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6530--AUDIOLOGY BOOTHS Federal contract opportunity
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36C25020Q0783
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Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10

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Contract Opportunity Combined Synopsis/Solicitation Notice

PRODUCT SERVICE CODE

SUBJECT

CONTRACTING OFFICE'S

ZIP-CODE

SOLICITATION NUMBER

RESPONSE DATE/TIME/ZONE

ARCHIVE

DAYS AFTER THE RESPONSE DATE

RECOVERY ACT FUNDS

SET-ASIDE

NAICS CODE

CONTRACTING OFFICE

ADDRESS

POINT OF CONTACT

(POC Information Automatically Filled from User Profile Unless Entered)

DESCRIPTION

See Attachment

AGENCY'S URL

URL DESCRIPTION

AGENCY CONTACT'S EMAIL

ADDRESS

EMAIL DESCRIPTION

ADDRESS

POSTAL CODE

COUNTRY

ADDITIONAL INFORMATION

GENERAL INFORMATION

PLACE OF PERFORMANCE

* = Required Field Contract Opportunity Combined Synopsis/Solicitation Notice

AUDIOLOGY BOOTHS

SDVOSB SET ASIDE

46240 36C25020Q0783 07-02-2020 12:00

EASTERN TIME, NEW YORK, USA

N

SDVOSBC

334510 Department of Veterans Affairs Network Contracting Office 10 8888 Keystone Crossing Suite 1100 Indianapolis IN 46240 Contacting Officer Erik Fallo erik.fallo@va.gov Marion Campus VAMC Logistics and Audiology 1700 E 38th St Marion

IN

46953

USA

STATEMENT OF WORK (SOW)

as of 01/14/2020

Contract Number:
TBD
Task Order Number:
TBD

IFCAP Tracking Number:

Follow-on to Contract and Task Order Number:
NOT APPLICABLE

1. Contracting Officer’s Representative (COR).

Name:

Section:
Logistics and Audiology
Address:
1700 E 38th St, Marion, IN 46953

Phone Number:

Fax Number:

E-Mail Address:

2. Contract Title. Three New Custom Single-Wall Control/ Double Wall Exam Audiometric Suites (booth) for the new 4th floor renovation space.

3. Background. Audiology at the Marion campus of Northern Indiana VA HealthCare System is moving to a new renovated space in the near future. Installation of a new custom single-wall control/ double wall exam audiometric suites (booth) is necessary to offer these services at the Marion Campus. The current booths are beyond life expectancy and are not suites as per the VHA Audiology Handbook 1170.02. The sound booths must be built to accommodate operational components within it that are compatible with all Audiometers and Immittance Bridges. The specific brand of equipment will be determined based on vendor awarded contract.

4. Scope. Manufacture, deliver, and install (3) noise barrier sound booth single-wall control/double-wall exam Audiometric Suites to the new 4th floor space in Building 138 at the Marion campus of Northern Indiana VA HealthCare System.

This specification addresses prefabricated audiometric examination booths and rooms/suites suitable for the use in testing, calibration, and recording of aural acuity. A booth is defined as a free-standing examination room. Henceforth, the term "audiometric booth" will be used generically when referring to booth, room, or suite. An audiometric booth covered by this specification includes all enclosure panels, components, wiring, lighting fixtures (including dimmers), ventilation silencers, and installation to make the booth completely operable and 100% compliant with the VHA Handbook 1170.02 Appendix D.

Two booths/suites will be sized compatible with Compensation and Pension regulations. One booth/suite will be slightly smaller in size due to the allotted space.

5. Specific Tasks.

Once the project is approved, there are many specific tasks that must be completed in the following order to effectively ensure proper installation.

Task 1-Preparing Audiometric Suite (booth)site I. VA (Engineering)

1. Ensure that the area if free of flooring, ceiling tiles and drywall prior to installation of booth. If any of these items are installed, they are required to be removed for proper installation of booth

1. Install electrical requirements (or contract to install) per approved design by the selected booth vendor.

1. Install ventilation/HVAC requirements (or contract to install) per approved design by the selected booth vendor

Task 2 – Installation of Audiometric Suite (booth)

I. Audiometric Suite (booth) Vendor (once awarded) will

a) Construct the booth according to pre-approved specifications/design and 100% compliant with VHA Handbook 1170.02.

b) Give a two-week notice as to the installation date of the Audiometric Suite (booth)

c) Be responsible for any damage caused to the property by its company or subcontractors and promptly provide restitution for repair, but not less than one week from when damage occurred.

d) Remove all trash and clean up installation area daily

e) Install the pre-manufactured booth in the space described according to the pre-approved specifications/design

f) Replace or repair the defective components.

II. Audiometric Suite (booth) VA (Engineering) will:

a) Upon delivery of materials, Engineering may conduct the following pre-installation and post-installation inspections. Should the audiometric booth fail to meet any of the requirements of this specification

Task 3 – Post Installation of Audiometric Suite (booth)

I. VA (Office of Information and Technology) (OI&T);

1. Install network connectivity for new booth

II. VA (Engineering Service) will:

a) Activate the electricity

b) Connect pre-existing ventilation/HVAC system to the booth

c) Hook up fire sprinkler system

Task 4 – Audiometric Suite (booth) certification

I. Vendor will repair any finish defects and ensure Audiometric booth doors are properly aligned and swing freely without binding other than as necessary for proper sealing.

