36A77619Q0022-002.docx

VA Northern California Health Care System Initial Outfitting, Transition & Activation General Conditions and Statement of Work Audiology Equipment

VA Northern California Health Care System 2000 Concord Avenue Chico, CA 95928 General Conditions and Statement of Work Audiology Equipment

Revised 10/30/2018

Introduction Veteran Affairs Northern California Health Care System (VANCHCS) has a requirement to purchase Audiology Equipment with an authorized vendor to supply and deliver the item(s) identified in Table 1 below. This requirement is in support of a brand name or equal requirement. See below for salient characteristics. This requirement is in support of the activation of Chico VA Clinic. Item(s) are to be delivered to the location specified in section 2.4.1.

Table 1 – Package Items Summary

Audioscan

General Conditions Site Address The address of the VANCHCS Chico VA Clinic is provided below. Further information on delivery is located in section 2.4.

Chico VA Clinic 1601 Concord Avenue Chico, CA 95928 Delivery Schedule Items shall be delivered no earlier than the estimated delivery start date and no later than the delivery end date listed in Table 2 below.

Table 2 – Anticipated Building Outfitting Schedule

Go Energistics Warehouse

Schedule and Order Management The above delivery schedule is based upon the current construction schedule. The vendor shall not increase prices for a change in delivery date for up to 30+ days due to construction delays.

The awardees actual delivery dates will be confirmed by VA upon award.

Post-award the vendor will coordinate delivery prior to beginning any work (see section 2.4). Once the dates have been confirmed, modifications to the schedule are subject to written approval by the COR and the vendor. Schedule changes that are beyond the dates specified in the contract will require approval by the Contracting Officer and a contract modification.

Delivery and Receiving Delivery and receipt of the proposed items is anticipated to be directed to the location identified below. Confirmation of delivery location will be provided post-award. To coordinate delivery, contact Government POC Antonio Homer at (916) 843-7393, Antonio.homer@va.gov and Angela Howard at (217) 274-8933, angela.howard@goenergistics.com or Jack O’Dell at (937) 608-7329, jack.odell@goenergistics.com.

☒ VANCHCS Chico VA Clinic (Direct Delivery to address detailed in paragraph 2.1.1) The delivery of items identified in this document shall take place during normal business hours which are defined as: 0800 to 1630 (i.e.: 8:00am to 4:30pm Pacific Standard Time), Monday through Friday, and excluding Federal Holidays.

Delivery trucks will not be permitted to remain at the loading dock. Trucks shall be unloaded, moved from the dock, and then brought back to the dock if required to haul out any waste, tools, or excess materials.

Labeling of delivered items shall include the VA facilities contract number and VA purchase order number for identification and reference upon receipt of product.

Use of Warehouse If the vendor requires the use of the Government’s activation contractor’s warehouse to meet the requirements of this contract the vendor must provide a certificate of insurance prior to the delivery and offloading of the item(s). This insurance certificate must be completed and presented to the activation contractor prior to delivery.

The vendor shall communicate through the VA POC any required coordination requirements.

Clean Up and Disposal There are no dumpsters available for vendor use.

The removal of waste and/or excess material shall be conducted through the loading dock area.

Assembly and Installation The vendor is required to manage and coordinate installation at the VANCHCS Chico VA Clinic with the COR.

On-site assembly and installation of items, and performance of services identified in this document shall take place during normal business hours which are defined as: 0800 to 1630 (i.e.: 8:00am to 4:30pm Pacific Standard Time), Monday through Friday, and excluding Federal Holidays.

The vendor is required to define the need for a staging area to accommodate item assembly and installation, if needed. Post-award, this information will be confirmed with the vendor.

The vendor is required to provide tools, labor and materials to complete assembly and installation of the items detailed in this document.

The vendor shall protect all finished spaces and surfaces as required from delivery and installation damage. The vendor shall use covering and protection to the extent necessary to prevent damage to finished spaces. Any damage occurred during delivery and installation is the responsibility of the vendor. The vendor will be responsible for paying for and repairing any damage or noted deficiencies to finished spaces and surfaces that occur as a result of the vendor’s (or associated sub-contractors) installation.

During the entire duration of assembly and installation, the vendor will have a competent representative on-site as the vendor’s contact, and to serve as the interface between the vendor and VANCHCS. On-site representative can be the installer. All instructions provided from COR to the representative will be binding as if given to the vendor’s main contact. The COR may provide specific instructions, however, only the Contracting Officer may change the terms or conditions of the contract.

