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STATEMENT OF WORK (SOW) 1. Contract Title. Microbiological media purchase order for Clinical Microbiology laboratory. 2. Background. A purchase order is requested to order specific products throughout... STATEMENT OF WORK (SOW) 1. Contract Title. Microbiological media purchase order for Clinical Microbiology laboratory. 2. Background. A purchase order is requested to order specific products throughout the year necessary to perform microbiology lab tests. 3. Scope. FY26 request for microbiology testing media for Seattle Division Microbiology Department. These products are required for the identification of pathogenic organisms. This includes products formatted to maintain a long shelf-life, such as the BactiDrop Oxidase, Indole and Acridine Orange that are used daily and are critical for organism identification, as well as perishable selective agar, biochemical test kits and other required products such as ATCC organisms, mandated by the College of American Pathologists (CAP), as part of our Quality Control for media. Products are ordered monthly for weekly delivery as noted below or as needed, and these supplies enable microbiologists to identify diseases in veteran patients. 4. Specific Tasks. The vendor will deliver the kits and reagents associated with this contract on the date specified or within a reasonable window of time after ordering has ensued. The vendor will adhere to the priced schedule submitted with the quote of these materials, of which price of shipping is included in the cost of material. The vendor will provide SDS sheets for all media upon request. Times and dates of delivery to be determined by the PSHCS Microbiology Department. At the beginning of the month, weekly scheduled shipments of products with the expected delivery date and product counts will be submitted. See Appendix A for example of weekly product delivery. The vendor will be able to provide all products listed in the Appendix B The vendor will supply acknowledgement of product requests as they are submitted by the PSHCS Microbiology Department and provide tracking information for shipments due to the perishable nature of required goods. The vendor will monitor any back orders or shipping delays with prompt communication of any changes. 4.1 Task 1 - Enterprise Management Controls. Subtask 1 - Integration Management Control Planning. Microbiology employee or supervisor enters request for product from vendor. Vendor ships out product, referencing PO# for payment. Vendor supplies shipping information or notifications of product delays. Microbiology employee receives product, inspects for discrepancies. Vendor bills for product, Purchasing Agent checks for delivery completeness from end-user. Purchasing agent completes receiving protocol in computer. Microbiology Department uses product to perform diagnostic testing for veteran patients. 