II. VA (Engineering) shall conduct inspections to ensure that the Audiometric booths are installed such that the floors are level and the walls are plumb. The audiometric booth finish has proper paint coverage and no dents or scratches. Certifies electrical function and ventilation/HVAC III. VA (Safety) will clear the booth area for access of all services IV. VA (OI&T) will certify data connections are operational

Task 5 – Furniture and Ancillary Equipment Set-up

I. VA (Interior Design) will:

1. Install one desk in Control side

1. Install one desk/table in Exam side

1. Deliver three office chairs in the Control side

1. Install one waist-high table in the Exam side

1. Deliver one bariatric patient chair

1. Deliver one regular patient chair

1. Deliver two trashcans

1. Install the hand sanitizer station

7. *estimate list of furniture. Actual list provided to Interior Designer.

II. VA (Bio-Medical) will calibrate and install:

1. All Audiology equipment to include audiometer and immittance bridges.

1. Noah 4 and Hearing Aid Modules on Network computer

III. VA (OI&T) will:

1. Install Noah network computers w/ dual monitors and power supply in the Control room.

5.1 Task 1 - Enterprise Management Controls.

5.1.1 Sub-task 1 – Audiometric Booth Requirements

ENCLOSURE SIZE AND CONFIGURATION REQUIREMENTS FOR SELECTION

a) Audiometric booth must be a Single-Wall Control/ Double Wall Exam Audiometric Suite (booth).

b) Actual size will be determined by the measurements taken before bid. Booths must be 100% compliant with VHA Handbook 1170.02.

5.1.2 Sub-task 2 – Installation

a) The Vendor shall be factory trained on proper booth installation techniques and shall install audiometric booths and all specified components at the Marion campus of Northern Indiana VA HealthCare System.

b) Vendor shall completely assemble audiometric booth and all associated components which are provided by the manufacturer. Outlets, plug strips, light fixtures, and all other electrical components internal to the booth shall be installed and booth wiring shall be connected to the main junction box connection point. HVAC silencers shall be installed on the audiometric booth walls or roof. Final connection of HVAC services, main electrical power, thermostats, and any other building services is the responsibility of the Government. All components should be 100% compliant with VHA Handbook 1170.02, Appendix D.

c) The Vendor shall furnish, with each booth, two copies of the equipment manual containing installation, operation, and maintenance instructions; a block diagram showing wiring between related pieces of equipment which make up the complete system; and a parts data section.

d) The parts data section shall include a list of parts and an illustration of all replaceable parts with replacement instructions. "Replacement part" is defined as a part or component thereof that can be removed or exchanged for a like item and restored to its original position without breaking welds or requiring a special operation. The parts list shall identify the contractor's part number. The parts illustrated shall have an identifying number or name for cross reference to parts list. The manual shall include a wiring diagram including ground connections with all major components identified by name.

6. Performance Monitoring

VA Project Manager, VA Engineering, Biomed, and Logistics along with the Audiology Supervisor will be responsible for ensuring that the sound booth is properly installed according to the provided specifications.

7. Security Requirements Installation of the audiometric suite (booth) does not present patient information security issues. It is simply a sound treated suite, or internal room, that patients are placed in to test hearing.

8. Government-Furnished Equipment (GFE)/Government-Furnished Information (GFI).

Not Applicable.

9. Other Pertinent Information or Special Considerations.

This equipment is highly specialized, and a limited number of providers are available to complete the work.

a. Identification of Possible Follow-on Work.

Once certified, the audiometric suite (booth)should require no follow-up work.

b. Identification of Potential Conflicts of Interest (COI). None

c. Identification of Non-Disclosure Requirements.

The installation of the Audiometric Suite (booth) does not involve any sensitive and/or proprietary information.

d. Packaging, Packing and Shipping Instructions.

The Audiometric Suite (booth) will be received at the VA facility once the area is prepped and the sound booth is constructed.

e. Inspection and Acceptance Criteria.

The VA Facilities Management Project Manager and VA engineering will oversee the sound booth is properly installed according to the provided plan.

10. Risk Control Not applicable

11. Place of Performance.

The assembly of the pre-manufactured booth will be completed on-site.

12. Period of Performance The Audiometric Suite (booth) is required to be delivered and installed by 1 October 2020.

13. Delivery Schedule.

SOW Task#
Deliverable Title
Format
Number
Calendar Days After CO Start
1
Manufacture of Sound Booth
Vendor-Determined Format
Standard Distribution*
17 Week Lead Time
2
Installation Notice
Vendor-Determined Format
Standard Distribution*
Two Weeks Prior to Anticipated Date of Installation
3
Monthly Status Report
Vendor-Determined Format
2 Copies to COR; Letter Only to CO
Monthly, on 5th Workday
4
Commissioning Report
Vendor-Determined Format
Standard Distribution*
3 days after installation is complete by installer

* Standard Distribution: 1 copy of the transmittal letter without the deliverable to the Contracting Officer shall be Emailed.

