REVISED ATTACHMENT A - PRICE COST SCHEDULE - NX EQ AUDITORY FUNCTION SCREENING DEVICE.xlsx

XLSX spreadsheet 153 KB Posted Jan 12, 2022

Attached to: 6515--NX EQ Auditory Function Screening Device
Solicitation number: 36C10G22Q0016
Issued by: Department of Veterans Affairs Headquarters

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File	Type	Posted
36C10G22Q0016_2.docx	DOCX document	Jan 12, 2022
36C10G22Q0016_1.docx	DOCX document	Jan 10, 2022
ATTACHMENT C - CONTRACT CLAUSES - NX EQ AUDITORY FUNCTION SCREENING DEVICES.docx	DOCX document	Dec 13, 2021
36C10G22Q0016.docx	DOCX document	Dec 13, 2021
ATTACHMENT B - CONTRACT ADMINISTRATION - NX EQ AUDITORY FUNCTION SCREENING DEVICES.docx	DOCX document	Dec 13, 2021
ATTACHMENT A - PRICE COST SCHEDULE - NX EQ AUDITORY FUNCTION SCREENING DEVICES.xlsx	XLSX spreadsheet	Dec 13, 2021
ATTACHMENT E - REPORTING TOOL - NX EQ AUDITORY FUNCTION SCREENING DEVICES.xlsx	XLSX spreadsheet	Dec 13, 2021
ATTACHMENT D - SOLICITATION PROVISIONS - NX EQ AUDITORY FUNCTION SCREENING DEVICES.docx	DOCX document	Dec 13, 2021

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Base Year

CLIN	Part Number	Brand Name/ Manufacturer	Item Description	Unit of Measure (UOM)	Estimated Quantity (Base Year)	Vendor's Quoted Manufacturer	Vendor's Brand Name or Equal Part Number	Delivery Days ARO	Unit of Measure	Unit Price (Base Year)	3% SLA Fee	Total Base Year Unit Price Plus SLA Fee	Total Proposed Price Estimated Quantity Multiplied By Total Base Year Unit Price Plus SLA Fee
0001	GSI 39	Grason-Stadler	The GSI 39 Auto Tympanometry provides a flexible, screening product for tympanometry, acoustic reflex measurements and audiometry to meet testing needs today and in the future. The product is available in five different versions to meet the unique demands of each facility. All five versions are fast, versatile and easy to use. It is possible to add additional modalities such as audiometry, contralateral reflexes or 1,000 Hz probe tone as the facility testing requirements expand.
0001-01	8514899	Grason-Stadler	GSI 39 Auto Tymp - Version 1 - 226 Hz Tymp & Ipsi Reflex	Each	1
0001-02	8514900	Grason-Stadler	GSI 39 Auto Tymp - Version 1 – 226 Hz + 1 kHz Tymp & Ipsi Reflex	Each	1
0001-03	8514901	Grason-Stadler	GSI 39 Auto Tymp - Version 2 - 226 Hz Tymp with Ipsi Reflex & Contra Reflex	Each	1
0001-04	8514902	Grason-Stadler	GSI 39 Auto Tymp - Version 2 - 226 Hz + 1 kHz Tymp with Ipsi Reflex & Contra Reflex	Each	1
0001-05	8514903	Grason-Stadler	GSI 39 Auto Tymp - Version 3 - 226 Hz Tymp with Ipsi & Contra Reflex & Pure Tone Audiometry	Each	1
0001-06	8514904	Grason-Stadler	GSI 39 Auto Tymp - Version 3 - 226 Hz + 1 kHz Tymp with Ipsi & Contra Reflex & Pure Tone Audiometry	Each	1
0001-07	8514905	Grason-Stadler	GSI 39 Auto Tymp -Version 4 - 226 Hz Tymp with Ipsi Reflex & Pure Tone Audiometry	Each	1
0001-08	8514906	Grason-Stadler	GSI 39 Auto Tymp - Version 4 - 226 Hz + 1 kHz Tymp with Ipsi & Pure Tone Audiometry	Each	1
0001-09	8514907	Grason-Stadler	GSI 39 Auto Tymp - Version 5 - 226 Hz Tymp Only	Each	1
0001-10	8514908	Grason-Stadler	GSI 39 Auto Tymp - Version 5 - 226 Hz + 1 kHz Tymp Only	Each	1
0002	GSI 39	Grason-Stadler	Upgrade Options
0002-01	8020194	Grason-Stadler	GSI 39 From 226Hz to 226 Hz+1000 probe	Each	1
0002-02	8020195	Grason-Stadler	GSI 39: 226Hz Version 1 to 226 Hz Version 2	Each	1
0002-03	8020196	Grason-Stadler	GSI 39: 226Hz Version 1 to 226 Hz Version 3	Each	1
0002-04	8020197	Grason-Stadler	GSI 39: 226Hz Version 1 to 226 Hz Version 4	Each	1
0002-05	8020198	Grason-Stadler	GSI 39: 226Hz Version 2 to 226 Hz Version 3	Each	1
0002-06	8020199	Grason-Stadler	GSI 39: 226Hz Version 4 to 226 Hz Version 3	Each	1
0002-07	8020200	Grason-Stadler	GSI 39: 226Hz Version 5 to 226 Hz Version 1	Each	1
0002-08	8020201	Grason-Stadler	GSI 39: 226Hz Version 5 to 226 Hz Version 2	Each	1
0002-09	8020202	Grason-Stadler	GSI 39: 226Hz Version 5 to 226 Hz Version 3	Each	1
0002-10	8020203	Grason-Stadler	GSI 39: 226Hz Version 5 to 226 Hz Version 4	Each	1
0003	GSI AudioStar Pro	Grason-Stadler	GSI AudioStar Pro is a versatile two-channel clinical audiometer designed to perform efficient audiometric evaluations on every patient population. It may be used independently or with a computer for HIPAA compliant data storage and EMR/EHR compatibility.
0003-01	8518227	Grason-Stadler	AudioStar Pro with DD45, B81, IP30 and DD450 Transducers with GSI-AMTAS automated audiometry. (Does Not Include Computer.)	Each	1
0003-02	8518226	Grason-Stadler	AudioStar Pro with DD45, B81, IP30 and DD450 High Frequency Headphones	Each	1
0003-03	8515319	Grason-Stadler	AudioStar Pro with DD45, B81 and IP30 Insert Earphones	Each	1
0004	GSI AudioStar Pro	Grason-Stadler	GSI AudioStar Pro Options
0004-01	8102475	Grason-Stadler	Basic Speaker Kit with Cable, 90 dB HL	Each	10
0004-02	8013647	Grason-Stadler	High Performance Speaker Kit with Cables, 96 dB HL	Each	10
0004-03	8103808	Grason-Stadler	High Performance Speaker Kit with Booster Amplifier and Cables, 100 dB HL - US Power Cord 100V to 240V	Each	10