4.2 Task 2 Subtask 2 - Contract Management. Products are ordered at Seattle by the Microbiology Department in coordination with Administrative Specialist COR David Travelstead. The order is sent to the vendor via email or website, referencing the correct purchase order given from Fiscal and Contracting. Any delivery delays are sent via email to the purchaser in the Microbiology Department, who coordinates with vendor. Vendor sends invoices for payment to the VA Accounting Department in Austin, TX. Austin Automated Payment System posts the invoices for the laboratory to review, and then the invoices will be certified after confirmation of received items. 4.3 Task 3 Subtask 3 Prices and Terms. Seattle VAMC will provide an estimated volume by test as reflected in Attachment B. Pricing and volume are based on the AVERAGE yearly volume of products. The Government estimates the volumes as listed in Attachment B but does not guarantee volumes as listed; they are estimates ONLY. The Government reserves the right to modify the contract to update product numbers or items that are discontinued and replaced with equivalent products. 5. Performance Monitoring The Microbiology Department must adhere to specific standards for all laboratory consumables. These standards are applied to the products ordered from this vendor. COTR and/or any Microbiology employee are responsible for monitoring all products for quality. 6. Security Requirements There are no security related components to this contract request. The vendor will not have access to protected patient information. Protected patient information will not be input into the vendor computer and the vendor computer associated with the testing instrumentation will not be interfaced with any VA networks 7. Government-Furnished Equipment (GFE)/Government-Furnished Information (GFI). There is no government furnished equipment associated with this contract. 8. Other Pertinent Information or Special Considerations. Identification of Possible Follow-on Work. None Identification of Potential Conflicts of Interest (COI). None Identification of Non-Disclosure Requirements. Contractor will not have access to any veteran names or diagnosis. This is a consumable item, not specific to any one patient. Packaging, Packing and Shipping Instructions. To be delivered on Tuesdays for weekly shipment requests and as soon as available for individual product requests. The products are temperature liable and requires immediate refrigeration upon delivery. The cost of shipping for next-day delivery for all perishable goods must be included in the individual item cost. Inspection and Acceptance Criteria. Microbiology POC, Supervisor and any other Microbiology employees have specific lab standards to maintain for all products under their care. 9. Risk Control Microbiology is responsible and will accept any risks associated with product, notified by vendor. 10. Place of Performance. Specific area to receive and work with product from vendor is the Microbiology lab at the Seattle Division of VA Puget Sound Medical Center. 