4.5 Suite 2, Audiometric Examination (single prefab booth in room) (AUDE2)

4.5.1 Axonometric View

NOTE: Guide plates are graphical representations of selected room types, illustrating the integration of space. component s , syst ems, and equipment. They provide typical configurations and general technical guidance. and are not intended to be project specific. Specific infrastructure design requirements are contained in VA Design Manuals and Space Planning Criteria located in the VA Technical Information Libra.ry

Audiology and Speech Pathology Design Guide November

20·17

V ft 9' )\ IA I IC\ U.S. Department of Veterans Affairs

Page 4 45

Page 1 of

4.5.2 Floor Plan

Suite 2, Audiometric Examination (single prefab booth in room) (AUDE2)

J c

O m m 3100 mm

2· ·6·

J

I

QIQ3]:)

F0340

-GIBD

A5077

20028

M0036 b b E lO E M 20026 A5145 F0206

$o(D b N A5077 ..J A5145 )E E N ),M._

Audiology and Speech Pathology Design Guide November

KEY NOTES:

1. MONTI OR, KEYBOARD CONNECTED TO AUDIOMETER COMPUTER.

2. SPEAKE,RCOMPONENT OFDIAGNOSTIC AUDIOMETER.

3. SWITCH ON BOTH SIDES. CONTROLSBOOTH LIGHTING.

4. WHEELCHAIR SHOWN FOR REFERENCE ONLY.

5. JACK PANEL,COMPONENT PART OF AUDIOMETRIC BOOTH. 6.CLOSURE STRIP.

O' 1' 2' 3' 4' 8'

1/4" = 1'-0"

7. 2" (50 MM) MINIMUM AIRSPACE. 4"(100 MM) PREFERRED.

8. OPTIONAL LOCATION FOR NURSE CALL STAFF STATION; PROVIDEBASED ON FACILITY DIRECTION.

9. INTEGRAL PLUG STRIP; TABLE ACCESSORY.

10. SPECULA DISPENSER (OTOSCOPE ACCESSORY).

I 300 NSF I 27.9 NSM j

Page 1 of

NOTE: Guide plates are graphical representationsof selected room types. illustrating the integration of space, components.sy s tems, and equipment. They provide typical configurations and general technical guidance. and are not intended to be project specific. Specific infrastructure design requirements are containedin VA Design Manuals and Space Planning Criteria located in the VA Technical Informat ion li bra r.y

Page 1 of

\WI

)\ IAIiG\U.S. Department
VI'"\of Veterans Affairs

Page 4-46

4.5.3 JSN Legend

Table 19: Suite 2, Audiometric E xamination (single prefab booth in room) (AUDE2) JSN Legend

JSN I NAME

A1010 Telecommunication Outlet A1014 TelephoneW, all Mounted, 1 Line, With Speaker A1019 Telephon,eWall Mounted, Multi-Line, Cordless A5075 Dispenser, Soap, Disposable A5077 Dispense, rHand Sanitizer, Hands-Free A5082 Dispense, rPaper Towe,l Senso, rHands Free A5145 Hook, Garmen,tDoubel, SS, Surface Mounted A5225 Bracket. Dual Computer Monito,rDesk-Mounted CS090 Sink, SS, Single Compartment, 7.5"x191"x6" ID CT020 Countertop, Solid Surface F0205 Chair, Side With Arms F0206 Chair, Side, Bariartic, With Arms F0280 Chair, Swive,l Low Back F0340 Stool, Self Adjusting

F2010Baske, Wt astepape, rStep-On
F3200Clock, Battery, 12' Diameter M0030Audiomet,eDriagnostic
M0036Otoacoustic Emissions Analyzer (Screening or Diagnostic) M1800Monitor, Computer
M1801Compute, Mr icroprcoessing, w/FlatPanel Monitor
Z0007Dispenser, Glove, Sugr ical/Examnai tion, Wall Mounted, Triple, Side Loading Z0015Otoscope, Diagnost,icDesk or Wall Mounted
Z0016Otoscope, Video
Z0026Booth, AudiometricExaminatio, Dnouble-WallS, ingle Sided Z0028Analyze,rMiddle Ear (Tympanometer)
Z1007Table, AdjustableHeight, 66"X30' 21008Table, AdjustableHeigh,t60'X30" 21013Table, Adjustable Height, Mobile, 36" W 21016Cabine,tU/C/B, 4 Drawe,r33"x24"x24" Z1018Cabinet, ADA Sink Support, 36" W
Z1020Cabine,tW/H, 2 Shefl, 1 DO, Sloping Top, 38"x24"x13"

VA

l

(i) )U.S. Department of Veterans Affairs

Page 4-47

Page 1 of

Aucllology and Speech Pathology Design Guide November 20

4.5.4 Interio r Elevations

Sui te 2, Audi ometri c Examination (single prefab booth in room) (AUDE2)

5- - - - - - - - -

(& 2[>

BRACKET. DUAL

Page 1 of

,COMPUTEMRONITOR,
- ---------- -----DESK-MOUNTED

Page 1 of

)CLOCK, BATTERY, 12"

DIAMETER

1-

(_20026.)

