENERAL CONDITIONS SITE ADDRESS The address of the Chesapeake VA HCC1 is listed below. Additional information on delivery is located in section 2.4. 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. The installation of the Microscope must be coordinated with the general contractor after delivery of the microscope to site. Table 2 Anticipated Building Outfitting Schedule Building Name Building # & Letter Order Items Est. Delivery Start Date Est. Delivery End Date Chesapeake VA HCC1 HCC1 Surgical Microscope, Ceiling mounted JSN: M8530 12/11/2023 12/19/2023 Chesapeake VA HCC1 HCC1 Installation of Microscope by supplier 12/19/2023 12/22/203 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 90 days due to construction delays. The vendor shall coordinate installation with the VA POC and general contractor to ensure the infrastructure and ceiling mounts are installed and the site is ready for installation of the microscope. 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: Curtis Dawson_(Office); 757-315-3924 (Cell) 757-633-2741_ 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. Vendor responsible for conducting a site visit to verify logistics and loading dock access/egress. Chesapeake VA HCC1 70 Knells Ridge BLVD Chesapeake VA 23320 Chesapeake VA Off-Site Activation Warehouse TBD 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 Eastern Standard 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. 2.4.7 Delivery and Installation includes: Offloading the equipment from the truck, moving the equipment to the correct delivery location in the space, uncrating or unboxing the equipment and removing all trash, setting up the equipment according to the manufacturers specification and testing the equipment to verify that it is operational. Equipment installation paperwork & warranty information must be handed to the approved government contact onsite. See Sections 2.8, 2.9, & 2.10 below USE OF WAREHOUSE-NOT APPLICABLE DIRECT DELIVERY TO THE NEW FACILITY 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. AutoCad or Revit drawings are not a requirement of this SOW 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. 2.7.3 Network Required if Checked Manufacturer Certified Installation Required if Checked BMET Training Required if Checked End User Training Required if Checked ASSEMBLY AND INSTALLATION [ IS IS NOT ] REQUIRED. The vendor is required to manage and coordinate installation at the Chesapeake VA HCC1 with the VA POC. Installation and assembly shall take place during normal business hours which are defined as: 0800 to 1630 (i.e.: 8:00am to 4:30pm Eastern Standard 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 Chesapeake VA HCC1. 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 an 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. If checked in Section 2.7.3 the vendor is to provide training to the onsite and/or regional BioMed Representative working for the VA. All documents related to the installation, maintenance, and warranty information is to be turned over to the BioMed representative(s) once training is completed. STANDARD WARRANTY The products shall be covered by vendor s standard warranty terms and provisions. Vendors to provide their standard warranty information in their proposals. It should be noted however that the warranty coverage shall be no less than 1 YEAR per VA policy. The warranty period set forth therein shall be for one year following the first patient day at the new . 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 RCVAHC premises, the vendor shall perform all work in such a manner that will cause a minimum interference with RCVAHC 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 (GC) 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). 