STATEMENT OF WORK AVAHCS LABORATORY and LUBBOCK CBOC LABORATORY Supplies/Reagents/Service for Hematology Analyzers SCOPE The intent of the Amarillo Veterans Affairs Health Care System (AVAHCS) Pathology & Laboratory Medicine Service (P&LMS) is to provide continuous, accurate, hematology testing to providers. The desired proposal requires reagents, quality control materials, consumables, and service to be provided for approximately 15,000 tests reported out from the Lubbock CBOC Hematology department. Amarillo VA Health Care System (AVAHCS) Pathology and Laboratory Medicine Service (P&LMS) requires reagents, supplies, consumables, and service for one (1) semi-automated Hematology analyzer (Sysmex XS 1000i) located at 3510 4th Ave Lubbock, TX 79412. This semi-automated Hematology analyzer has been previously purchased to perform the following assays on outpatient population at the Lubbock location. *Associated annual volumes are estimated: LUBBOCK CBOC CBC Retic Body Fluid 15,000 0 0 VENDOR RESPONSIBILITIES The Vendor shall provide, in accordance with all applicable federal, state, and local regulations, laws, and ordinances, and in accordance with the specifications outlined for accreditation certification if applicable, equipment and supplies negotiated on GSA contracts to enable AVAHCS to accurately and efficiently analyze patient specimens. The Vendor shall provide the ability to sequester our volumes of reagents for use throughout the year and ship as requested per location. Refer to #3 for address locations. The vendor shall ship the reagents, quality control materials, consumables, and service as requested per location to: Lubbock CBOC 3510 4th Ave, Lubbock, TX 79412 Attention: Laboratory Vendor shall provide peer review and data reduction of quality control results to efficiently process approximately per annum for Lubbock CBOC in Lubbock, TX. The Vendor shall provide the facility with the most current Food and Drug Administration (FDA) approved reagents, controls, calibration materials, and any consumables necessary for analyzing/testing on both primary and back-up analyzers. All requirements and provisions defined in the specification of this solicitation will apply to any vendor, i.e., branch, division, sub-Vendor, etc. supplying parts or reagents on behalf of the Vendor. For reagents with hazardous constituents, vendor shall provide a mechanism for the Laboratory to meet local discharge requirements. The vendor shall supply information regarding any hazardous chemicals. Refer to Attachment 1 for the requested reagents, supplies, consumables, and service for the Lubbock location. TERM OF CONTRACT Performance Period: The Base Year and 1-Year Option Period are required under this contract from the date of award unless otherwise extended by the Contracting Officer. The contract is subject to the availability of VA funds. Type of Contract: Firm Fixed Price per consult with economic price adjustment (EPA). BILLING Vendor shall bill monthly in arrears. The monthly billed invoice shall reflect the items requested per location on one invoice. It is understood that all payments Lubbock) shall be the responsibility of the Amarillo location. Vendor shall use the Tungsten e-Invoice system for all billings. www.tungsten-network.com Vendor shall indicate Period of Performance on all invoices. A Government customer termination agreement prior to the contract term of five years (60 months) the contract pricing awarded will be adjusted. Pricing published shall be based on a 60 month term. However, upon early termination, alternate pricing, which is part of this contract, shall apply. A CCR number shall be maintained in addition to a current DUNS number for all Contractor information. SERVICE 1. The vendor shall provide 24/7/365 toll free technical assistance (1-888-879-7639) during the contracted period. 2. The vendor shall provide unlimited on-site service emergency calls during the contracted business hours of 8:00am to 5:00pm during this contracted period (excluding holidays). a. Two-hour Service Engineering response upon dispatch by Technical Assistance Center (excluding holidays). b. All warrantied parts are provided. c. All service parts are provided. 3. The vendor shall provide Sysmex Service maintenance program during business hours of 8:00am to 5:00pm during this contracted period. 4. The vendor shall provide a Managed Calibration Program at least once every 6 months. 5. The vendor shall as needed install a standalone and/or automation system by the Sysmex team of qualified field engineers. 6. Currently the vendor shall not install the Sysmex Network Communications System (SNCS) remote connectivity enabling real time device monitoring, evidence-based service, remote managed calibration, ease of QC data upload, and predicting of future service needs. LICENSING AND ACCREDITATION The Vendor shall have all licenses, permits, accreditation and certificates required by law and/or regulatory compliance. Personnel assigned by the Vendor to perform these services covered under this contract shall be licensed in a State, Territory, or Commonwealth of the United States or the District of Columbia. SECURITY 1. This order is for the immunochemistry automation line and required maintenance; vendor requires no access to AVAHCS or any VA information system. 2. The C&A requirements do not apply; and a Security Accreditation Package is not required. 3. None of the information in this contract includes Protected Health Information (PHI) or Individually Identifiable Information (III). 4. ALL DATA AND ELECTRONIC MEDIA WILL NOT LEAVE THE VA. NO VA DATA OF ANY TYPE SHALL BE TRANSFERRED FROM THE VA. Attachment 1 Item Number Item Description LUB Quantity/ unit 199-5001-0 E-Check (XS) L 15 199-5002-0 E-Check (XS) N/H 20 FFD-200A Stromatoly 4DL 20 SLS-210A Stromatolyser 4DS 6 Pk-30L Cell Pack 20L 40 SLS-210A Sulfolyser Reagent 3 15 Calibrator 2 XS1000IALBHO -1000I-ALBeyondCare-Onsite Cal S/N 750 Maintenance/service/support 1 Estimated reagent, supply, consumable, and service usage for LUB

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