BOOTH, AUDIOMETRIC

EXAMINATION

-- - -
r.====== ,,:;iiD,..,....--_-_-_-:";.":-, ,
/$
/0

- 3 (.@00)

MONITOR, COMPUTER

,,,,,,.--6 (M 00 30)

AUDIOMEETR, DIAGNOSTIC

aw)

Page 1 of w ! ; ; !

-1 - TAB LE, ADJUSTABLE HEIGHT. 66"x30'

)\_M 8
Lc oMPUTER

Page 1 of

ELE VATION - 1

WORKSTATION

- 4 <M1W)

Page 1 of

- - - - -c OMPUETR

WORKSTATION

( M003.0) AUDIOMETE R ,----.

GiooD

)DIAGNSOT I C "

TABLE, ADJUSTABLE HEIGHT, 66"x30' (@ 0

COMPUTER

WORKSTATION

I o O

IO O

o

TE

MO

G@

GL

)LEPHONE, WALL UNTED

D )]D

OVE BOX HOLDER

ELE VATION · 2

KEYNOTES:

1. CLOSURE STRIP.

2. SOUND ABSORPTIVE WALL TREATMENT-CONFIGURATIONAND LOCATION MAY BE ADJUSTED PER ACTUAL ROOM CONFIGRUATION. REFER TOROOM DATA SHEET FORMINIMUMCRITERIA.

3. CEILING LINE OFPREFABRICATED SOUND SUITE BEYON.D

4. JACK PANEL, COMPONENT PART OF AUDIOMETRIC BOOTH.

5. 36'x48' (910 mm x 1220 mm) VIEW WINDOW.

6. MONITOR WITH WEBCAM CAPABILITY. O' 1' 2' 3' 4' 8'

1/4"= 1'-0"

VA8l

U.S. Depar tment of'Veterans Affairs

Page 4-48

Page 1 of

Interior Elevations

El

O s ('l'.)

)( A5077.>

DISPENSER, HAND

- SANITI ZER,

HAND-SFREE

ELEVATION · 4

KEY NOTE:S

1. SOUND ABSORPTIVE WALL TREATMEN-TCONFIGURATIONANDLOCATION MAY BE ADJUSTED PER ACTUAL ROOM CONFIGURATION. REFER TO ROOMDATA SHEET FOR MINIMUMCRITERIA.

2. SPECULA DISPENSER (OTOSCOPE ACCESSORY. )

O' 1' 2' 3' 4' 8' 1/ 4" = 1'-0"

VA

l

(i) Audiology and Speech Pathology Design Guide November

U.S. Oc partmenl of Veterans Affairs

Page 4 49

Page 1 of

QQOO

- - OTOSCOPE,VIDEO

aiooD f-- - TABLE, ADJUSTABLE HEIGHT6, 0' x30" (MiaQD Audiology and Speech Pall1o l ogy Design Guide November

COMPUTER

EL--EVAT- -1-0-N-- 5 - - - - - WORKSTATION

, czoro

ANALYZER, MIDDLEEAR

)( A5145 )

4 - - HOOK, GARMEN, T

)/ DOUBLE

Page 1 of I I )2 '8 ., !!I'---'

EL E VATION · 6

loo

CM_0_03].)

-- - -+- - { iTOACOUSTIC

EMISSIOSNANALYZER

awD

, _ TABLE. ADJUSTABLE

HEIGHT ONCASTER, 36'x18"

KEY NOTES:

1. SPEAKER, COMPONENTOF DIAGNOSTIC AUDIOMETER.

2. SPECULA DISPENSER (OTOSCOPEACCESSORY).

3. WIRE MANAGEMENT STRIP (TO JACK PANEL).

4. OPTIONAL LOCATION FOR 20015, OTOSCOPE, DIAGNOSITC.

5. HOOKS TO ACCOMMODATE HEADPHONSEAND WIRES. QUANTITY TOBE PER FACILITY NEED.

o· 1· 2· 3• 4 ' 8' 1/4"= 1'-0"

VA

l

(i} )U.S. Departm ent of Vete rans /\ffairs

Page 4-50

Page 1 of

Audiology and Speecl1 Pathology Design Guide November

)2-- D

)a, s D El

Page 1 of ill CHAIR, SIDE, BARlATRIC'

WITH ARMS

i )iii- -

I

EL EVATION· 7

a so1v

DISPENSE,RHAND

Page 1 of O a

) - - - - - - - - - - '/ SANITIZER,

HANDS-FREE

A1 19 CORDLESS PHONE 1

ELEVATION - 8

KEY NOTES:

1. SPEAKER.COMPONENT OF DIAGNOSTICAUDIOMETER. 2.JACK PANEL, COMPONENT PART OF AUDIOMETRIC BOOTH.

3. WIRE MANAGEMETNSTRIP(TO JACK PANEL)

4. 36"x48" (910 mmx 1220 mm) VIEW WINDOW.

o· 1· 2· 3' 4' 8'

1/4" = 1'-0"

V A

{i )U.S. Depa rt ment of Veterans Affairs

Page 4-51

Page 1 of

4.5.5 Reflected Ceiling Plan

Suite 2, Audiometric Examination (single prefab booth in room) (AUDE2) mm )- - - - - - - -12'•-6' - - - - - - -t )10' - 2·