Training The vendor shall provide end-user training for routine operation and maintenance, fault/alarm identification and response, and basic trouble-shooting, at a minimum. Training format may be hands-on, pre-recorded, internet based and/or O&M manual based. Training must be coordinated with the VA POC prior to installation or first use of equipment.

For on-site, vendor conducted training, the vendor will document the training and provide a copy of all training materials to the VA POC. Documentation may be up to and including video of training session conducted on site.

The vendor shall provide service training, if required by item, up to and including preventive maintenance, diagnostics and repair. Training shall be completed within 45 days after final installation of equipment or as directed by the VA. The vendor will document the training and provide a copy of the training materials to the VA POC

VA Northern California Health Care System M0020

Chico, CA 95928

Total Quantity: 3

☐ Finish Sample Required if Checked ☒ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☒ End User Training Required if Checked

Item Name: Hearing Aid Analyzer

Please Note: Picture is for reference only to illustrate the general design concept:

Salient Characteristics:

Hearing aid analyzer. It includes a complete acoustic test system, comprised of a control unit, color monitor, and hearing aid test box For use in automatically testing, calculating and printing all electrical and acoustical performance data of any hearing aid in accordance with ANSI S3.22 Analyzer must be able to measure the following:

· Real speech

· DSP measurements

· OSPL90

· Full-On Gain

· Feference Test Gain

· Frequency Response Frequency Range

· Maximum OSPL90

· Harmonic Distortion

· Attack and Release Time

· Equiv. Input Noise

· Input/output Curves

· Coupler SPL-Telephone Simulator

· Simulated Telecoil Sensitivity

· Battery Drain

· Real Ear Unaided Response

· Real Ear aided response

· Real Ear Occluded Response

· Real Ear Insertion Gain

· Sensory Loss Simulation Types: Linear, Conductive, Non-Linear, outer Hair cell cochlear loss

Salient Characteristics (Cont’d):

Test Stimuli (Level 40-90 dB in 5 dB steps)

· Tone

· Tone burst

· Pink noise

· Dual directional noise

· User supplied

· Calibrated/live speech

· ISTS

· Filtered speech Dual probe modules evaluate binaural fittings, compare ears, and balance performance.

Dedicated real-ear speakers, data connectivity, and dual source speakers.

Integrated devices include:

· Telephone Magnetic

· Field Simulator and induction coils per ANSI S3.22-2003

· Battery Simulator

· Battery Drain Meter

· Headphone monitor amplifier

· RECD measurement transducer.

Connects to network via Ethernet connection Internal printer Measurement Range 30-140 dB SPL with +/- 1dB accuracy Approximate Dimensions (+/- 2”): 15" wide x 7" deep x 16" high Electrical: 120V cord and plug

VA Northern California Health Care System M0020B

Chico, CA 95928

Total Quantity: 2

☐ Finish Sample Required if Checked ☒ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☒ End User Training Required if Checked

Item Name: Hearing Aid Programmer

Please Note: Picture is for reference only to illustrate the general design concept:

Salient Characteristics:

Programmer shall have universal programming interface for all hearing aid brands.

Used in the hearing aid fitting process to program patient hearing aids.

Electrical: USB connectivity/power High speed programming mode Backwards compatible- shall be compatible with any hearing instrument previously programmed by the device regardless of version.

Connectivity- USB Operating system- Windows Power light indicator PC Communication light indicator Inputs for Right and Left hearing aids Approximate Dimensions (+/- 2”): 5" wide x 7" deep x 4" high

VA Northern California Health Care System M0025

Chico, CA 95928

Total Quantity: 1

☐ Finish Sample Required if Checked ☒ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☒ End User Training Required if Checked

Item Name: Audiometer, Diagnostic, Middle Ear, Impedance

Please Note: Picture is for reference only to illustrate the general design concept:

Salient Characteristics:

Diagnostic standalone audiometer Unit includes a clinical ear analyzer and can link to a complete data base computer system that stores patient results The unit shall be designed for use with ENT diagnostics, hearing aid fitting and mobile audiometry Tone audiometry is performed using AC headphones and BC receiver The unit shall also offer playback of speech files that are stored on SD card or CD Portable air, bone speech 1.5 channel audiometer.

Speech tests can be administered via SD card, microphone or CD.