2.11.4 The vendors shall abide by all rules and regulations set forth by the CDC & the RCVAOPC due to the Coronavirus (COVID-19) and have their own personal protective equipment (PPE) in use for the time they are on the GLA campus grounds. SALIENT CHARACTERISTICS Next Page Project Name: Hampton Roads Project Location: Chesapeake, Virginia Cat Code: VC JSN: M8530 Date Prepared: August 3, 2023 Brand Name or Equal Nomenclature: Microscope, Operating, Ceiling Mounted Manufacturer: Global Surgical Corporation Model Name: M A 730 Series Dealer: Model Number: 6-Step AXIS Microscope Email: 3rd Party Install: No Room Nbr(s): See Attached Phone: 800-767-8726 Dimensions: D 60.00 in W 60.00 in H 62.00 in D 1524 mm W 1524 mm H 1574.8 mm 1: Plumbing: 2: Electrical: Hospital Grade (115/230 VAC, 15A, 50/60 Hz) Earth Grounded, Duplex Rec. controlled by wall switch, Locking IEC with an equivalent power cord DC: Yes EP: No Addl Outlets: Amps: Medical Gas: 3: 4: Misc Gas: 5: NonMed Gas: 6: Misc: WALL/CEILING SUPPORT REQUIRED Outlet Type: 7: Data: 8: Drops: 9: Warranty: 10: Training: 11: Weight: 12: Wall Blocking: No limited lifetime Yes No Salient Characteristics Ceiling mounted operating microscope. Unit consists of a binocular microscope body equipped with a range of available accessories for co-observation, documentation and illumination, motorized zoom and precision focusing system. Unit is held by an adjustable arm attached to a ceiling support mechanism. A3 Series Magnification/ Field of view: 3.2 / 62 6.4 / 32 12.8 / 16 Three-stage filter: clear, amber, and green Ergonomic handles with integrated magnification changer LED light source Ceiling mounted microscope parts: M A1006 6-Step A-Series microscope, angle arm and coupler M A1022-10 Inclinable binocular, 0-220 degrees,f:160, 10X eyepieces M 1028ML Multi-focal lens, 200-350mm optical range M A730C Ceiling mount, mounting plate, standard drop ceiling M A730-C10 Ceiling column for 10 ft. mounting surface (not drop ceiling height) M A730-45A 45 degree arm, spring arm, extension arm (for use with high wall and ceiling mount) M A801-LED LED light source for the microscope, green and amber (UV) filter Locking IEC with an equivalent power cord for microscope must be included. Video and Photography upgrades consists of 7 parts: M 517-4K CAMERA, 4K, USB POWER WITH FOOT PEDAL M 528X X mount adapter without camera ring coupler M 528XAPSC X-MOUNT CAMERA ADAPTER WITH T-MOUNT, FOR APS-C REMOVABLE LENS DIGITAL CAMERAS M 528XSLR-NEX T mount to E mount adapter for Sony NEX and A6000 cameras M 528XSPC Camera ring coupler, 37mm thread for Sony PC100 and 110 M A528STHDC Camera adapter, HD video, A-Series M A1061-D50 Dual port beam splitter, 50/50 and 50/50 ports, dove tail mount INSTALLATION NOTE: -This equipment needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided in the Owner s Manual 110-013-079. -The supporting structure for the ceiling mount must be capable of supporting a minimum of 500lbs -Required a hospital grade earth-ground AC outlet, duplex electrical outlet (115/230 VAC,15 Amp, 50/60 Hz) above the mounting surface and within 2 feet of the center of the microscope, recommended to be connected to a separate circuit breaker with the electrical outlet controlled by a wall switch. Outlet must meet all local and federal electrical code requirements. Locking IEC with an equivalent power cord is required Image Finishes/Options Qty: 1 Department, Room, Quantity DENTAL CLINIC DENTAL TRMNT 1-B2112(1)

Inactive

VA Chesapeake Community Based Outpatient Clinic (CBOC) Chesapeake HCC1 2 Chesapeake HCC1 Initial Outfitting, Transition & Activation Project Equipment Package #168 Surgical Microscope, Ceiling Mounted... VA Chesapeake Community Based Outpatient Clinic (CBOC) Chesapeake HCC1 2 Chesapeake HCC1 Initial Outfitting, Transition & Activation Project Equipment Package #168 Surgical Microscope, Ceiling Mounted General Conditions and Statement of Work Page 6 of 6 INTRODUCTION The Chesapeake, Virginia HCC1 has a requirement to purchase a surgical microscope, ceiling mounted with an authorized vendor to supply and deliver the item(s) identified in Table 1 below. This requirement is in support of a brand name or equal requirement. See FAR Clause 52.211-6 Brand Name or Equal (AUG 1999) for additional information. See attachments for salient characteristics. This requirement is in support of the activation of the Chesapeake HCC1. Item(s) are to be delivered to the location specified in section 2.4.1. Table 1 Package Items Summary Item# JSN Description QTY 0001 M8530 M A1006, 6-Step A-Series microscope, AXIS , system, angle arm and coupler, Brand Name or Equal Brand Name or Equal 1 0002 M8530 M A1022-10 Inclinable binocular, 0-220 degrees,f:160, 10X