3100mmT
II

L§] L§] L§] [:g] [:g] [:g] [2] [:g] [:g] [:g] b

-0

2440mm

)L.::J • '

Audiology and Speech Pathology Design Guide November o [2] [X

· 9"- 0" co E E )..'.. g

1/4"

1'-0

VA

l

)U.S. De pa rt ment of Veterans Affairs

2740 mm

300 NSF 27.9 NSM

Page 4-52

4 . 5 . 6 Room Data Sheet Suite 2, Audiometric Examination (single-sided prefabricated booth in room) (AUDE2) Audiology and Speech Pathology Design Guide November

ARCHITECTURAL

Number of People:

Booth Side:3
Control Side:3

Ceiling:

Booth: PRE-FAB (Note 1)

Control Side: AT

CeilingHeight:

Notes:

and roof panel assemb;lyacoustical door units; acousticawl indow units;assembly hardware including connecting panel joints; electrical and lighting wiring, components and fixtures, including audiometricjack panel system; silenced forced air ventilation system or packaged air conditioning silencersfor connectionto building HVAC system,spaintand other specfiied finishe;sdust seasl/shields; and closure strip.

Booth: 8"-0" (2400 mm) (Note 2)

ContrloSide: 9'-0" (2700 mm)

Partitions /WallFinish:

Booth: PRE-FAB

Control:m:GWB f:P (Notes1, 3, and 4) Base:
Booth:PRE-FAB
Control Side:m:RB h:4"(100 mm) Floor Finish:CPT or LVT (Note 5) Door:
Booth:m: PRE-FAB t: PRE-FAB s: V (Note 6)
Room:m:Wood t:19 dg:(Note8) s:V (Note7) Hardware:
Booth:(Note 9)
Control:3
Acoustical Criteria(for Room):Notes 11, 12, and13 Ceilni g:0.70 NRC rating and 35 CAC rating

1) Booth: as specified in VHA Handbook 1170.02 Appendix D

2) Preferred interior clear ceilingheight for booth. Coordinate with facliity floo-rto- floor height andplenum space requried for MEP system.sOverall prefabricaetd booth dimension is approixmately19" (480 mm) greater than interior clear height. Referto vendor drawings/cutsheets.

3) Prefabricated system shall include painte,dgalvanized steel fascia/closureplate and neopreneseals to close the gap between booth and adjacent drywall partition and betwene top of booth and finished ceiling outsideof the booth to createa closed soffit space (height depends on project conditions.) Refer to VHA Handbook 1170.02 Appendix D for additional requirements

4) Booth wall and ceiling finish selection from manufacturer standard colorspowdercoat paint; or per facility preference for alternaitve "enhanced" finishes, suchas fabric panel,s"wood" look or wood veneer exterior panels

5) Floor finish per project requiremnets; notrequired tobe purchased through booth vendor

6) Booth: two-doo(rin-swing and swing-otu) acoustical door and frame assembl.y Doors shall include narrow light or full heightinsulatedglass view window (configuration based on projecUuser preference). Raised sills, threshold 7) Floor/Ceilin:g

60 STC, 60 IIC

drop seals, and sweep seals shall not be permitted. Refer to VHA Handbook 1170.02Appendix D for additional

Walls at Adjacent Room: 60STC

Walls at Corridor: 55STC

Slab Depresison: Yes,6 1/8" (160 mm), Verifywith vendor (Note13)

Special Consrtuction:

Room: Minimum total area of 120 sq. ft. (11.2NSM) of a nominal 2in. (50 mm) thick sound absorptive wall treatment on at leasttwo perpendicularwalls. The sound absorptive wall treatment should have a minimum

0.90 NRC rating and a minimum 0.65 sound absorption coefficient at 250 Hz.

Booth: Prefabricated, modularsystemconsistingof all components specified in VHA Handbook 1170.02 Appendix D for double wall assemb.lyComponenst includ:evibration isolationsystem; floor assemb;lywall

9'

)\ IA IQU.S.Department
VI"\of'Vcterans Affai rs

requirements andalternate acceptable configurations

8) 50 STC rated acoustical door

9) Narrow lite optional. If provide,duseinsulated or laminaetd glass unit to meet acousticlacriteria in Note 7.

10) Per VHA Handbook 1170.02 Appendix D and Attachment J.

11) As specified inVHA Handbook 1170.02 Appendix D

12) Increase the minimum STC rating of walls 5 STC for every 5 dBA increase in sound level above normal speech level (65 dBA 3'-0" (910 mm) from the speaker) in the adjacetnroom

13) Referto PG-18-10Chapter 6;Table 5 MechanicaRl oom Data Sheets for Noise Criteria(refer to Sectino 4.19).