0004-04	8100465	Grason-Stadler	Isolation Transformer (required when the GSI AudioStar Pro or the GSI Pello is attached to a Booster,PC or printer	Each	10
0004-05	8503180	Grason-Stadler	Touch Screen PC for use with GSl-AMTAS	Each	10
0004-06	8503192	Grason-Stadler	GSl-AMTAS Upgrade Kit (for Existing AudioStar Pro) - see GSl-AMTAS Requirements Specifications. NOTE: System Serial Number and License Number Required for Upgrade	Each	10
0005	GSI AudioStar Pro	Grason-Stadler	GSI AudioStar Pro Supplies
0005-01	8109155	Grason-Stadler	AMBAND - Calibrated Bone Conduction Headbands (10)	Each	5
0005-02	8507203	Grason-Stadler	Earphone Y-Cable (L and R)	Each	10
0005-03	8507208	Grason-Stadler	P3045 Headband Only (Adult)	Each	10
0005-04	8507210	Grason-Stadler	P3100 Pediatric Headband	Each	5
0005-05	8010894	Grason-Stadler	Type 51 Earphone Cushion, Single	Each	10
0005-06	8104119	Grason-Stadler	Bone Vibrator Assembly , B71,SO ohm	Each	10
0005-07	8101884	Grason-Stadler	IP30 Insert Earphones, 10 ohm	Each	10
0005-08	8520321	Grason-Stadler	DD45O Headphones for High Frequency Audiometry (8000-20,000 Hz) and GSl-AMTAS	Each	10
0005-09	8503852	Grason-Stadler	DD45 Audiometric Headset P3100 (Pediatric) Replacement Kit	Each	10
0005-10	8503851	Grason-Stadler	DD45 Audiometric Headset P3045 (Adult) Replacement Kit	Each	10
0006	GSI AudioStar Pro	Grason-Stadler	GSI AudioStar Pro CD’s and Accessories
0006-01	8515177	Grason-Stadler	AudioStar Pro Software and Manuals, USB Bundle	Each	10
0006-02	8519002	Grason-Stadler	Calibration App with Service Manual, English, USB	Each	10
0006-03	8518110	Grason-Stadler	Talk Back Microphone (TB-2) with Mounting Bracket	Each	10
0006-04	8004361	Grason-Stadler	Basic Speaker Cable for GSI AudioStar Pro	Each	10
0007	GSI Audera	Grason-Stadler	The GSI Audera meets all of your needs for Evoked Potential testing by providing a unique combination of Auditory Evoked Potentials (AEP), Otoacoustic Emissions (OAE), and Auditory Steady State Response (ASSR) tests. Available with CE-Chirp and CE-Chirp Octave Band stimuli for frequency-specific threshold evaluations.
0007-01	8519280	Grason-Stadler	GSI Audera Pro - AEP/ASSR	Each	1
0007-02	8519281	Grason-Stadler	GSI Audera Pro - AEP/OAE	Each	1
0007-03	8519282	Grason-Stadler	GSI Audera Pro - AEP Only	Each	1
0007-04	8519283	Grason-Stadler	GSI Audera Pro - OAE Only	Each	1
0007-05	8517151	Grason-Stadler	GSI Audera Pro - Full Configuration (AEP/ASSR/OAE)	Each	1
0008	GSI Corti	Grason-Stadler	The GSI Corti is a portable, battery-operated diagnostic and screening instrument that measures Otoacoustic Emissions (OAE) for infants, children, and adults. The Corti offers maximum speed and flexibility with pre-defined and user-defined protocols for Distortion Product Otoacoustic Emissions (DPOAEs) and Transient Evoked Otoacoustic Emissions (TEOAEs) measurements.
0008-01	8104314	Grason-Stadler	GSI Corti DPOAE Screening Unit	Each	1
0008-02	8104315	Grason-Stadler	GSI Corti TEOAE Screening Unit	Each	1
0008-03	8104316	Grason-Stadler	GSI Corti DPOAE + TEOAE Screening Unit	Each	1
0008-04	8104317	Grason-Stadler	DPOAE Diagnostic Unit (Includes DPOAE Screening)	Each	1
0008-05	8104318	Grason-Stadler	TEOAE Diagnostic Unit (include TEOAE screening)	Each	1
0008-06	8104319	Grason-Stadler	DPOAE + TEOAE Diagnostic Unit (Includes DP and TE Screening)	Each	1
0009	GSI Tympstar Pro	Grason-Stadler	GSI TympStar Pro Pro offers comprehensive middle-ear testing capabilities that support the needs of hearing healthcare professionals. Change parameters on the fly or interpret results with the touch screen display. Protocols may be configured to optimize efficiency and workflow; the flexibility of pre-defined protocols saves time and creates consistency in testing procedures.
0009-01	8108266	Grason-Stadler	TympStar Pro Comprehensive Middle Ear Analyzer, Probe Assembly (226 Hz, 678 Hz and 1000 Hz) and Contra Phone	Each	1
0010	GSI Tympstar Pro	Grason-Stadler	GSI Tympstar Pro Options
0010-01	8109043	Grason-Stadler	HP Office Jet Printer {6230 or Equivalent)	Each	10
0010-02	8108894	Grason-Stadler	Metal Test Cavities	Each	10
0010-03	8100465	Grason-Stadler	Isolation Transformer (Required When the GSI AudioStar Pro or the GSI Pello is Attached to a Booster,PC or Printer Per UL/IEC/CSA 60601-1)	Each	10
0011	GSI Tympstar Pro	Grason-Stadler	GSI Tympstar Pro Supplies
0011-01	8109405	Grason-Stadler	Probe Tip Replacement Kit (3)	Each	10
0011-02	8108944	Grason-Stadler	Probe Floss Cleaning Kit	Each	10
0012	GSI Tympstar Pro	Grason-Stadler	GSI Tympstar Pro CD’s and Accessories
0012-01	8108329	Grason-Stadler	TympStar Pro Software and Manuals, USB Bundle	Each	10
0012-02	8503354	Grason-Stadler	Calibration App with Service Manual, English, USB	Each	10
0013	Installation and Training		Installation and Training
0013-01	GSI-INSTALL-ASP	Grason-Stadler	Grason-Stadler Audio Star Pro Installation, Calibration & Training	Each	10
0013-02	GSI-INSTALL-CORTI	Grason-Stadler	Grason-Stadler Corti Installation and Training	Each	10
0013-03	GSI-INSTALL-TSP	Grason-Stadler	Grason-Stadler TympStar Pro Installation, Calibration & Training	Each	10
0013-04	GSI-INSTALL-UPGRADE	Grason-Stadler	GSl-AMTAS Upgrade Kit Installation	Each	10
			TOTALS

*VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES

ROUND ALL FIGURES TO TWO (2) DECIMALS PLACES ONLY

VENDORS ARE TO INCOPORATE 3% SLA FEE

&"Arial,Bold"&12ATTACHMENT A

PRICE COST SCHEDULE - NX EQ PACHYMETERS

Option Year 1

CLIN	Part Number	Brand Name/ Manufacturer	Item Description	Unit of Measure (UOM)	Estimated Quantity (Option Year 1)	Vendor's Quoted Manufacturer	Vendor's Brand Name or Equal Part Number	Delivery Days ARO	Unit of Measure	Unit Price (Option Year 1)	3% SLA Fee	Total Option Year 1 Unit Price Plus SLA Fee	Total Proposed Price Estimated Quantity Multiplied By Total Option Year 1 Unit Price Plus SLA Fee
0001	GSI 39	Grason-Stadler	The GSI 39 Auto Tympanometry provides a flexible, screening product for tympanometry, acoustic reflex measurements and audiometry to meet testing needs today and in the future. The product is available in five different versions to meet the unique demands of each facility. All five versions are fast, versatile and easy to use. It is possible to add additional modalities such as audiometry, contralateral reflexes or 1,000 Hz probe tone as the facility testing requirements expand.
0001-01	8514899	Grason-Stadler	GSI 39 Auto Tymp - Version 1 - 226 Hz Tymp & Ipsi Reflex	Each	1
0001-02	8514900	Grason-Stadler	GSI 39 Auto Tymp - Version 1 – 226 Hz + 1 kHz Tymp & Ipsi Reflex	Each	1
0001-03	8514901	Grason-Stadler	GSI 39 Auto Tymp - Version 2 - 226 Hz Tymp with Ipsi Reflex & Contra Reflex	Each	1
0001-04	8514902	Grason-Stadler	GSI 39 Auto Tymp - Version 2 - 226 Hz + 1 kHz Tymp with Ipsi Reflex & Contra Reflex	Each	1
0001-05	8514903	Grason-Stadler	GSI 39 Auto Tymp - Version 3 - 226 Hz Tymp with Ipsi & Contra Reflex & Pure Tone Audiometry	Each	1
0001-06	8514904	Grason-Stadler	GSI 39 Auto Tymp - Version 3 - 226 Hz + 1 kHz Tymp with Ipsi & Contra Reflex & Pure Tone Audiometry	Each	1
0001-07	8514905	Grason-Stadler	GSI 39 Auto Tymp -Version 4 - 226 Hz Tymp with Ipsi Reflex & Pure Tone Audiometry	Each	1
0001-08	8514906	Grason-Stadler	GSI 39 Auto Tymp - Version 4 - 226 Hz + 1 kHz Tymp with Ipsi & Pure Tone Audiometry	Each	1
0001-09	8514907	Grason-Stadler	GSI 39 Auto Tymp - Version 5 - 226 Hz Tymp Only	Each	1
0001-10	8514908	Grason-Stadler	GSI 39 Auto Tymp - Version 5 - 226 Hz + 1 kHz Tymp Only	Each	1
0002	GSI 39	Grason-Stadler	Upgrade Options
0002-01	8020194	Grason-Stadler	GSI 39 From 226Hz to 226 Hz+1000 probe	Each	1
0002-02	8020195	Grason-Stadler	GSI 39: 226Hz Version 1 to 226 Hz Version 2	Each	1
0002-03	8020196	Grason-Stadler	GSI 39: 226Hz Version 1 to 226 Hz Version 3	Each	1
0002-04	8020197	Grason-Stadler	GSI 39: 226Hz Version 1 to 226 Hz Version 4	Each	1
0002-05	8020198	Grason-Stadler	GSI 39: 226Hz Version 2 to 226 Hz Version 3	Each	1
0002-06	8020199	Grason-Stadler	GSI 39: 226Hz Version 4 to 226 Hz Version 3	Each	1
0002-07	8020200	Grason-Stadler	GSI 39: 226Hz Version 5 to 226 Hz Version 1	Each	1
0002-08	8020201	Grason-Stadler	GSI 39: 226Hz Version 5 to 226 Hz Version 2	Each	1
0002-09	8020202	Grason-Stadler	GSI 39: 226Hz Version 5 to 226 Hz Version 3	Each	1
0002-10	8020203	Grason-Stadler	GSI 39: 226Hz Version 5 to 226 Hz Version 4	Each	1
0003	GSI AudioStar Pro	Grason-Stadler	GSI AudioStar Pro is a versatile two-channel clinical audiometer designed to perform efficient audiometric evaluations on every patient population. It may be used independently or with a computer for HIPAA compliant data storage and EMR/EHR compatibility.
0003-01	8518227	Grason-Stadler	AudioStar Pro with DD45, B81, IP30 and DD450 Transducers with GSI-AMTAS automated audiometry. (Does Not Include Computer.)	Each	1
0003-02	8518226	Grason-Stadler	AudioStar Pro with DD45, B81, IP30 and DD450 High Frequency Headphones	Each	1
0003-03	8515319	Grason-Stadler	AudioStar Pro with DD45, B81 and IP30 Insert Earphones	Each	1
0004	GSI AudioStar Pro	Grason-Stadler	GSI AudioStar Pro Options
0004-01	8102475	Grason-Stadler	Basic Speaker Kit with Cable, 90 dB HL	Each	10
0004-02	8013647	Grason-Stadler	High Performance Speaker Kit with Cables, 96 dB HL	Each	10
0004-03	8103808	Grason-Stadler	High Performance Speaker Kit with Booster Amplifier and Cables, 100 dB HL - US Power Cord 100V to 240V	Each	10
0004-04	8100465	Grason-Stadler	Isolation Transformer (required when the GSI AudioStar Pro or the GSI Pello is attached to a Booster,PC or printer	Each	10
0004-05	8503180	Grason-Stadler	Touch Screen PC for use with GSl-AMTAS	Each	10
0004-06	8503192	Grason-Stadler	GSl-AMTAS Upgrade Kit (for Existing AudioStar Pro) - see GSl-AMTAS Requirements Specifications. NOTE: System Serial Number and License Number Required for Upgrade	Each	10
0005	GSI AudioStar Pro	Grason-Stadler	GSI AudioStar Pro Supplies
