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VA Sierra Nevada Health Care System (VASNHCS) Statement of Work (SOW) Order Identification Number: 654-20-1-030-#### Page 2 of 4 General. Specialty Bed Rentals 1.1 Introduction. Contractor shall provi... VA Sierra Nevada Health Care System (VASNHCS) Statement of Work (SOW) Order Identification Number: 654-20-1-030-#### Page 2 of 4 General. Specialty Bed Rentals 1.1 Introduction. Contractor shall provide specialty beds to the VA Sierra Nevada Health Care System (VASNHCS). The leasing of the specialty beds is on an Indefinite Quantity / Indefinite Delivery basis. 1.2 Background. The Medical Facility uses specialty beds in the inpatient environment to facilitate the prevention of and healing of pressure ulcers, other skin related issues, bariatric care, prevention of falls or any other special need that may arise. 1.3 Objectives. The Contractor will provide the specialty bed within 24 hours of contact by VASNHCS personnel. 1.4 Scope. The Contract shall be able to provide leased specialty beds, mattress or other related equipment, 24 hours per day, 365 days per year; Contractor shall be able to respond at location within 24 hours after receipt of call, 7 days a week including holidays; The Contractor shall provide transportation, maintenance, inspections, and certification, when appropriate, of all leased equipment; The Contractor will repair or replace unserviceable specialty beds within 24 hours of notification. 1.5 Place of Performance/Hours of Operation. The Contractor will deliver the leased specialty beds to the VASNHCS at 975 Kirman Ave, Reno NV 89502. 1.6 Period of Performance. Duration of this contract is from October 1, 2019 through September 30, 2020. If included; any option years may be exercised at the discretion of VASNHCS. 1.7 Privacy Act. This contract does not require that contract personnel have access to Privacy Information. If privacy information is inadvertently revealed, Contract personnel shall adhere to the Privacy Act, Title 5 of the U.S. Code, Section 552a and applicable agency rules and regulations. The Contractor will be provided with the patient s name last four SSN, and location where the specialty bed is to be delivered. No other Personal Information/Personal Health Information will be shared between the facility and Contractor. The Contractor will provide the patient s name and room number on invoices. 1.7.1 Non-Disclosure Requirements. The patient s name, last four SSN, location and type of equipment being rented shall not be disclosed to any third party, except as permitted by law. This information is to be used solely for the purpose of the Contractor accurately billing VASNHCS for the rental of equipment. 1.8 Personal Service. This task order is not being used to procure personal services prohibited by the Federal Acquisition Regulation (FAR) Part 37.104 titled Personal services contract . 1.9 Security. This contract is Unclassified . 1.10 Key Personnel. VASNHCS personnel will contact the Contractor to request the leased specialty beds, mattresses and or other equipment. The name of the Veteran and the room location will be provided at the time of the request. VASNHCS personnel will contact the Contractor when the equipment is no longer required. The Contractor will provide VASNHCS personnel with a confirmation number acknowledging the request for pick up. 1.11 Quality Control. VASNHCS Wound Nurses or designee will check the serviceability of each specialty bed, mattress and other related equipment upon delivery. If a specialty bed, mattress or other related equipment is deemed unserviceable, the Contractor will repair and/or replace the unserviceable equipment within 24 hours of notification. 1.12 Points of Contact. Contracting Officer (CO) Assigned CO: Organization or Agency: Telephone: Email: Contract Officer Representative (COR) Name: Randy G Wehnes, AA Acute Care Nursing Service/COR Phone: 775-786-7200 x 6847 Email: randy.wehnes@va.gov Name: Michael E. Simpkins II, AA Extended Care & MH Nursing Service Phone: 775-786-7200 Ext 6851 Email: michael.simpkins@va.gov Wound, Ostomy, and Continence Nurse Name: Patricia Manavbasi, RN, MSN Phone: 775 786-7200 Ext 1669 Email: patricia.manavbasi@va.gov Biomedical Name: David Rodriguez, VASNHCS Biomedical Engineering Phone: 775 328-1794 Email: David.rodriguez4@va.gov 1.12.1 Receiving Point of Contacts: - (This/these person/people will be receiving the items at the end of the order) Patricia Manavbasi, Registered Nurse, 775-786-7200 x 6349 Charge Nurse on Duty 1.13 Delivery Schedule: The Vendor shall notify the Receiving Point of Contact to plan the delivery date, as well as the installation, and user training processes (as necessary). (Please add any information to take into account) Requested Delivery Date: Within 24 hours of request. Definitions & Acronyms. CO Contracting Officer COR Contracting Officer s Representative. FSS Federal Supply Schedule 3.0 Government Furnished Items. N/A 4.0 Contractor Furnished Items. Specialty Beds, mattress or other related equipment. 5.0 Specific Requirements. The Contractor is responsible for the performance and maintenance of the specialty beds, mattresses or other related equipment leased to the VASNHCS. The Contractor will repair and/or replace unserviceable equipment within 24 hours of notification 5.1 Task Description. N/A 5.2 Proposal Submission. No proposal needed, this is exercising the contract option. 5.2.1 Travel. N/A 5.2.2 (Un-priced CLINS). The contractor shall provide a breakdown of any other direct costs (ODCs) in the Cost Proposal, this includes any item not on the FSS. The breakdown shall include an identification of any open market items" or the contracting vehicle used for the Un-priced CLINS. Items considered open market or not on the FFS will not be automatically delivered with the leased beds. The inclusion of these items are on a case by case basis and must be approved by the COR prior to delivery. 5.3 Deliverables and Reports. In addition to the applicable requirements, the contractor shall provide the following deliverables and reports: Contractor must submit electronic copies of their invoices to DMS Central for payment. 5.3.1 Status Reports. None are needed 5.3.2 Other Reporting Requirements. The contractor shall provide the following: 5.3.2.1 The contractor shall bring problems or potential problems affecting performance to the attention of the Contracting Officer as soon as possible. Verbal reports will be followed up with written reports when directed by the CO. 5.3.3 Additional written reports may be required and negotiated. 5.3.4 Delivery Instructions. All deliverables shall be delivered to the client within 24 hours of the request. 5.4 Inspection and Acceptance. Any equipment deemed unserviceable upon delivery will not be accepted and the Contractor will repair and/or replace the unserviceable equipment within 24 hours of notification 5.5 Return of equipment. VASNHCS personnel will contact the Contractor when the specialty bed, mattress or other equipment is no longer required. The Contractor will provide VASNHCS personnel with a confirmation number acknowledging the request for bed pick up. 5.6 Procedures for Payment. Billing of the leased equipment will begin on the date the specialty bed is delivered, and it will end on the date the Contractor is contacted by VASNHCS personnel and informed the specialty bed is no longer required. 5.6.1 The Contractor will be provided with the patient s name, last four SSN, and location where the specialty bed is to be delivered. No other Personal Information/Personal Health Information will be shared between the facility and Contractor. The Contractor will provide the patient s name and room number on invoices. End statement