14) Provide additional depth as requiredto accommodate floor finish to achieve flush transitionbetweenbooth and adjacentspacefcorridor

Page 4-53

LIGHTING

COMMUNICATIONS

Workplane Hegi ht:
2'-6" (760mm)
Data:
Yes
Inside Boot:h
500 Lux (50 FC)
Telephon:e
Yes
Outside Boot:h
300 Lux (30 FC)
Cable Televisio:n
No
MaintainedAvg. Illuminatio-nAmbient:
NIA
Duress Alarm:
Yes
Electronic Access & Door Contro:l
No
Maintained Avg. Illumination-Task Focus:
NIA
Motion Intrusion Detection:
No

Luminaire Type:

Inside Booth: Recessed LED, Lensed, Provided with Pre Fab System.

Outside of Booth: 2'x4' (610x1220mm) or 2'x2' (610x610

mm) Fluorescent or LED, Lensed,

Intercom:No
Nurse Call:Staff emergencystation where required
Code Blue:No
Public Addres:sNo

Lamps:

Volumetric or DirecUlndirect Distribution Type.

Video Teleconferencing: Yes (See Note 1) Notes:

1) Where telehealth services will be proviedd, computer 2)

Inside Booth: LED

Outside Booth:LED, TS, or TS Fluorescent CCT:3500K
CRI:80, minimum

Controls:

Inside Booth:Linear Dimming to Accommodate Low
Ambien-Lt ightConfiguration; OutsideBooth:Multi-Level Control via Linear Dimming,

Step Dimmin,gOr Dual-Ballast Switching

Special Requirements: Note 1 Note:s

1) EMI/RFI emissions are aconcern within booths. Provide fixture drivers complying with FCC Title 47, Part 18, Subpart C, Class B, Consumer Equipmetn.

POWER

workstation shall include dual monitors, speaker,svideo camera, and microphone.

2) Provide keyboard, video, and mouse connections between audiometer computer workstation and keyboard, video, and mouse in exam side.

HEATIN,GVENTILATING, AND AIR CONDITIONING

General Requirement: Refer to the current version of PG-18-1O Chapter 6 Table 5- Mechanical Room Data Sheets (copy is provided in Section 4.19) for room temperatur,ehsumidity rang,eroomair change requirements, and pressruization.

PLUMBING AND MEDICAL GASES

Codl Water: Yes

Hot Water: Yes

Water Control: Electronic Sensor

Compressed Air: No

Normal Powe:r

Connect to receptacles and equipment

SanitaryNent: Yes

Emergency Power: Not Required Notes:

1) Coordinate electrical connections with boothmanufacturer

2) Receptacles on Allsides of Booth, Provided with Pre-Fab System

3) Multiple Receptaclesat Tables inside & outside Booth for Charging Devices

Medical Air: No

Medical Vacuum: No

Oxygen: No

FIRE PROTECTION AND LIFE SAFETY

Fire Alarm: Audible, Visual (15 cd)- Exam; Visual (15cd) - Control

Sprinkler: Recessed pendan,tcenter of tile- Control andExam Hazard Type: Light

U.S. De pa rtm ent of Veterans Affairs

Page 4-54

Page 1 of Audiology and Speech Pathology Design Guide November 20·17

4.5 .7 Equipm ent Li st Ta ble 20: Suit e 2, Audiometric Examination (single prefab booth in room) ( AUDE2) Equipmen t List

JSN NAME QTY ACQ/ INS DESCRIPTION

i

A1010Telecommuniciaotn6wTelecommunication outlet locatio.n Outlet
A1014Telephon, eWallwTelephon, We all Mounted, 1Line, with Speaker Mounte,d1Line,

With Speaker

A1019Telephone, WallwWall mounte,dmulti-linetelephone with speaker includingacordless Mounte,dMutli-Line,handset for usein operating room environmen. tsWall mounted base unit
Cordlessshould be waterproof to permit easy decontaminatio.n

)A5075 Dispense, rSoap, w Disposable soap dispenser. One-handed dispensing operaotin. Designed Disposable to accommodate disposable soap cartridge and valve.

A5077Dispense, rHand2wA touch free wall-mounted hand sanitizer dispense.rFor use throughout a Sanitizer, Hands-healthcarefacility. Unit does not include the sanitizingliquid. Unitsare
Freebattery operated.
A5082Dispense,r PaperccA surface mounte,dsensor activated, automatic, roll paper towel dispenser. Towe,l Sensor,The unit dispenses a paper towel automatically only when hands are place
Hands Freein position below the dispenser for maximum sanitation and hygiene. May

includeadjustablesettings for sheet length, timedelay, and sensor range. Unit is battery operated or with optional AC power adapte.r

A5145Hoo,kGarment,3ccA surface mounte,dsaitn finish stainlessstee,ldouble garment hook.
Double, SS, SurfaceEquippedwith aconcealed mounting bracket that is secured to aconcealed
Mountedwall plate. For genearl purpose use throughout the facility tohang various items of apparel.
A5225Bracke,tDualwDesk-mounted bracket that supports two LCD computer monitor,sor laptop Computer Monitor,1 and monitor configuratio. nExtends LCD's or labtop up to 25" with an
Desk-Mountedadjustment range of 18". Desk clamp attaches to edge up to 2.6" thick.

Maximum combined weight supported not toexceed 50 lbs.