Unit has built in word lists, storage and is NOAH compatible Test frequencies 125 Hz-8,000 Hz 5 dB, 2 dB or 1 dB level steps Test signals include pure, pulse and warble tone Masking signals; narrow band noise 5/12 octave filter Data connection, USB or LAN Ethernet Patient response- handheld response switch Tone Tests- HL, UCL Speech Test- SRT, SRS, UCL Includes AC headphones Color high resolution display Power- 120V Approximate Dimensions (+/- 2”): 13"w x 8"d x 3"h

VA Northern California Health Care System M0030

Chico, CA 95928

Total Quantity: 1

☐ Finish Sample Required if Checked ☒ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☒ End User Training Required if Checked

Item Name: Audiometer, Diagnostic

Please Note: Picture is for reference only to illustrate the general design concept:

Salient Characteristics:

Middle ear audiometric analyzer Unit evaluates neural integrity, reflex pathways, and Eustachian tube function Unit operates as a standalone device independent of a network system to function Test types to include: Tympanometry, acoustic reflex threshold, reflex decay, Eustachian tube function (both intact and perforated) Protocols include: Diagnostic, screening, multi-component, tympanometry, auto sequence and user defined Touch screen display USB interface External printer Accessories to include, probe assembly, ear tip sample kit, calibration equipment, cleaning kit, probe mount kit.

Dimensions : 16"w x 11"d x 15"h Probe Tone 226 Hz, 678 Hz, 1000 Hz with accuracy of +/- 1% Unit performs Admittance measurements (226 Hz-678Hz), Pressure Measurements (200-600) Reflex Measurements- Stimuli of 250, 500 1k, 2k, 4k, BBN, LBN, HBN, Click, External Input and Non acoustic Unit should comply with IEC 60601-1, EN60601-1, CAN/CSA-C22.2 ANSI S3.39, IEC 6-645-5 ISO 389, MDD 93/42/EC

VA Northern California Health Care System M0036

Chico, CA 95928

Total Quantity: 1

☐ Finish Sample Required if Checked ☒ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☒ End User Training Required if Checked

Item Name: Inner Ear (Cochlear) Analyzer, Screen

Please Note: Picture is for reference only to illustrate the general design concept:

Salient Characteristics:

Small compact portable PC Based DPOAE/TEOAE Screener. Unit provides diagnostic and screening protocols for DP and TE.

Unit consists of testing module, ear probe, power supply, USB cable, programming software, carrying case Stimulus type- 2 simultaneously present pure tones Stimulus Frequency Range- 500-10000 Hz, user programmable Stimulus duration- Testing stops only when criteria is reached, maxing out after 64 seconds Stimulus Frequency Ratio between 1 and 1.8 Stimulus amplitude- User programmable up to 80 dB DPOAE Stopping Criteria: Min DP Amplitude -90 to 40 db. Noise Floor -90 and 80, Signal to Noise Ratio 6 to 200 Hz TEOAE General Settings:

· Center frequencies 1000, 1500, 2000, 3000, 4000 Hz

· Overall Frequency range 750-5000 Hz

· Samples per set 2 and 200

· Evaluation start time 2.5-7 msec

· Evaluation end time 5-16 msec

· High pass filter setting 700-5000

· Low pass filter setting 1000-10000 Hz

· Pass/Refer Criteria:

· Min. TE amp -20-50 dB

· % reproducibility 0 -100

· min TE-NF 6 to 90

Salient Characteristics (Cont’d):

OAE Probe requirements

· Microphone frequency 100-10000 Hz

· Microphone sensitivity -33 dB

· Speaker frequency bandwidth- 100-10000 Hz

· Speaker Sensitivity 90 db SPL Customizable DP protocols Customizable reports and data comparative software Approximate Dimensions (+/- 2”): 4" wide x 8" deep x 2" high Electrical 120V cord and plug

VA Northern California Health Care System U1009

2000 Concord Avenue,, Chico, CA 95928

Total Quantity: 3

☐ Finish Sample Required if Checked ☐ Manufacturer Certified Installation Required if Checked ☐ BMET Training Required if Checked ☐ End User Training Required if Checked

Item Name: Cleaner, Hearing Aid

Please Note: Picture is for reference only to illustrate the general design concept:

Salient Characteristics:

Hearing aid cleaner that uses vacuum/air to clean devices Used in audiology clinic environments where technologists are tasked with repairing and troubleshooting hearing aid devices Portable, lightweight, with a piston driven pump and vacuum chamber.

Unit can blow air up to 120 PSI through a clean air port Cleanable ceramic filter.

Vacuum pressure pulls 27 inches of mercury Unit requires 7 Milled Needles and Vacuum Chamber Aspirator kit Dimensions: 8"wide x 13" deep x 10.5" high Electrical 120V/60 Hz image1.jpeg