eyepieces, Brand Name or Equal Brand Name or Equal 1 0003 M8530 M 1028ML Multi-focal lens, 200-350mm optical, Brand Name or Equal 1 0004 M8530 M A730C Ceiling mount, mounting plate, Brand Name or Equal 1 0005 M8530 M A730-C10 Ceiling column for 10 ft. mounting, surface (not drop ceiling height) Brand Name or Equal 1 0006 M8530 M A730-45A 45 degree arm, spring arm, extension, arm (for use with high wall and ceiling mount), Brand Name or Equal 1 0007 M8530 M A801-LED LED lightsource for the A-Series , microscope, green and amber (UV), Brand Name or Equal 1 0008 M8530 M 517-4K CAMERA, 4K, USB POWER WITH Foot Pedal, Brand Name or Equal 1 0009 M8530 M 528X X mount adapter without camera ring coupler, Brand Name or Equal 1 0010 M8530 M 528XAPSC X-MOUNT CAMERA ADAPTER WITH T-MOUNT, FOR APS-C REMOVABLE LENS DIGITAL CAMERAS, Brand Name or Equal 1 0011 M8530 M 528XSLR-NEX T mount to E mount adapter for Sony NEX and A6000 cameras Sony PC100 and 110, Brand Name or Equal 1 0012 M8530 M 528XSPC Camera ring coupler, 37mm thread for Sony PC100 and 110, Brand Name or Equal 1 0013 M8530 M A528STHDC Camera adapter, HD video, A-Series, Brand Name or Equal 1 0014 M8530 M A1061-D50 Dual port beam splitter, 50/50 and 50/50 ports, dove tail mount Brand Name or Equal 1 0015 M8530 Installation 1 GENERAL CONDITIONS SITE ADDRESS The address of the Chesapeake VA HCC1 is listed below. Additional information on delivery is located in section 2.4. 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. The installation of the Microscope must be coordinated with the general contractor after delivery of the microscope to site. Table 2 Anticipated Building Outfitting Schedule Building Name Building # & Letter Order Items Est. Delivery Start Date Est. Delivery End Date Chesapeake VA HCC1 HCC1 Surgical Microscope, Ceiling mounted JSN: M8530 TBD 60 Days ARO Chesapeake VA HCC1 HCC1 Installation of Microscope by supplier TBD 60 Days ARO 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 90 days due to construction delays. The vendor shall coordinate installation with the VA POC and general contractor to ensure the infrastructure and ceiling mounts are installed and the site is ready for installation of the microscope. 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: Curtis Dawson_(Office); 757-315-3924 (Cell) 757-633-2741_ 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. Vendor responsible for conducting a site visit to verify logistics and loading dock access/egress. Chesapeake VA HCC1 70 Knells Ridge BLVD Chesapeake VA 23320 Chesapeake VA Off-Site Activation Warehouse TBD 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 Eastern Standard 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. 2.4.7 Delivery and Installation includes: Offloading the equipment from the truck, moving the equipment to the correct delivery location in the space, uncrating or unboxing the equipment and removing all trash, setting up the equipment according to the manufacturers specification and testing the equipment to verify that it is operational. Equipment installation paperwork & warranty information must be handed to the approved government contact onsite. See Sections 2.8, 2.9, & 2.10 below USE OF WAREHOUSE-NOT APPLICABLE DIRECT DELIVERY TO THE NEW FACILITY 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. AutoCad or Revit drawings are not a requirement of this SOW 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. 2.7.3 Network Required if Checked Manufacturer Certified Installation Required if Checked BMET Training Required if Checked End User Training Required if Checked ASSEMBLY AND INSTALLATION [ IS IS NOT ] REQUIRED. The vendor is required to manage and coordinate installation at the Chesapeake VA HCC1 with the VA POC. Installation and assembly shall take place during normal business hours which are defined as: 0800 to 1630 (i.e.: 8:00am to 4:30pm Eastern Standard 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 Chesapeake VA HCC1. 