11. Period of Performance. BASE YEAR 2/1/2026 to 1/31/2027 OPTION YEAR 1 2/1/2027 to 1/31/2028 OPTION YEAR 2 2/1/2028 to 1/31/2029 OPTION YEAR 3 2/1/2029 to 1/31/2030 OPTION YEAR 4 2/1/2030 to 1/31/2031 12. Delivery Schedule. Items are to be delivered upon request from the Microbiology lab at the Seattle Division of VA Puget Sound Medical Center. Appendix A. Example only of monthly delivery schedule. Product Name Delivery Dates 2/7/2023 2/14/2023 2/21/2023 2/28/2023 Columbia Blood Agar (100/pk)  4  4 Chocolate Agar (100/pk)  4  4 MacConkey Agar (100/pk)  3  3 CNA Agar (10/pk)   40  Biplates Blood Agar McConkey (100/pk)  4   BHI Sheep Blood Agar (100/pk)    4 B. frag isolation Agar (10/pk) 10   10 Anaerobic PEA Agar (100/pk)  2   CVA Medium (10/pk) 3    Hektoen Agar (10/pk) 3    Mueller Hinton Agar (15x150) 3    Mueller Hinton Agar w blood (15x150)  3   Mueller Hinton Agar (15x100)     Sabourad plates (10/pk)    8 Choc Thayer Martin Bi-plate (10/pk)     Middlebrooks 7H11 Agar, Double Pour, 10/PKG     Legionella Plate, BCYE   3  Legionella Plate, BCYE Selective Agar w/PAC  3   Legionella Plate, BCYE Selective Agar w/PAV     Mannitol Salt Plate     Brucella Agar w/5% SB Vitamin K and Hemin 1    Appendix B. Product list and estimated annual volume Micro Item # Product Name Annual Quantity 3023 ACRIDINE ORANGEBACTIDROP DROPPER 1 3964 AGGREGATIBACTER APHROPHILUS ATCC 7901 1 3672 Aggregatibacter aphrophilus ATCC® 7901 *pellet version* 1 3089 BA/MAC biplate, 100/pk 40 3077 Bacteroides Bile Esculin (BBE) agar, 10/pk 240 3965 BACTEROIDES FRAGILIS ATCC 25285 1 3242 Bacteroides ovatus ATCC® BAA1296 0 3243 Bacteroides vulgatus ATCC® 8482 (VA# V797P5992X) 1 3021 BACTIDROPOXIDASE 10 3020 BACTIDROPSPOT INDOLE 10 Micro Item # Product Name Annual Quantity 3701 BD Difco Dehydrated Culture Media: Tryptic Soy Agar (Soybean-Casein Digest Agar) 1 3702 BD BBL Dehydrated Culture Media Additive: Yeast Extract  3124 BHI 5% FILDES 2 3181 BHI AGAR WITH CHLORAMPHENICOL, CYCLOHEXIMIDE 4 3311 BHI agar with SB 42 3128 BHI BROTH 5 ML 0 3063 BLOOD AGAR TUBED MEDIA 15X103 MM 100 tubes 0 3617 Brain Heart CC Agar 0 3120 BRUCELLA 5% SB 12 3336 Calcofluor White Stain Kit 3 3109 CAMPY CVA MEDIUM 70 3966 CAMPYLOBACTER JEJUNI ATCC 33291 1 3968 CANDIDA ALBICANS ATCC 10231 1 3895 CANDIDA ALBICANS ATCC 60193 1 3241 Candida glabrata ATCC MYA2950 1 3183 Candida krusei ATCC 6258 (GSA# GS07F161BA) 1 3967 CANDIDA KRUSEI ATCC 34135 1 3182 Candida parapsilosis ATCC 22019 (GSA# GS07F161BA) 1 3896 CANDIDA TROPICALIS ATCC 1369 1 1311 CASEIN AGAR TUBES 0 3189 Cellulosimicrobium cellulans ATCC 27402  3144 CHOC THAYER MARTIN BIPLATE (10 PACK) 22 3086 Chocolate agar, 100/pk 120 3556 Clostridium difficile ATCC BAA-1870 1 3971 CLOSTRIDIUM PERIFRINGENS ATCC 13124 1 3249 Clostridium septicum ATCC® 12464 1 3970 Clostridium sporogenes (previous novii) ATCC 9690 1 135 CNA COLUMBIA CNA + 5% SHEEP BLOOD AGAR PLATE (30 PK/WK) 1160 3087 Columbia blood agar, 100/pk 174 146 CORNMEAL AGAR WITH POLYSORBATE 80 (TWEEN 80) PLATES 0 3188 Corynebacterium renale ATCC 19412 (GSA# GS07F161BA) 1 3250 Corynebacterium striatum ATCC® BAA1293 1 3334 Cryptococcus Antigen Test Kit 6 920 DISK, DIFFERENTIATION, CATARRHALIS TEST DISK 2 743 DISK, DIFFERENTIATION, LAP 2 943 