W--Notice of Intent to Sole Source This Special Notice is 'not' a request for quote (RFQ) Urology endoscope lease of equipment with full-service

STATEMENT of WORK GENERAL INFORMATION Title of Project: Olympus Urology Endoscope Lease with full-service maintenance agreement Background: The lease supports the Operating Room (OR), Procedure Room and Urology program and shall provide: Necessary Cystoscopes and Ureteroscopes for Urology Surgical Cases Proper maintenance and loaner services in order to have uninterrupted service to our Surgical Patients Scope of Work: The contractor shall provide all resources necessary to accomplish the deliverables described in this Statement of Work (SOW), except as may otherwise be specified. The Lebanon VA Medical Center has a need to acquire services for the lease of the below mentioned Olympus Urology Ureteroscopes, Cystoscopes, and Accessories. This lease includes: New Equipment: ITEM QUANTITY OEV-262H HIGH DEF LED LCD MONITOR 4 CV-190 EVIS EXERA III VIDEO PROCESSOR 4 CLV-190 EVIS EXERA III LIGHT SOURCE 4 UPDR-80MD SONY DYE SUB. LETR W/ 12 USB 4 UPC-R81MD PAPER/RIBBON KIT UPDR-80MD 1 CYF-VH HD FLEX CYSTO-NEPHRO VIDEOSCOPE 8 ISM-1006539 nCare REC, SINGLE, DIR SDI 4 ISM-1007451 15 nCare MEDICAL GRADE TOUCH PANEL 4 MAJ-1664 NURSES CONTROL PANEL ARM LONG 4 K10021612 WM-NP2 WORKSTATION SI STD SET 4 ISM-NCAREINSTALL INSTALLATION FOR 1 MX UNIT 4 URF-P7 URETEROSCOPE FLEX FIBER STD 3 URF-V3 URETEROSCOPE FLEX VIDEO STD 4 Trade-In Items: ITEM SERIAL NUMBER QUANTITY URF-P6 SUPER SLIM FLEXIBLE FIBEROPTIC UR 2835765 1 URF-P6 SUPER SLIM FLEXIBLE FIBEROPTIC UR 2835696 1 URF-P6 SUPER SLIM FLEXIBLE FIBEROPTIC UR 2835273 1 URF-P6 SUPER SLIM FLEXIBLE FIBEROPTIC UR 2836014 1 URF-P6 SUPER SLIM FLEXIBLE FIBEROPTIC UR 2835795 1 URF-P5 FLEX URETERO FIBERSCOPE 2344041 1 URF-P5 FLEX URETERO FIBERSCOPE 2344042 1 Rollover Items: ITEM SERIAL NUMBER QUANTITY CYF-5 - FIBER 2557375 1 CYF-5 - FIBER 2557376 1 CYF-5 - FIBER 2557377 1 CYF-5 - FIBER 2557380 1 CYF-5 - FIBER 2557382 1 Service Agreement: Full repair coverage with no cap for all contracted equipment, including accidental damage coverage at no extra charge Prioritized repairs, typically with 24-48 hour turnaround Next Day Shipping in both directions included at no extra charge 24/7 Technical support: Weekdays 7am 8pm ET Online repair tracking and history via web-based program Periodic and on-demand training and support provided by Olympus Endoscopy Support Specialists Full access to preventative maintenance and educational courses offered through Olympus University Prioritized access to loaner equipment (available upon request and subject to availability) at no extra charge Service Contract administrative support Performance Period: See Schedule. Type of Contract: Firm Fixed Price, base plus option years. Invoicing shall be monthly in arrears. CONTRACT AWARD MEETING The contractor shall not commence performance on the tasks in this SOW until the CO has conducted a kick off meeting or has advised the contractor that a kick off meeting is waived.