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 an 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. If checked in Section 2.7.3 the vendor is to provide training to the onsite and/or regional BioMed Representative working for the VA. All documents related to the installation, maintenance, and warranty information is to be turned over to the BioMed representative(s) once training is completed. STANDARD WARRANTY The products shall be covered by vendor s standard warranty terms and provisions. Vendors to provide their standard warranty information in their proposals. It should be noted however that the warranty coverage shall be no less than 1 YEAR per VA policy. The warranty period set forth therein shall be for one year following the first patient day at the new . 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 RCVAHC premises, the vendor shall perform all work in such a manner that will cause a minimum interference with RCVAHC 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 (GC) 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). 2.11.4 The vendors shall abide by all rules and regulations set forth by the CDC & the RCVAOPC due to the Coronavirus (COVID-19) and have their own personal protective equipment (PPE) in use for the time they are on the GLA campus grounds. SALIENT CHARACTERISTICS Next Page Project Name: Hampton Roads Project Location: Chesapeake, Virginia Cat Code: VC JSN: M8530 Date Prepared: August 3, 2023 Brand Name or Equal Nomenclature: Microscope, Operating, Ceiling Mounted Manufacturer: Global Surgical Corporation Model Name: M A 730 Series Dealer: Model Number: 6-Step AXIS Microscope Email: 3rd Party Install: No Room Nbr(s): See Attached Phone: 800-767-8726 Dimensions: D 60.00 in W 60.00 in H 62.00 in D 1524 mm W 1524 mm H 1574.8 mm 1: Plumbing: 2: Electrical: Hospital Grade (115/230 VAC, 15A, 50/60 Hz) Earth Grounded, Duplex Rec. controlled by wall switch, Locking IEC with an equivalent power cord DC: Yes EP: No Addl Outlets: Amps: Medical Gas: 3: 4: Misc Gas: 5: NonMed Gas: 6: Misc: WALL/CEILING SUPPORT REQUIRED Outlet Type: 7: Data: 8: Drops: 9: Warranty: 10: Training: 11: Weight: 12: Wall Blocking: No limited lifetime Yes No Salient Characteristics Ceiling mounted operating microscope. Unit consists of a binocular microscope body equipped with a range of available accessories for co-observation, documentation and illumination, motorized zoom and precision focusing system. Unit is held by an adjustable arm attached to a ceiling support mechanism. A3 Series Magnification/ Field of view: 3.2 / 62 6.4 / 32 12.8 / 16 Three-stage filter: clear, amber, and green Ergonomic handles with integrated magnification changer LED light source Ceiling mounted microscope parts: M A1006 6-Step A-Series microscope, angle arm and coupler M A1022-10 Inclinable binocular, 0-220 degrees,f:160, 10X eyepieces M 1028ML Multi-focal lens, 200-350mm optical range M A730C Ceiling mount, mounting plate, standard drop ceiling M A730-C10 Ceiling column for 10 ft. mounting surface (not drop ceiling height) M A730-45A 45 degree arm, spring arm, extension arm (for use with high wall and ceiling mount) M A801-LED LED light source for the microscope, green and amber (UV) filter Locking IEC with an equivalent power cord for microscope must be included. Video and Photography upgrades consists of 7 parts: M 517-4K CAMERA, 4K, USB POWER WITH FOOT PEDAL M 528X X mount adapter without camera ring coupler M 528XAPSC X-MOUNT CAMERA ADAPTER WITH T-MOUNT, FOR APS-C REMOVABLE LENS DIGITAL CAMERAS M 528XSLR-NEX T mount to E mount adapter for Sony NEX and A6000 cameras M 528XSPC Camera ring coupler, 37mm thread for Sony PC100 and 110 M A528STHDC Camera adapter, HD video, A-Series M A1061-D50 Dual port beam splitter, 50/50 and 50/50 ports, dove tail mount INSTALLATION NOTE: -This equipment needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided in the Owner s Manual 110-013-079. -The supporting structure for the ceiling mount must be capable of supporting a minimum of 500lbs -Required a hospital grade earth-ground AC outlet, duplex electrical outlet (115/230 VAC,15 Amp, 50/60 Hz) above the mounting surface and within 2 feet of the center of the microscope, recommended to be connected to a separate circuit breaker with the electrical outlet controlled by a wall switch. Outlet must meet all local and federal electrical code requirements. Locking IEC with an equivalent power cord is required Image Finishes/Options Qty: 1 Department, Room, Quantity DENTAL CLINIC DENTAL TRMNT 1-B2112(1)