DISK, DIFFERENTIATION, MICRODASE 2 Micro Item # Product Name Annual Quantity 3046 DISK, DIFFERENTIATION, PYRDISC 8 214 DISK, DIFFERENTIATION, SPS 0 940 DISK, DIFFERENTIATION, UREA/PDA 0 3125 DTM SLANTS 12 3997 Eikenella corrodens ATCC BAA-1152 1 3244 Elizabethkingia meningoseptica ATCC® 13253 1 3324 Enterococcus casseliflavus ATCC 700327 1 3975 ENTEROCOCCUS FAECALIS ATCC 29212 1 3974 ENTEROCOCCUS FAECALIS ATCC 51299 1 3529 Enterococcus faecium ATCC 700221 1 3253 Enterococcus saccharolyticus ATCC 43076 1 3055 ERLICH'S INDOLE REAGENT 2 3976 ESCHERICHIA COLI ATCC 25922 1 3977 ESCHERICHIA COLI ATCC 35218 1 3695 Ethyl alcohol Pure 190PROOFF USP GRADE (4/CS) 5 3221 FERRIC CHLORIDE 0 3424 Fusobacterium mortiferum ATCC® 9817 * 1 3651 Haemophilus ducreyi (Neveu-Lamaire) Bergey et al. (ATCC® 33940 ) 1 3532 Haemophilus influenzae ATCC 10211 1 3978 HAEMOPHILUS INFLUENZAE ATCC 10211 1 3979 HAEMOPHILUS INFLUENZAE ATCC 49247 1 3980 HAEMOPHILUS INFLUENZAE ATCC 49766 1 3751 Haemophilus parainfluenzae ATCC 7901, control loop 1 3619 Haemophilus parainfluenzae Rivers (ATCC 33392) 1 3138 HEART INFUSION BROTH ARABINOSE 20 PACK 0 3099 HEART INFUSION BROTH, SUCROSE 0 3110 HEKTOEN 60 3122 HTM (HAEMOPHILUS TEST MEDIUM) 14 3168 INHIBITORY MOLD AG (IMA) 2 3008 KINYOUN AFB STAIN KIT 2 3009 KINYOUN ZEIHLNEELSEN METHYLENE BLUE COUNTERSTAIN 0 3972 KLEBSIELLA AEROGENES ATCC 13048 1 3999 Klebsiella pneumoniae ATCC 27736 1 3981 KLEBSIELLA PNEUMONIAE ATCC 700603 1 3190 Klebsiella pneumoniae ATCC BAA1705 1 3185 Klebsiella pneumoniae ATCC BAA1706 1 Micro Item # Product Name Annual Quantity 3254 Kloeckera japonica ATCC 58370 1 3108 KOVAC'S REAGENT 2 2984 LACTOPHENOL ANILINE BLUE for staining fungal elements 2 125 LEGIONELLA PLATE, BCYE 36 127 LEGIONELLA PLATE, BCYE SELECTIVE AGAR & PAC 36 130 LEGIONELLA PLATE, BCYE SELECTIVE AGAR & PAV 36 3982 LEGIONELLA PNEUMOPHILIA ATCC 33152 1 3175 LYSINE IRONE AGAR (LIA) 2 3088 MacConkey Agar, 100/pk 113 3111 MACCONKEY WITH SORBITOL 0 3147 MANITOL SALT PLATES 22 439 MCFARLAND STANDARD SET 1 3213 Methyl Red Reagent 2 3187 Microbacterium testaceum ATCC 15829 1 57 MIDDLEBROOKS 7H11 AGAR, DOUBLE POUR, 10/PACKAGE 5 2649 MITSUBISHI, PACK-ANAERO, 20 ENVELOPES/PACKAGE (large pouches) 100 462 MITSUBISHI, PACK-MICROAERO (GAS GENERATORS for Campy) (large pouches) 10 2046 MITSUBISHI, PLASTIC CLEAR BAGS (for anaerobes), PACKAGE OF 20 150 1782 MITSUBISHI, POUCH-ANAERO, BOX OF 20 SACHETS (small pouches) 120 2964 MITSUBISHI, POUCH-MICROAERO (GAS GENERATORS for Campy) (small pouches) 50 3305 MOTILITY MEDIA NO INDICATOR 0 3101 MOTILITY MEDIA W/TTC 2 3133 MUELLER HINTON 100MM (10 PACK) 11 3134 MUELLER HINTON 100MM WITH BLOOD 10 PACK 0 3131 MUELLER HINTON 150MM (10 PACK) 24 3132 MUELLER HINTON 150MM WITH BLOOD (10 PACK) 27 131 MUELLER HINTON AGAR + 2% NACL, PACKAGE/10 PLATES 0 3983 MYCOBACTERIUM FORTUITUM ATCC 6841 1 3184 Neisseria gonorrhoeae ATCC 19424 1 3533 Neisseria gonorrhoeae ATCC 31426 1 3897 NEISSERIA GONORRHOEAE ATCC 43069 1 3103 NINHYDRIN REAGENT 2 3104 NITRATE A REAGENT 2 1069 DISK, DIFFERENTIATION, PRODISK (C. DIFFICILE) 0 Micro Item # Product Name