J065--INTENT TO SOLE SOURCE Service Aquilion One 320 CT Scanner

Canon CT Scanner PM CANON CT SCANNER PREVENTATIVE MAINTENANCE STATEMENT OF WORK Contractor shall provide all equipment, Original Equipment Manufacturer (OEM) material and (OEM) parts, (OEM) labor, travel costs and supervision, to inspect, test, calibrate, provide Preventative Maintenance (PM) service, and update (OEM) software, on one (1) Canon Aquilion One 320, whole body, multi-slice helical Computed Tomography (CT) scanner unit located at the Tomah VA Medical Center, according to the following statement of work. SCOPE Provide all OEM PM service, parts, and labor, per manufacturer s requirements, recommendations, and maintenance intervals, for all equipment listed in Equipment Schedule below. Phone response time. Thirty (30) minutes or less, from time of first contact made by a Tomah VA Medical Center Representative. On-site response time. Four (4) hours or less, from time of first contact made by a Tomah VA Medical Center Representative. Uptime Guarantee. 1) 98% Software. Provide

all OEM software and firmware updates as required for fully operational CT Scanning system(s). Remote Access. Remote access to CT Scanner system shall be used only in the event of equipment failures and for purposes of troubleshooting and corrections of said failures on an as needed and/or emergency basis per the contract Contracting Officers Representative (COR) or Assistant Contracting Officers Representative (ACOR). Glassware coverage. OEM Tube and glassware coverage up to 250,000 uses per year. Uninterruptable Power Supply (UPS) system. Provide all OEM preventative maintenance for Wesemann UPS system and all related components Cybersecurity Protection; Canon , Gateway Gold Protecton®. Provide cybersecurity protection and connectivity, with remote system diagnostics capabilities. System shall facilitate remote applications support and message alerting systems for early detection and prevention of system malfunctions, with 24/7, 360° online, Health Insurance Portability and Accountability Act (HIPPA) compliant authentication, Virtual Private Network (VPN) tunnel and Failure Mode Identifier (FMI) updates. Parts replacement. All parts shall be OEM and shall be provided by the Contractor and replaced when necessary. Parts replacement excludes disposables and accessories. Equipment Schedule: Quantity Description Model # 1 Canon, Aquilion One, Dynamic Volume CT Scanner 320G.000, Genesis Series 1 CT Tube E.250K.101 1 Fast Scan/X-Ray Power Upgrade Kit CGS- 56A/1B.010 1 Wesemann UPS Power Distribution Unit w/ Connection Cables U10K/AQ- PDU/G 1 Wesemann, UPS10K Connection Kit for Aquilion One and Genesis CEUC- 001A/6B Any changes to this SOW shall be authorized and approved only through written modification of this contract from the CO (Contracting Officer) in coordination with the COR (Contracting Officers Representative). Costs incurred by the contractor through the actions of parties other than the Contracting Officer shall be borne by the contractor. Notwithstanding, the Contractor shall perform no additional work without the prior written authorization of the Contracting Officer. Any additional work, which may be performed by the Contractor without this approval, will be performed by the Contractor at no additional cost to the Government. Within fourteen (14) days of the award of this contract, the Contractor and the Government shall agree upon a date for work to take place. SERVICE HOURS AND FEDERAL HOLIDAYS Normal hours of coverage are Monday through Friday from 8:00 am to 5:00 pm local time, excluding holidays. All work shall be performed during normal hours of coverage unless otherwise requested or approved by the COR or their designee. All contract work shall be on a date and time mutually agreed upon between the Contractor and the COR. Federal Holidays observed by the VAMC and any other day designated as a Federal Holiday by Presidential Decree are: New Years Day Labor Day Martin Luther King Day Columbus Day Presidents Day Veterans Day Memorial Day Juneteenth Day Thanksgiving Day Christmas Day Independence Day GENERAL INFORMATION Compliance with General Safety Regulations: The Contractor shall coordinate all dates for service and testing with contract COR. The contractor s FST (Field Service Technician) shall contact the COR/POC prior to performing service at this location and shall communicate to the COR of their presence on the Tomah VA Medical Center campus. CONTRACTING OFFICER S REPRESENTATIVE (COR) Scheduling of work shall be arranged with at least one, or all the Point of Contacts below and in the following order: contract COR (Contracting Officers Representative) or contract ACOR (Alternate Contracting Officers Representative). COMPETENCIES AND QUALIFICATIONS OF PERSONNEL SERVICING EQUIPMENT: The Contractor shall be authorized by the equipment manufacturer, Canon Medical Systems USA, Inc., to perform the services defined in the scope of work. ORIENTATION FOR CONTRACTOR EMPLOYEES: Contractor will attend an orientation meeting as arranged by the Contracting Officer's Representative (COR). The VA will schedule this meeting and it will include discussion of the following topics: (VA will provide information to the contractor regarding these topics and will document the meeting) Fire and Safety Infection control Disaster procedures - Other The Contractor will be responsible to ensure that Contractor employees coming to the work site will receive the information required above. CONTRACT DELIVERABLES Contractor shall provide, to the COR after completion of work, at the minimum, the following deliverables: All service and inspection reports upon completion of scheduled maintenance. Contractor shall provide all Canon Medical Systems USA, Inc., OEM factory training certificates/competencies for all FST s (Field Service Technician s) assigned to service all equipment identified in Equipment Schedule in Section 1 above. Training certificates shall be provided at the time of contract award. SECURITY REQUIREMENTS All Contractor FST s (Field Service Technician(s)) shall obtain contractor ID badges from the COR. Identification shall be worn visible always by the Contractor and all FST s while on premises. Contractor shall coordinate with COR to acquire said identification badges. During normal working hours of operation, Monday through Friday, the contractor shall check in with the COR/Tomah VAMC (Veterans Affairs Medical Center) POC (Point of Contact) when arriving to perform work and check out with the COR/Tomah VAMC POC when work/workday is complete. During other than normal hours of operation, the contractor shall sign in and out with the Fire Department located on the east end of B36. It is the responsibility of the Contractor to park in the appropriate designated parking areas. Information on parking is available from the VA Police Section. The VAMC will not invalidate or make reimbursement for parking violations of the Contractor under any conditions. RISK CONTROL The Contractor shall take all necessary precautions to protect government property and shall repair any damage caused by their efforts. All work affecting patients shall be coordinated in advance by the Government and the Contractor to have minimal impact on the patients. Contractor is responsible to replace any items damaged by the contractor, sub- contractor, their employees, or equipment at no extra charge to the Government. Contractor personnel must conduct their work in a manner that does not interfere with the normal functions of the facility and will stop work if asked by the CO/COR as required if interruptions do occur. PLACE OF PERFORMANCE Tomah VA Medical Center, 500 E. Veterans St., Tomah, WI. 54660 Period of Performance. Support and service, as defined in this SOW, is to occur as scheduled and as required during the period of performance.