0005-01	8109155	Grason-Stadler	AMBAND - Calibrated Bone Conduction Headbands (10)	Each	5
0005-02	8507203	Grason-Stadler	Earphone Y-Cable (L and R)	Each	10
0005-03	8507208	Grason-Stadler	P3045 Headband Only (Adult)	Each	10
0005-04	8507210	Grason-Stadler	P3100 Pediatric Headband	Each	5
0005-05	8010894	Grason-Stadler	Type 51 Earphone Cushion, Single	Each	10
0005-06	8104119	Grason-Stadler	Bone Vibrator Assembly , B71,SO ohm	Each	10
0005-07	8101884	Grason-Stadler	IP30 Insert Earphones, 10 ohm	Each	10
0005-08	8520321	Grason-Stadler	DD45O Headphones for High Frequency Audiometry (8000-20,000 Hz) and GSl-AMTAS	Each	10
0005-09	8503852	Grason-Stadler	DD45 Audiometric Headset P3100 (Pediatric) Replacement Kit	Each	10
0005-10	8503851	Grason-Stadler	DD45 Audiometric Headset P3045 (Adult) Replacement Kit	Each	10
0006	GSI AudioStar Pro	Grason-Stadler	GSI AudioStar Pro CD’s and Accessories
0006-01	8515177	Grason-Stadler	AudioStar Pro Software and Manuals, USB Bundle	Each	10
0006-02	8519002	Grason-Stadler	Calibration App with Service Manual, English, USB	Each	10
0006-03	8518110	Grason-Stadler	Talk Back Microphone (TB-2) with Mounting Bracket	Each	10
0006-04	8004361	Grason-Stadler	Basic Speaker Cable for GSI AudioStar Pro	Each	10
0007	GSI Audera	Grason-Stadler	The GSI Audera meets all of your needs for Evoked Potential testing by providing a unique combination of Auditory Evoked Potentials (AEP), Otoacoustic Emissions (OAE), and Auditory Steady State Response (ASSR) tests. Available with CE-Chirp and CE-Chirp Octave Band stimuli for frequency-specific threshold evaluations.
0007-01	8519280	Grason-Stadler	GSI Audera Pro - AEP/ASSR	Each	1
0007-02	8519281	Grason-Stadler	GSI Audera Pro - AEP/OAE	Each	1
0007-03	8519282	Grason-Stadler	GSI Audera Pro - AEP Only	Each	1
0007-04	8519283	Grason-Stadler	GSI Audera Pro - OAE Only	Each	1
0007-05	8517151	Grason-Stadler	GSI Audera Pro - Full Configuration (AEP/ASSR/OAE)	Each	1
0008	GSI Corti	Grason-Stadler	The GSI Corti is a portable, battery-operated diagnostic and screening instrument that measures Otoacoustic Emissions (OAE) for infants, children, and adults. The Corti offers maximum speed and flexibility with pre-defined and user-defined protocols for Distortion Product Otoacoustic Emissions (DPOAEs) and Transient Evoked Otoacoustic Emissions (TEOAEs) measurements.
0008-01	8104314	Grason-Stadler	GSI Corti DPOAE Screening Unit	Each	1
0008-02	8104315	Grason-Stadler	GSI Corti TEOAE Screening Unit	Each	1
0008-03	8104316	Grason-Stadler	GSI Corti DPOAE + TEOAE Screening Unit	Each	1
0008-04	8104317	Grason-Stadler	DPOAE Diagnostic Unit (Includes DPOAE Screening)	Each	1
0008-05	8104318	Grason-Stadler	TEOAE Diagnostic Unit (include TEOAE screening)	Each	1
0008-06	8104319	Grason-Stadler	DPOAE + TEOAE Diagnostic Unit (Includes DP and TE Screening)	Each	1
0009	GSI Tympstar Pro	Grason-Stadler	GSI TympStar Pro Pro offers comprehensive middle-ear testing capabilities that support the needs of hearing healthcare professionals. Change parameters on the fly or interpret results with the touch screen display. Protocols may be configured to optimize efficiency and workflow; the flexibility of pre-defined protocols saves time and creates consistency in testing procedures.
0009-01	8108266	Grason-Stadler	TympStar Pro Comprehensive Middle Ear Analyzer, Probe Assembly (226 Hz, 678 Hz and 1000 Hz) and Contra Phone	Each	1
0010	GSI Tympstar Pro	Grason-Stadler	GSI Tympstar Pro Options
0010-01	8109043	Grason-Stadler	HP Office Jet Printer {6230 or Equivalent)	Each	10
0010-02	8108894	Grason-Stadler	Metal Test Cavities	Each	10
0010-03	8100465	Grason-Stadler	Isolation Transformer (Required When the GSI AudioStar Pro or the GSI Pello is Attached to a Booster,PC or Printer Per UL/IEC/CSA 60601-1)	Each	10
0011	GSI Tympstar Pro	Grason-Stadler	GSI Tympstar Pro Supplies
0011-01	8109405	Grason-Stadler	Probe Tip Replacement Kit (3)	Each	10
0011-02	8108944	Grason-Stadler	Probe Floss Cleaning Kit	Each	10
0012	GSI Tympstar Pro	Grason-Stadler	GSI Tympstar Pro CD’s and Accessories
0012-01	8108329	Grason-Stadler	TympStar Pro Software and Manuals, USB Bundle	Each	10
0012-02	8503354	Grason-Stadler	Calibration App with Service Manual, English, USB	Each	10
0013	Installation and Training		Installation and Training
0013-01	GSI-INSTALL-ASP	Grason-Stadler	Grason-Stadler Audio Star Pro Installation, Calibration & Training	Each	10
0013-02	GSI-INSTALL-CORTI	Grason-Stadler	Grason-Stadler Corti Installation and Training	Each	10
0013-03	GSI-INSTALL-TSP	Grason-Stadler	Grason-Stadler TympStar Pro Installation, Calibration & Training	Each	10
0013-04	GSI-INSTALL-UPGRADE	Grason-Stadler	GSl-AMTAS Upgrade Kit Installation	Each	10
			TOTALS

*VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES

ROUND ALL FIGURES TO TWO (2) DECIMALS PLACES ONLY

VENDORS ARE TO INCOPORATE 3% SLA FEE

Option Year 2

CLIN	Part Number	Brand Name/ Manufacturer	Item Description	Unit of Measure (UOM)	Estimated Quantity (Option Year 2)	Vendor's Quoted Manufacturer	Vendor's Brand Name or Equal Part Number	Delivery Days ARO	Unit of Measure	Unit Price (Option Year 2)	3% SLA Fee	Total Option Year 2 Unit Price Plus SLA Fee	Total Proposed Price Estimated Quantity Multiplied By Total Option Year 2 Unit Price Plus SLA Fee
0001	GSI 39	Grason-Stadler	The GSI 39 Auto Tympanometry provides a flexible, screening product for tympanometry, acoustic reflex measurements and audiometry to meet testing needs today and in the future. The product is available in five different versions to meet the unique demands of each facility. All five versions are fast, versatile and easy to use. It is possible to add additional modalities such as audiometry, contralateral reflexes or 1,000 Hz probe tone as the facility testing requirements expand.
0001-01	8514899	Grason-Stadler	GSI 39 Auto Tymp - Version 1 - 226 Hz Tymp & Ipsi Reflex	Each	1
0001-02	8514900	Grason-Stadler	GSI 39 Auto Tymp - Version 1 – 226 Hz + 1 kHz Tymp & Ipsi Reflex	Each	1
0001-03	8514901	Grason-Stadler	GSI 39 Auto Tymp - Version 2 - 226 Hz Tymp with Ipsi Reflex & Contra Reflex	Each	1
0001-04	8514902	Grason-Stadler	GSI 39 Auto Tymp - Version 2 - 226 Hz + 1 kHz Tymp with Ipsi Reflex & Contra Reflex	Each	1
0001-05	8514903	Grason-Stadler	GSI 39 Auto Tymp - Version 3 - 226 Hz Tymp with Ipsi & Contra Reflex & Pure Tone Audiometry	Each	1
0001-06	8514904	Grason-Stadler	GSI 39 Auto Tymp - Version 3 - 226 Hz + 1 kHz Tymp with Ipsi & Contra Reflex & Pure Tone Audiometry	Each	1
0001-07	8514905	Grason-Stadler	GSI 39 Auto Tymp -Version 4 - 226 Hz Tymp with Ipsi Reflex & Pure Tone Audiometry	Each	1
0001-08	8514906	Grason-Stadler	GSI 39 Auto Tymp - Version 4 - 226 Hz + 1 kHz Tymp with Ipsi & Pure Tone Audiometry	Each	1
0001-09	8514907	Grason-Stadler	GSI 39 Auto Tymp - Version 5 - 226 Hz Tymp Only	Each	1
0001-10	8514908	Grason-Stadler	GSI 39 Auto Tymp - Version 5 - 226 Hz + 1 kHz Tymp Only	Each	1
0002	GSI 39	Grason-Stadler	Upgrade Options
0002-01	8020194	Grason-Stadler	GSI 39 From 226Hz to 226 Hz+1000 probe	Each	1
0002-02	8020195	Grason-Stadler	GSI 39: 226Hz Version 1 to 226 Hz Version 2	Each	1
0002-03	8020196	Grason-Stadler	GSI 39: 226Hz Version 1 to 226 Hz Version 3	Each	1
0002-04	8020197	Grason-Stadler	GSI 39: 226Hz Version 1 to 226 Hz Version 4	Each	1
0002-05	8020198	Grason-Stadler	GSI 39: 226Hz Version 2 to 226 Hz Version 3	Each	1
0002-06	8020199	Grason-Stadler	GSI 39: 226Hz Version 4 to 226 Hz Version 3	Each	1
0002-07	8020200	Grason-Stadler	GSI 39: 226Hz Version 5 to 226 Hz Version 1	Each	1
0002-08	8020201	Grason-Stadler	GSI 39: 226Hz Version 5 to 226 Hz Version 2	Each	1
0002-09	8020202	Grason-Stadler	GSI 39: 226Hz Version 5 to 226 Hz Version 3	Each	1
0002-10	8020203	Grason-Stadler	GSI 39: 226Hz Version 5 to 226 Hz Version 4	Each	1
0003	GSI AudioStar Pro	Grason-Stadler	GSI AudioStar Pro is a versatile two-channel clinical audiometer designed to perform efficient audiometric evaluations on every patient population. It may be used independently or with a computer for HIPAA compliant data storage and EMR/EHR compatibility.
0003-01	8518227	Grason-Stadler	AudioStar Pro with DD45, B81, IP30 and DD450 Transducers with GSI-AMTAS automated audiometry. (Does Not Include Computer.)	Each	1
0003-02	8518226	Grason-Stadler	AudioStar Pro with DD45, B81, IP30 and DD450 High Frequency Headphones	Each	1
0003-03	8515319	Grason-Stadler	AudioStar Pro with DD45, B81 and IP30 Insert Earphones	Each	1
0004	GSI AudioStar Pro	Grason-Stadler	GSI AudioStar Pro Options
0004-01	8102475	Grason-Stadler	Basic Speaker Kit with Cable, 90 dB HL	Each	10
0004-02	8013647	Grason-Stadler	High Performance Speaker Kit with Cables, 96 dB HL	Each	10
0004-03	8103808	Grason-Stadler	High Performance Speaker Kit with Booster Amplifier and Cables, 100 dB HL - US Power Cord 100V to 240V	Each	10
0004-04	8100465	Grason-Stadler	Isolation Transformer (required when the GSI AudioStar Pro or the GSI Pello is attached to a Booster,PC or printer	Each	10
0004-05	8503180	Grason-Stadler	Touch Screen PC for use with GSl-AMTAS	Each	10
0004-06	8503192	Grason-Stadler	GSl-AMTAS Upgrade Kit (for Existing AudioStar Pro) - see GSl-AMTAS Requirements Specifications. NOTE: System Serial Number and License Number Required for Upgrade	Each	10
0005	GSI AudioStar Pro	Grason-Stadler	GSI AudioStar Pro Supplies
0005-01	8109155	Grason-Stadler	AMBAND - Calibrated Bone Conduction Headbands (10)	Each	5
0005-02	8507203	Grason-Stadler	Earphone Y-Cable (L and R)	Each	10
0005-03	8507208	Grason-Stadler	P3045 Headband Only (Adult)	Each	10
0005-04	8507210	Grason-Stadler	P3100 Pediatric Headband	Each	5
0005-05	8010894	Grason-Stadler	Type 51 Earphone Cushion, Single	Each	10
0005-06	8104119	Grason-Stadler	Bone Vibrator Assembly , B71,SO ohm	Each	10
0005-07	8101884	Grason-Stadler	IP30 Insert Earphones, 10 ohm	Each	10
0005-08	8520321	Grason-Stadler	DD45O Headphones for High Frequency Audiometry (8000-20,000 Hz) and GSl-AMTAS	Each	10
0005-09	8503852	Grason-Stadler	DD45 Audiometric Headset P3100 (Pediatric) Replacement Kit	Each	10
0005-10	8503851	Grason-Stadler	DD45 Audiometric Headset P3045 (Adult) Replacement Kit	Each	10
0006	GSI AudioStar Pro	Grason-Stadler	GSI AudioStar Pro CD’s and Accessories
0006-01	8515177	Grason-Stadler	AudioStar Pro Software and Manuals, USB Bundle	Each	10
0006-02	8519002	Grason-Stadler	Calibration App with Service Manual, English, USB	Each	10
0006-03	8518110	Grason-Stadler	Talk Back Microphone (TB-2) with Mounting Bracket	Each	10
0006-04	8004361	Grason-Stadler	Basic Speaker Cable for GSI AudioStar Pro	Each	10
0007	GSI Audera	Grason-Stadler	The GSI Audera meets all of your needs for Evoked Potential testing by providing a unique combination of Auditory Evoked Potentials (AEP), Otoacoustic Emissions (OAE), and Auditory Steady State Response (ASSR) tests. Available with CE-Chirp and CE-Chirp Octave Band stimuli for frequency-specific threshold evaluations.
0007-01	8519280	Grason-Stadler	GSI Audera Pro - AEP/ASSR	Each	1
0007-02	8519281	Grason-Stadler	GSI Audera Pro - AEP/OAE	Each	1
0007-03	8519282	Grason-Stadler	GSI Audera Pro - AEP Only	Each	1
0007-04	8519283	Grason-Stadler	GSI Audera Pro - OAE Only	Each	1
0007-05	8517151	Grason-Stadler	GSI Audera Pro - Full Configuration (AEP/ASSR/OAE)	Each	1
0008	GSI Corti	Grason-Stadler	The GSI Corti is a portable, battery-operated diagnostic and screening instrument that measures Otoacoustic Emissions (OAE) for infants, children, and adults. The Corti offers maximum speed and flexibility with pre-defined and user-defined protocols for Distortion Product Otoacoustic Emissions (DPOAEs) and Transient Evoked Otoacoustic Emissions (TEOAEs) measurements.
0008-01	8104314	Grason-Stadler	GSI Corti DPOAE Screening Unit	Each	1
0008-02	8104315	Grason-Stadler	GSI Corti TEOAE Screening Unit	Each	1
0008-03	8104316	Grason-Stadler	GSI Corti DPOAE + TEOAE Screening Unit	Each	1
0008-04	8104317	Grason-Stadler	DPOAE Diagnostic Unit (Includes DPOAE Screening)	Each	1
0008-05	8104318	Grason-Stadler	TEOAE Diagnostic Unit (include TEOAE screening)	Each	1
0008-06	8104319	Grason-Stadler	DPOAE + TEOAE Diagnostic Unit (Includes DP and TE Screening)	Each	1
0009	GSI Tympstar Pro	Grason-Stadler	GSI TympStar Pro Pro offers comprehensive middle-ear testing capabilities that support the needs of hearing healthcare professionals. Change parameters on the fly or interpret results with the touch screen display. Protocols may be configured to optimize efficiency and workflow; the flexibility of pre-defined protocols saves time and creates consistency in testing procedures.
0009-01	8108266	Grason-Stadler	TympStar Pro Comprehensive Middle Ear Analyzer, Probe Assembly (226 Hz, 678 Hz and 1000 Hz) and Contra Phone	Each	1
0010	GSI Tympstar Pro	Grason-Stadler	GSI Tympstar Pro Options
0010-01	8109043	Grason-Stadler	HP Office Jet Printer {6230 or Equivalent)	Each	10
0010-02	8108894	Grason-Stadler	Metal Test Cavities	Each	10
0010-03	8100465	Grason-Stadler	Isolation Transformer (Required When the GSI AudioStar Pro or the GSI Pello is Attached to a Booster,PC or Printer Per UL/IEC/CSA 60601-1)	Each	10
0011	GSI Tympstar Pro	Grason-Stadler	GSI Tympstar Pro Supplies
0011-01	8109405	Grason-Stadler	Probe Tip Replacement Kit (3)	Each	10
0011-02	8108944	Grason-Stadler	Probe Floss Cleaning Kit	Each	10
0012	GSI Tympstar Pro	Grason-Stadler	GSI Tympstar Pro CD’s and Accessories
0012-01	8108329	Grason-Stadler	TympStar Pro Software and Manuals, USB Bundle	Each	10
0012-02	8503354	Grason-Stadler	Calibration App with Service Manual, English, USB	Each	10
0013	Installation and Training		Installation and Training
0013-01	GSI-INSTALL-ASP	Grason-Stadler	Grason-Stadler Audio Star Pro Installation, Calibration & Training	Each	10
0013-02	GSI-INSTALL-CORTI	Grason-Stadler	Grason-Stadler Corti Installation and Training	Each	10
0013-03	GSI-INSTALL-TSP	Grason-Stadler	Grason-Stadler TympStar Pro Installation, Calibration & Training	Each	10
0013-04	GSI-INSTALL-UPGRADE	Grason-Stadler	GSl-AMTAS Upgrade Kit Installation	Each	10
			TOTALS

*VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES

ROUND ALL FIGURES TO TWO (2) DECIMALS PLACES ONLY

VENDORS ARE TO INCOPORATE 3% SLA FEE

Option Year 3

CLIN	Part Number	Brand Name/ Manufacturer	Item Description	Unit of Measure (UOM)	Estimated Quantity (Option Year 3)	Vendor's Quoted Manufacturer	Vendor's Brand Name or Equal Part Number	Delivery Days ARO	Unit of Measure	Unit Price (Option Year 3)	3% SLA Fee	Total Option Year 3 Unit Price Plus SLA Fee	Total Proposed Price Estimated Quantity Multiplied By Total Option Year 3 Unit Price Plus SLA Fee
0001	GSI 39	Grason-Stadler	The GSI 39 Auto Tympanometry provides a flexible, screening product for tympanometry, acoustic reflex measurements and audiometry to meet testing needs today and in the future. The product is available in five different versions to meet the unique demands of each facility. All five versions are fast, versatile and easy to use. It is possible to add additional modalities such as audiometry, contralateral reflexes or 1,000 Hz probe tone as the facility testing requirements expand.
0001-01	8514899	Grason-Stadler	GSI 39 Auto Tymp - Version 1 - 226 Hz Tymp & Ipsi Reflex	Each	1
0001-02	8514900	Grason-Stadler	GSI 39 Auto Tymp - Version 1 – 226 Hz + 1 kHz Tymp & Ipsi Reflex	Each	1
0001-03	8514901	Grason-Stadler	GSI 39 Auto Tymp - Version 2 - 226 Hz Tymp with Ipsi Reflex & Contra Reflex	Each	1
0001-04	8514902	Grason-Stadler	GSI 39 Auto Tymp - Version 2 - 226 Hz + 1 kHz Tymp with Ipsi Reflex & Contra Reflex	Each	1
0001-05	8514903	Grason-Stadler	GSI 39 Auto Tymp - Version 3 - 226 Hz Tymp with Ipsi & Contra Reflex & Pure Tone Audiometry	Each	1
0001-06	8514904	Grason-Stadler	GSI 39 Auto Tymp - Version 3 - 226 Hz + 1 kHz Tymp with Ipsi & Contra Reflex & Pure Tone Audiometry	Each	1
0001-07	8514905	Grason-Stadler	GSI 39 Auto Tymp -Version 4 - 226 Hz Tymp with Ipsi Reflex & Pure Tone Audiometry	Each	1
0001-08	8514906	Grason-Stadler	GSI 39 Auto Tymp - Version 4 - 226 Hz + 1 kHz Tymp with Ipsi & Pure Tone Audiometry	Each	1
0001-09	8514907	Grason-Stadler	GSI 39 Auto Tymp - Version 5 - 226 Hz Tymp Only	Each	1
0001-10	8514908	Grason-Stadler	GSI 39 Auto Tymp - Version 5 - 226 Hz + 1 kHz Tymp Only	Each	1
0002	GSI 39	Grason-Stadler	Upgrade Options
0002-01	8020194	Grason-Stadler	GSI 39 From 226Hz to 226 Hz+1000 probe	Each	1
0002-02	8020195	Grason-Stadler	GSI 39: 226Hz Version 1 to 226 Hz Version 2	Each	1
0002-03	8020196	Grason-Stadler	GSI 39: 226Hz Version 1 to 226 Hz Version 3	Each	1
0002-04	8020197	Grason-Stadler	GSI 39: 226Hz Version 1 to 226 Hz Version 4	Each	1
0002-05	8020198	Grason-Stadler	GSI 39: 226Hz Version 2 to 226 Hz Version 3	Each	1
0002-06	8020199	Grason-Stadler	GSI 39: 226Hz Version 4 to 226 Hz Version 3	Each	1
0002-07	8020200	Grason-Stadler	GSI 39: 226Hz Version 5 to 226 Hz Version 1	Each	1
0002-08	8020201	Grason-Stadler	GSI 39: 226Hz Version 5 to 226 Hz Version 2	Each	1
0002-09	8020202	Grason-Stadler	GSI 39: 226Hz Version 5 to 226 Hz Version 3	Each	1
0002-10	8020203	Grason-Stadler	GSI 39: 226Hz Version 5 to 226 Hz Version 4	Each	1
0003	GSI AudioStar Pro	Grason-Stadler	GSI AudioStar Pro is a versatile two-channel clinical audiometer designed to perform efficient audiometric evaluations on every patient population. It may be used independently or with a computer for HIPAA compliant data storage and EMR/EHR compatibility.
0003-01	8518227	Grason-Stadler	AudioStar Pro with DD45, B81, IP30 and DD450 Transducers with GSI-AMTAS automated audiometry. (Does Not Include Computer.)	Each	1
0003-02	8518226	Grason-Stadler	AudioStar Pro with DD45, B81, IP30 and DD450 High Frequency Headphones	Each	1
0003-03	8515319	Grason-Stadler	AudioStar Pro with DD45, B81 and IP30 Insert Earphones	Each	1
0004	GSI AudioStar Pro	Grason-Stadler	GSI AudioStar Pro Options
0004-01	8102475	Grason-Stadler	Basic Speaker Kit with Cable, 90 dB HL	Each	10
0004-02	8013647	Grason-Stadler	High Performance Speaker Kit with Cables, 96 dB HL	Each	10
0004-03	8103808	Grason-Stadler	High Performance Speaker Kit with Booster Amplifier and Cables, 100 dB HL - US Power Cord 100V to 240V	Each	10
0004-04	8100465	Grason-Stadler	Isolation Transformer (required when the GSI AudioStar Pro or the GSI Pello is attached to a Booster,PC or printer	Each	10
0004-05	8503180	Grason-Stadler	Touch Screen PC for use with GSl-AMTAS	Each	10
0004-06	8503192	Grason-Stadler	GSl-AMTAS Upgrade Kit (for Existing AudioStar Pro) - see GSl-AMTAS Requirements Specifications. NOTE: System Serial Number and License Number Required for Upgrade	Each	10
0005	GSI AudioStar Pro	Grason-Stadler	GSI AudioStar Pro Supplies
0005-01	8109155	Grason-Stadler	AMBAND - Calibrated Bone Conduction Headbands (10)	Each	5
0005-02	8507203	Grason-Stadler	Earphone Y-Cable (L and R)	Each	10
0005-03	8507208	Grason-Stadler	P3045 Headband Only (Adult)	Each	10
0005-04	8507210	Grason-Stadler	P3100 Pediatric Headband	Each	5
0005-05	8010894	Grason-Stadler	Type 51 Earphone Cushion, Single	Each	10
0005-06	8104119	Grason-Stadler	Bone Vibrator Assembly , B71,SO ohm	Each	10
0005-07	8101884	Grason-Stadler	IP30 Insert Earphones, 10 ohm	Each	10
0005-08	8520321	Grason-Stadler	DD45O Headphones for High Frequency Audiometry (8000-20,000 Hz) and GSl-AMTAS	Each	10
0005-09	8503852	Grason-Stadler	DD45 Audiometric Headset P3100 (Pediatric) Replacement Kit	Each	10
0005-10	8503851	Grason-Stadler	DD45 Audiometric Headset P3045 (Adult) Replacement Kit	Each	10
0006	GSI AudioStar Pro	Grason-Stadler	GSI AudioStar Pro CD’s and Accessories
0006-01	8515177	Grason-Stadler	AudioStar Pro Software and Manuals, USB Bundle	Each	10
0006-02	8519002	Grason-Stadler	Calibration App with Service Manual, English, USB	Each	10
0006-03	8518110	Grason-Stadler	Talk Back Microphone (TB-2) with Mounting Bracket	Each	10
0006-04	8004361	Grason-Stadler	Basic Speaker Cable for GSI AudioStar Pro	Each	10
0007	GSI Audera	Grason-Stadler	The GSI Audera meets all of your needs for Evoked Potential testing by providing a unique combination of Auditory Evoked Potentials (AEP), Otoacoustic Emissions (OAE), and Auditory Steady State Response (ASSR) tests. Available with CE-Chirp and CE-Chirp Octave Band stimuli for frequency-specific threshold evaluations.
0007-01	8519280	Grason-Stadler	GSI Audera Pro - AEP/ASSR	Each	1
0007-02	8519281	Grason-Stadler	GSI Audera Pro - AEP/OAE	Each	1
0007-03	8519282	Grason-Stadler	GSI Audera Pro - AEP Only	Each	1
0007-04	8519283	Grason-Stadler	GSI Audera Pro - OAE Only	Each	1
0007-05	8517151	Grason-Stadler	GSI Audera Pro - Full Configuration (AEP/ASSR/OAE)	Each	1
0008	GSI Corti	Grason-Stadler	The GSI Corti is a portable, battery-operated diagnostic and screening instrument that measures Otoacoustic Emissions (OAE) for infants, children, and adults. The Corti offers maximum speed and flexibility with pre-defined and user-defined protocols for Distortion Product Otoacoustic Emissions (DPOAEs) and Transient Evoked Otoacoustic Emissions (TEOAEs) measurements.
0008-01	8104314	Grason-Stadler	GSI Corti DPOAE Screening Unit	Each	1
0008-02	8104315	Grason-Stadler	GSI Corti TEOAE Screening Unit	Each	1
0008-03	8104316	Grason-Stadler	GSI Corti DPOAE + TEOAE Screening Unit	Each	1
0008-04	8104317	Grason-Stadler	DPOAE Diagnostic Unit (Includes DPOAE Screening)	Each	1
0008-05	8104318	Grason-Stadler	TEOAE Diagnostic Unit (include TEOAE screening)	Each	1
0008-06	8104319	Grason-Stadler	DPOAE + TEOAE Diagnostic Unit (Includes DP and TE Screening)	Each	1
0009	GSI Tympstar Pro	Grason-Stadler	GSI TympStar Pro Pro offers comprehensive middle-ear testing capabilities that support the needs of hearing healthcare professionals. Change parameters on the fly or interpret results with the touch screen display. Protocols may be configured to optimize efficiency and workflow; the flexibility of pre-defined protocols saves time and creates consistency in testing procedures.
0009-01	8108266	Grason-Stadler	TympStar Pro Comprehensive Middle Ear Analyzer, Probe Assembly (226 Hz, 678 Hz and 1000 Hz) and Contra Phone	Each	1
0010	GSI Tympstar Pro	Grason-Stadler	GSI Tympstar Pro Options
0010-01	8109043	Grason-Stadler	HP Office Jet Printer {6230 or Equivalent)	Each	10
0010-02	8108894	Grason-Stadler	Metal Test Cavities	Each	10
0010-03	8100465	Grason-Stadler	Isolation Transformer (Required When the GSI AudioStar Pro or the GSI Pello is Attached to a Booster,PC or Printer Per UL/IEC/CSA 60601-1)	Each	10
0011	GSI Tympstar Pro	Grason-Stadler	GSI Tympstar Pro Supplies
0011-01	8109405	Grason-Stadler	Probe Tip Replacement Kit (3)	Each	10
0011-02	8108944	Grason-Stadler	Probe Floss Cleaning Kit	Each	10
0012	GSI Tympstar Pro	Grason-Stadler	GSI Tympstar Pro CD’s and Accessories
0012-01	8108329	Grason-Stadler	TympStar Pro Software and Manuals, USB Bundle	Each	10
0012-02	8503354	Grason-Stadler	Calibration App with Service Manual, English, USB	Each	10
0013	Installation and Training		Installation and Training
0013-01	GSI-INSTALL-ASP	Grason-Stadler	Grason-Stadler Audio Star Pro Installation, Calibration & Training	Each	10
0013-02	GSI-INSTALL-CORTI	Grason-Stadler	Grason-Stadler Corti Installation and Training	Each	10
0013-03	GSI-INSTALL-TSP	Grason-Stadler	Grason-Stadler TympStar Pro Installation, Calibration & Training	Each	10
0013-04	GSI-INSTALL-UPGRADE	Grason-Stadler	GSl-AMTAS Upgrade Kit Installation	Each	10
			TOTALS

*VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES

ROUND ALL FIGURES TO TWO (2) DECIMALS PLACES ONLY

VENDORS ARE TO INCOPORATE 3% SLA FEE

Option Year 4

	CLIN	Part Number	Brand Name/ Manufacturer	Item Description	Unit of Measure (UOM)	Estimated Quantity (Option Year 4)	Vendor's Quoted Manufacturer	Vendor's Brand Name or Equal Part Number	Delivery Days ARO	Unit of Measure
Unit Price (Option Year 4)	3% SLA Fee	Total Option Year 4 Unit Price Plus SLA Fee
	0001	GSI 39	Grason-Stadler	The GSI 39 Auto Tympanometry provides a flexible, screening product for tympanometry, acoustic reflex measurements and audiometry to meet testing needs today and in the future. The product is available in five different versions to meet the unique demands of each facility. All five versions are fast, versatile and easy to use. It is possible to add additional modalities such as audiometry, contralateral reflexes or 1,000 Hz probe tone as the facility testing requirements expand.
	0001-01	8514899	Grason-Stadler	GSI 39 Auto Tymp - Version 1 - 226 Hz Tymp & Ipsi Reflex	Each	1
	0001-02	8514900	Grason-Stadler	GSI 39 Auto Tymp - Version 1 – 226 Hz + 1 kHz Tymp & Ipsi Reflex	Each	1
	0001-03	8514901	Grason-Stadler	GSI 39 Auto Tymp - Version 2 - 226 Hz Tymp with Ipsi Reflex & Contra Reflex	Each	1
	0001-04	8514902	Grason-Stadler	GSI 39 Auto Tymp - Version 2 - 226 Hz + 1 kHz Tymp with Ipsi Reflex & Contra Reflex	Each	1
	0001-05	8514903	Grason-Stadler	GSI 39 Auto Tymp - Version 3 - 226 Hz Tymp with Ipsi & Contra Reflex & Pure Tone Audiometry	Each	1
	0001-06	8514904	Grason-Stadler	GSI 39 Auto Tymp - Version 3 - 226 Hz + 1 kHz Tymp with Ipsi & Contra Reflex & Pure Tone Audiometry	Each	1
	0001-07	8514905	Grason-Stadler	GSI 39 Auto Tymp -Version 4 - 226 Hz Tymp with Ipsi Reflex & Pure Tone Audiometry	Each	1
	0001-08	8514906	Grason-Stadler	GSI 39 Auto Tymp - Version 4 - 226 Hz + 1 kHz Tymp with Ipsi & Pure Tone Audiometry	Each	1
	0001-09	8514907	Grason-Stadler	GSI 39 Auto Tymp - Version 5 - 226 Hz Tymp Only	Each	1
	0001-10	8514908	Grason-Stadler	GSI 39 Auto Tymp - Version 5 - 226 Hz + 1 kHz Tymp Only	Each	1
	0002	GSI 39	Grason-Stadler	Upgrade Options
	0002-01	8020194	Grason-Stadler	GSI 39 From 226Hz to 226 Hz+1000 probe	Each	1
	0002-02	8020195	Grason-Stadler	GSI 39: 226Hz Version 1 to 226 Hz Version 2	Each	1
	0002-03	8020196	Grason-Stadler	GSI 39: 226Hz Version 1 to 226 Hz Version 3	Each	1
	0002-04	8020197	Grason-Stadler	GSI 39: 226Hz Version 1 to 226 Hz Version 4	Each	1
	0002-05	8020198	Grason-Stadler	GSI 39: 226Hz Version 2 to 226 Hz Version 3	Each	1
	0002-06	8020199	Grason-Stadler	GSI 39: 226Hz Version 4 to 226 Hz Version 3	Each	1
	0002-07	8020200	Grason-Stadler	GSI 39: 226Hz Version 5 to 226 Hz Version 1	Each	1
	0002-08	8020201	Grason-Stadler	GSI 39: 226Hz Version 5 to 226 Hz Version 2	Each	1
	0002-09	8020202	Grason-Stadler	GSI 39: 226Hz Version 5 to 226 Hz Version 3	Each	1
	0002-10	8020203	Grason-Stadler	GSI 39: 226Hz Version 5 to 226 Hz Version 4	Each	1
	0003	GSI AudioStar Pro	Grason-Stadler	GSI AudioStar Pro is a versatile two-channel clinical audiometer designed to perform efficient audiometric evaluations on every patient population. It may be used independently or with a computer for HIPAA compliant data storage and EMR/EHR compatibility.
	0003-01	8518227	Grason-Stadler	AudioStar Pro with DD45, B81, IP30 and DD450 Transducers with GSI-AMTAS automated audiometry. (Does Not Include Computer.)	Each	1
	0003-02	8518226	Grason-Stadler	AudioStar Pro with DD45, B81, IP30 and DD450 High Frequency Headphones	Each	1
	0003-03	8515319	Grason-Stadler	AudioStar Pro with DD45, B81 and IP30 Insert Earphones	Each	1
	0004	GSI AudioStar Pro	Grason-Stadler	GSI AudioStar Pro Options
	0004-01	8102475	Grason-Stadler	Basic Speaker Kit with Cable, 90 dB HL	Each	10
	0004-02	8013647	Grason-Stadler	High Performance Speaker Kit with Cables, 96 dB HL	Each	10
	0004-03	8103808	Grason-Stadler	High Performance Speaker Kit with Booster Amplifier and Cables, 100 dB HL - US Power Cord 100V to 240V	Each	10
	0004-04	8100465	Grason-Stadler	Isolation Transformer (required when the GSI AudioStar Pro or the GSI Pello is attached to a Booster,PC or printer	Each	10
	0004-05	8503180	Grason-Stadler	Touch Screen PC for use with GSl-AMTAS	Each	10
	0004-06	8503192	Grason-Stadler	GSl-AMTAS Upgrade Kit (for Existing AudioStar Pro) - see GSl-AMTAS Requirements Specifications. NOTE: System Serial Number and License Number Required for Upgrade	Each	10
	0005	GSI AudioStar Pro	Grason-Stadler	GSI AudioStar Pro Supplies
	0005-01	8109155	Grason-Stadler	AMBAND - Calibrated Bone Conduction Headbands (10)	Each	5
	0005-02	8507203	Grason-Stadler	Earphone Y-Cable (L and R)	Each	10
	0005-03	8507208	Grason-Stadler	P3045 Headband Only (Adult)	Each	10
	0005-04	8507210	Grason-Stadler	P3100 Pediatric Headband	Each	5
