Ivoclar Stratos (VA-24-00074074) 36C25624Q0853

DRAFT STATEMENT OF WORK Dentsply Sirona - Ivoclar Transaction No. 580-24-1-019-0013 EQUIPMENT IDENTIFICATION NAME/DESCRIPTION OF EQUIPMENT: Ivoclar Stratos articulators and parts MANUFACTURER:

Ivoclar MODELS: 751632 - Bennett screw 2 pcs. (SP) QTY = 5 751619 - GI-knurled screw 2 pcs. (SP) QTY = 5 556104 - incline support, cpl. QTY = 10 595174 - Calibration Liquid QTY = 3 751628 - Protrusion screw 2 pcs. (SP) QTY = 5 751630 - Bennett 30° 2 pcs.

(SP) QTY = 5 751613 - Condylar path (SP) QTY = 5 583672 - Centric rubber band refill 10 pcs QTY = 5 751625 - Incisal rod (SP) QTY = 10 NA2262089 - Magnetic Mounting Bases Up/Lwr QTY = 15 594566 - 3D-registration joint QTY = 10 536401 - Registration Joint Holder CE Cpl.

QTY = 6 530484BN - Gnathometer M with UTS Adapter QTY = 10 NA2262065 - Calibration Tool QTY = 2 601119 - 3D Bite fork S pack of 5 QTY = 10 168312 - Plane Indicator QTY = 10 614017 - Stratos Magnetic Flat Setup Table QTY = 10 593710 - Universal Transfer Bow System 3D QTY = 3 762110 - Stratos 300 Calibrated = 12 SERIAL NUMBERS:

N/A LOCATION: Michael E. DeBakey VA Medical Center Dental Service Line (160) 2nd Floor 2A-303 2002 Holcombe Boulevard Houston, TX 77030 POC: Dante Ricks or Andrea Ware GENERAL REQUIREMENT Contractor shall deliver Ivoclar Stratos articulators and parts to the Michael E. DeBakey VA Medical Center (MEDVAMC) Dental Service Line, 2002 Holcombe Blvd, Houston, Texas 77030. VA network is not needed. Services other than delivery are not needed.