Annual Quantity 3105 NITRATE B REAGENT 2 3667 OF Medium w/1% Dextrose (Hugh-Liefson) 0 3247 Oligella ureolytica ATCC® 43534 1 3246 Paenibacillus polymyxa ATCC® 7070 1 3251 Parabacteroides distasonis ATCC® BAA1295 1 3376 PARA-PAK SPINCON (TUBES & FUNNELS) VA# V797P5992X 1 3986 PASTEURELLA MULTOCIDA ATCC 43137 1 3097 PathoDx Strep Grouping Positive Control 2 3098 PATHODX, DISPOSABLE SLIDE 5 766 PATHODX, EXTRACTION REAGENT 1 8 767 PATHODX, EXTRACTION REAGENT 2 8 768 PATHODX, EXTRACTION REAGENT 3 8 761 PATHODX, STREP A LATEX 8 762 PATHODX, STREP B LATEX 8 763 PATHODX, STREP C LATEX 8 764 PATHODX, STREP F LATEX 4 765 PATHODX, STREP G LATEX 8 3027 PBP2 latex aggutination test kit, 50 tests /kit 0 3129 PEA BLOOD AGAR (100 PACK) 17 2923 PEPTONE YEAST GLUCOSE, 20/PK 0 3169 PETRI DISHES 15 X 100 (500) 0 3364 POTATO FLAKE AGAR SLANT 0 3704 Prepared Tubed; Remel; Saline 0.85%; D - 1mL; 20/Pk 4 3998 Proteus mirabili ATCC 12453 1 3984 PROTEUS MIRABILIS ATCC 35659 1 3985 PROTEUS MIRABILIS ATCC 7002 1 3634 Proteus mirabilis Hauser (ATCC® 35659 ) 1 3186 Prototheca wickerhamii ATCC 16529 1 3987 PSEUDOMONAS AERUGINOSA ATCC 27853 1 3252 Pseudomonas aeruginosa ATCC BAA1744 1 3245 Pseudomonas aeruginosa ATCC® 9721 1 3084 Rabbit blood defibrinated 0 1149 RAPID ANA ID, SPOT INDOLE (14526) 2 1146 RAPID ID, INOCULATION FLUID (12461) 2 139 RAPID TREHALOSE ASSIMILATION BROTH, 20 TUBES/PKG 2 3090 Sabourad plates, 10/pk 96 Micro Item # Product Name Annual Quantity 3174 SIMMON CITRATE (100PK) 0 3338 SLIDE, AFB CONTROL; 10 SLIDES/BOX 2 3267 Sporobolomyces salmonicolor ATCC MYA4550 1 682 STAPHAUREX KIT 20 3990 STAPHYLOCOCCUS AUREUS ATCC 25923 1 3991 STAPHYLOCOCCUS AUREUS ATCC 29213 1 3989 STAPHYLOCOCCUS AUREUS ATCC 43300 1 3988 STAPHYLOCOCCUS EPIDERMIDIS ATCC 12228 1 3248 Staphylococcus epidermidis ATCC® 12228 1 3992 STREPTOCOCCUS AGALACTIAE ATCC 12386 1 3625 Streptococcus anginosus ATCC® 33397 1 3995 STREPTOCOCCUS GALLOLYTICUS (BOVIS) ATCC 9809 1 3993 STREPTOCOCCUS PNEUMONIAE ATCC 49619 1 3994 STREPTOCOCCUS PYOGENES ATCC 19615 1 3335 Streptococcus pyogenes ATCC® 19615 1 3534 Streptococcus uberis ATCC 700407 1 3638 Thermo Scientific Oxoid V Factor Discs 1 3637 Thermo Scientific Oxoid X Factor Discs 1 3156 Thioglycollate Medium w/Dextrose, Hemin, Vitamin K 10 3140 TRICHOPHYTON AGAR #1 (20 PACK) 1 3141 TRICHOPHYTON AGAR #2 (20 PACK 1 3142 TRICHOPHYTON AGAR #3 (20 PACK) 1 3143 TRICHOPHYTON AGAR #4 (20 PACK) 1 3996 Trichophyton interdigitale ATCC 9533 1  Trichophyton mentagrophytes ATCC 9533 1 3155 Triple Sugar Iron Agar (16 x 125 mm Tube) 4 166 TRYPTICASE SOY BROTH 1 3265 TSB with 6% NaCl 0 1312 TYROSEIN AGAR PLATE 0 3666 Urea Agar Slants (100/case) 2 1313 XANTHINE AGAR PLATE 0 3010 ZEIHLNEELSEN CARBOLFUCHSIN 0 3255 Zygosaccharomyces bailii ATCC MYA 4549 1 376 Sodium chloride, 500gram bottle 1 3583 AnaeroPack Rectangular Jar 2.5L 0 3584 AnaeroPack Rectangular Jar 7.0L 0 3955 Anaerobic Pouch Clips 0 3158 SABOUROUD SLANTS 1 2082 SEAL, SHRINK 12

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Microbiological media purchase order for Clinical Microbiology laboratory.