	0005-05	8010894	Grason-Stadler	Type 51 Earphone Cushion, Single	Each	10
	0005-06	8104119	Grason-Stadler	Bone Vibrator Assembly , B71,SO ohm	Each	10
	0005-07	8101884	Grason-Stadler	IP30 Insert Earphones, 10 ohm	Each	10
	0005-08	8520321	Grason-Stadler	DD45O Headphones for High Frequency Audiometry (8000-20,000 Hz) and GSl-AMTAS	Each	10
	0005-09	8503852	Grason-Stadler	DD45 Audiometric Headset P3100 (Pediatric) Replacement Kit	Each	10
	0005-10	8503851	Grason-Stadler	DD45 Audiometric Headset P3045 (Adult) Replacement Kit	Each	10
	0006	GSI AudioStar Pro	Grason-Stadler	GSI AudioStar Pro CD’s and Accessories
	0006-01	8515177	Grason-Stadler	AudioStar Pro Software and Manuals, USB Bundle	Each	10
	0006-02	8519002	Grason-Stadler	Calibration App with Service Manual, English, USB	Each	10
	0006-03	8518110	Grason-Stadler	Talk Back Microphone (TB-2) with Mounting Bracket	Each	10
	0006-04	8004361	Grason-Stadler	Basic Speaker Cable for GSI AudioStar Pro	Each	10
	0007	GSI Audera	Grason-Stadler	The GSI Audera meets all of your needs for Evoked Potential testing by providing a unique combination of Auditory Evoked Potentials (AEP), Otoacoustic Emissions (OAE), and Auditory Steady State Response (ASSR) tests. Available with CE-Chirp and CE-Chirp Octave Band stimuli for frequency-specific threshold evaluations.
	0007-01	8519280	Grason-Stadler	GSI Audera Pro - AEP/ASSR	Each	1
	0007-02	8519281	Grason-Stadler	GSI Audera Pro - AEP/OAE	Each	1
	0007-03	8519282	Grason-Stadler	GSI Audera Pro - AEP Only	Each	1
	0007-04	8519283	Grason-Stadler	GSI Audera Pro - OAE Only	Each	1
	0007-05	8517151	Grason-Stadler	GSI Audera Pro - Full Configuration (AEP/ASSR/OAE)	Each	1
	0008	GSI Corti	Grason-Stadler	The GSI Corti is a portable, battery-operated diagnostic and screening instrument that measures Otoacoustic Emissions (OAE) for infants, children, and adults. The Corti offers maximum speed and flexibility with pre-defined and user-defined protocols for Distortion Product Otoacoustic Emissions (DPOAEs) and Transient Evoked Otoacoustic Emissions (TEOAEs) measurements.
	0008-01	8104314	Grason-Stadler	GSI Corti DPOAE Screening Unit	Each	1
	0008-02	8104315	Grason-Stadler	GSI Corti TEOAE Screening Unit	Each	1
	0008-03	8104316	Grason-Stadler	GSI Corti DPOAE + TEOAE Screening Unit	Each	1
	0008-04	8104317	Grason-Stadler	DPOAE Diagnostic Unit (Includes DPOAE Screening)	Each	1
	0008-05	8104318	Grason-Stadler	TEOAE Diagnostic Unit (include TEOAE screening)	Each	1
	0008-06	8104319	Grason-Stadler	DPOAE + TEOAE Diagnostic Unit (Includes DP and TE Screening)	Each	1
	0009	GSI Tympstar Pro	Grason-Stadler	GSI TympStar Pro Pro offers comprehensive middle-ear testing capabilities that support the needs of hearing healthcare professionals. Change parameters on the fly or interpret results with the touch screen display. Protocols may be configured to optimize efficiency and workflow; the flexibility of pre-defined protocols saves time and creates consistency in testing procedures.
	0009-01	8108266	Grason-Stadler	TympStar Pro Comprehensive Middle Ear Analyzer, Probe Assembly (226 Hz, 678 Hz and 1000 Hz) and Contra Phone	Each	1
	0010	GSI Tympstar Pro	Grason-Stadler	GSI Tympstar Pro Options
	0010-01	8109043	Grason-Stadler	HP Office Jet Printer {6230 or Equivalent)	Each	10
	0010-02	8108894	Grason-Stadler	Metal Test Cavities	Each	10
	0010-03	8100465	Grason-Stadler	Isolation Transformer (Required When the GSI AudioStar Pro or the GSI Pello is Attached to a Booster,PC or Printer Per UL/IEC/CSA 60601-1)	Each	10
	0011	GSI Tympstar Pro	Grason-Stadler	GSI Tympstar Pro Supplies
	0011-01	8109405	Grason-Stadler	Probe Tip Replacement Kit (3)	Each	10
	0011-02	8108944	Grason-Stadler	Probe Floss Cleaning Kit	Each	10
	0012	GSI Tympstar Pro	Grason-Stadler	GSI Tympstar Pro CD’s and Accessories
	0012-01	8108329	Grason-Stadler	TympStar Pro Software and Manuals, USB Bundle	Each	10
	0012-02	8503354	Grason-Stadler	Calibration App with Service Manual, English, USB	Each	10
	0013	Installation and Training		Installation and Training
	0013-01	GSI-INSTALL-ASP	Grason-Stadler	Grason-Stadler Audio Star Pro Installation, Calibration & Training	Each	10
	0013-02	GSI-INSTALL-CORTI	Grason-Stadler	Grason-Stadler Corti Installation and Training	Each	10
	0013-03	GSI-INSTALL-TSP	Grason-Stadler	Grason-Stadler TympStar Pro Installation, Calibration & Training	Each	10
	0013-04	GSI-INSTALL-UPGRADE	Grason-Stadler	GSl-AMTAS Upgrade Kit Installation	Each	10
				TOTALS

*VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES

ROUND ALL FIGURES TO TWO (2) DECIMALS PLACES ONLY

VENDORS ARE TO INCOPORATE 3% SLA FEE

5 Year Total Price

	Total Price (From Column N81 on Each Page
Base Year
Option Year 1
Option Year 2
Option Year 3
Option Year 4
Total for Base + Option Years

File details come from the government source that posted it. Updated Jan 12, 2022.