CS090Sink, SS, SingleccSingle compartment stainless steel sink, dropi-n, self-rimmin, lgedge-type, Compratment,oonnected with adrain and provided witha mixingfaucet. It shall also be
7.5"x19"x16'IDprovided with pre-punched fixture holes on 4• center, integralback ledge to acoommodate deck-mounted fixtures, brushed/lpisohedinterior and top surfaces, and sound deadene.dRecommended for use in suspended or U/C/B sink cabinets having a high plasticlaminateor Chemusrflaminate countertop/work surface. Coordinate actual outside sink dimensions with the actual clear dimesnionof cabinet specified toensure that they are compatilbe. For general purpose use throughout the faciilty.
CT020Countertop, SolidccA solid, nonporous oountertop with a smooth seamlessappearance. Easy Surfaceto clean and mani tainand with proper cleaning does not support the growth

of mold. An acrylic-basedsolid surface product. Standard thickness of 1", and a 4• butt backsplash/curb. Also referred to as a work surface or work top. Available inachoice of oolors and depths. Usedin lab and other hospital areas requiring optimum physical and chemical resisting properties.

F0205 Chair, Side With 2 w Upholsteredside chair, 32" high X 21" wide X 23" deep with arms, padded Arms seats and padded backs. Seat height is a minimum of 17". Available with e

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JSN NAME i QTY ACQJINS • • • • Audiology and Speech Pathology Design Guide November

F0206 Chai,rSide, Bariatric, With Arms F0280 Chai,rSwivle, Low 2 Back

F0340 Stool, Self Adjusting

F2010Baske,tWastepaper, Step-On
F3200Clock, Battery, 12" Diameter

M0030 Audiomete,r Diagnostic

M0036 Otoacoustic EmissionsAnalyzer (Screening or Diagnosict )

M1800 Monito,rComputer

wA bariatric side chair with arms for use in a waiting room, lobby, or other patient area. Chair will have apadded seat and back and have acapacity of 800 pounds.
wLow back contemporary swivel chai,r37" high X 25" wide X 31" deep with a five (5) caster swivel base, arms and foam padded seat and back upholstredwith either woven textile fabric or vinyl.
wSelf adjusting stool. Consists of a foam padded upholstered seat with attached foot rest for added comfort. Mounted on swivel casters. Designed for doctor's use during examination.s
w"Step-o"nwastepaper basket with inner linerand foot petal activated flip top.
wClock, 12' diameter. Round surfac,eeasy to read numbers with sweep second hand. Wall mounted unit for use when impractical to install a fully synchroiznedclock system. Battery operate,d(batteries not included. )
wStand aloneor PC based unit includes talk over communication between operator and patien,t automatic calibratio,nautomated tests, with digital speech materials, andautomaictallyor manually operated frequency and hearing level controls. Used with a variety of transducers including bone conduction receiver, insert or headset earphone, sand speaker.sUnit may require an external printer. Used for clinical audiologaicl testing.
wScreening or diagnosticanalyzer forinner ear function and related hearing loss. System consists of insert probe,sadigital computer interface, an analog interface, and data acquisition software, and is capable of transient anddistortion measuremen.tsThis system requires adesktop or notebook compute,rwith optional printe.r
wA high definiitonLED computer monitor with minimum 1920 x 1080 resolution, 4ms response time, 25 inch class display size, compatliebwith desk or arm mounte.dMonitor is VESA compatible and Energy Star compliant.

Page 1 of M1801 Computer, 3 w Microprocessin,g w/Flat Panel Monitor

Z0007 Dispense,r Glove, w Surgical/ Examinatio,nWall Mounted,Triple, Side Loading

Desk top microprocesinsgcomputer. The unit shall consist of a central processing mini tower, flat panel monito,rkeyboard, mouse, and speakers. The system shall have the following minimum characteristics:a 2.8 GHz Pentium processor; 512 MB memory; 80GB hard drive; 32/48x CD ROMDVD combo; 1.44MB network interface card; video 32 MB NVIDIA; a 18 inch flat panel monitor. The computer is used throughout the facility to input, manipulate, and retrieveinformation.

The unit is designed for the storage of 3 different sizes of glove boxes and is capable of being mounted on the wall.

Z0015 Otoscop,e Diagnostic, Desk or Wall Mounted w WallMounted Otoscope:Integratedsystem with wall transformer, standard diagnostic otoscop,ewallaneroid, and specula dispenser; includes 6 foot line cord with plug, and accepts two handles. Designed for useinpatient rooms.

Desk Set Otoscope: System contains universal charge,rlithium ion handle andlithium ion battery, 3.5v otoscope and separate wall mounted specula dispense; irncludes6 foot linecord withplug and accepts two handle.s Designed for use in patient rooms.

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ti·MiidI

DESCRIPTION

Audiology and Speech Pathology Design Guide Novembet 2017

Z0016

Z0026

Z0028

Z1007

Z1008

Z1013

Otoscop,eVideo

Booth, Audiomeitcr Examinatio, n Double-Wlla, Single Sided

Analyze,rMiddle Ear (Tympanometer)

Table, Adjustable Heigh,t66"X30"

Table, Adjustable Heigh, t60"X30"

Table, Adjustable Heigh,tMobile, 36" w

wWireless or wired device, which provides video of ear canal and tympanic membrane, and may be used alone or with laptop or PC to store images. Instrument incorporateasrod otoscope with removabloetic speculum, fiber optic illumination, and high resoluitonvideocamera. Wired units utilize USS connecti.on
wCustom size doublewall, single audiometric testing boot.hPrefabricated system consisting of all components specified in VHA Handbook 1170.02, Appendix D. Components include:vibration isolaitonsystem, floor assemb,lywall and roof panelassembly; acousctial door units; acoustical window units; assemlbyhardware including connecting panel joints; electrical and lighting wiring,components and fixture,sincluding audiometric jack panel system; silencedforce air ventilation system or packaged air conditioning silencersfor connection to building HVAC systems, paint and other specified finishe;sdust seals/shields and closure strip. Two-doo(rIn-swingand swing-out) acoustical door and frame assemb.lyDoor shall include narrow light or full height insulated glass view

1 window (configuration based on projecVuser preference). Raised sills, threshold drop seal,sand sweep seals shall not bepermitted.

wDiagnostic immittance audiometer. Unit includes a clinical ear analyzer and can link to acomplete data base computer system that stores patient results. Used for diagnostic audiologicaltesting for middle ear impedance/compliance and acoustic reflex testing.
w66'W x 30"0 adjustable height electric pedesltatablewith C-foot configuration and integral wiremanagement trough or tray. Height range varies by manufactur,earnd model, approximately 22" to 48". Steel tube construction with powder coat finish, and 1 ¼" thick top with high pressure laminate or wood veneer surface, gator-ply paper backer bottom face, and side edges of rigid Thermolpasticor color matched wood venee.r Diecast aluminum feeland top support; galvanized steel horizontal rails, zinc plated steel fastener.sSystem includes integral electrical components (including controlbox, cable trough, electric motor, power cord for table; U.L. listed pop-up power strip withminimumof two simplex receptacles,additional data and/or USB ports as needed per facility preference, and minimum 6' long power cord with plug,) 2 grommets and adjustable glides for complete system.
w60'W x 30"0 adjustable height electric pedestal table with C-foot configuration and integral wire management trough or tray. Heightrange varies by manufacturearnd mode,lapproximalyte22" to 48". Steel tube construction with powder coat finish, and 1 ¼" thick top with high pressure lamintaeor wood veneer surface, gator-ply paper backer bottom face, and sideedges of rigid Thermoplastic or color matchedwood venee.r Die cast aluminum feet and top supprot; galvanizedsteel horizontarlails, zinc plated steel fasteners. System includes integral electircal components (including control box, cable trough, electric moto,rpower cord for table; U.L. listed pop-up power strip with minimum of two simplex receptacles, additional data and/or USB ports as needed per facility preference, and minimum6' long power cord with plug), 2 grommets and adjustable glidesfor complete system.

w 18"W x 36"0 fixedheight worksurface with PVC edge trim, on fixed height leg pairs withcasters. Steel tube construction legs with powder coat finish, and1 3/16" thick top with high pressure laminate.

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)Audiology and Speech Pathology Design Guide November 2017

Z1016

NAME

)Cabine,tU/C/B, 4 Drawe,r 33"x24"x24"

ACQ/ INS

QTY

)cc

DESCRIPIOTN

Standingheightunder counter base cabinet with three or four full width drawe;rsconfiguration to be determined based on facility needs. Also referred to as a drawer cabinet. Medium density M-3 particle board core construction faced with high pressurevertical grade decoraivteplastic laminate on exposed surfaces and melamine on concealed/sem-iconcealed surface; splastic edgebanding. Hardwareincludes hinges, full extension drawer slide,spulls, andadjustable glides.

Page 1 of Z1018 Cabine,tADA Sink Support, 36" W

Z1020 Cabine,tW/H, 2 Shelf, 1 DO, Sloping Top, 38"x24"x13"

ccWall mounted sink support cabinet for dropin- sink with verticalfascia and angled ADA profile, also referred to as ADA sink cabinet. Removable front panel topermit access to plumbin. gMedium density M-3 particle board core construction faced with high pressure vertical grade decorative plasict laminate on exposed surfaces and melamineon semi-exposedand concealed surface;splastic laminate edge bandin.gIncludes all attaching hardware including support rali.
ccWall hung high pressure plasticlaminat-efacedcabinetwith two adjustable shelve,ssolid right or left-hingeddoor, and sloping top. Alsoreferred to as asolid hinged singledoor case. Medium density M-3 particleboard core construction with high pressure vertical grade decorative plastic laminate on exposed surfaces and melamine on conceale/dsemi-concealedsurfaces; plastic edge-banding. Hardware includes hinge,spulls, and adjustable

shelf standards.

VA

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)U.S. Depar tment of Vetera ns Affair s

Page 4-58 RESPONSES ARE DUE Thursday July 2, 2020 by 12:00 p.m. eastern standard time (est). Electronic offers will be accepted – Erik Fallo, e-mail Erik.Fallo@va.gov.

Point of contact for this solicitation is Erik Fallo, e-mail Erik.Fallo@va.gov. All Inquires must be in writing.

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File details come from the government source that posted it. Updated .