36C26121Q0360.docx

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J065--Audiology Equipment Calibration Service Federal contract opportunity
Solicitation number
36C26121Q0360
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21

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36C26121Q0360

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

DUNS:

DUNS+4:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. 2/2012)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

612-21-1-138-0036 36C26121Q0360 02-16-2021 Tim Smith 916-923-4517 02-25-2021 15:00

PST

612MCP

Department of Veterans Affairs VA Sierra Pacific Network (VISN 21) VA Northern California HealthCare System 5342 Dudley Blvd, Bldg 209 McClellan CA 95652-2609 X 811219 $22 Million N/A X See Statement of Work For Locations

612MCP

Department of Veterans Affairs Department of Veterans Affairs VA Northern California HealthCare System 3230 Peacekeeper Way, Bldg. 209 McClellan CA 95652-1012

Department of Veterans Affairs FMS VA-9(101) Financial Services Center PO Box 149971 Austin TX 78714-9971 See CONTINUATION Page Requirement for calibration services for all VA owned audiology equipment within VA Northern California Health Care System Base Period of Performance: 3/1/2021 through 2/28/2022 with four one-year option periods.

Note 1: “Offerors shall follow the submission instructions specified in FAR Provisions 52.212-1 and 52.212-2, and their addendums included in this solicitation. Failure to follow the instructions will result in an unfavorable evaluation and may not be considered for award.”

Note 2: All request for information must be submitted no later than 3 days prior to quote due date.

See CONTINUATION Page X X Parvinder Brar Contracting Officer Table of Contents

SECTION A1
A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS1
SECTION B - CONTINUATION OF SF 1449 BLOCKS3
B.1 CONTRACT ADMINISTRATION DATA3
B.2 PRICE SCHEDULE5
B.3 STATEMENT OF WORK50
SECTION C - CONTRACT CLAUSES61
C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (OCT 2018)61
C.2 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)67
C.3 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)67
C.4 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA ACQUISITION OF COMMERCIAL ITEMS (APR 2020)67
C.5 VAAR 852.219-75 SUBCONTRACTING COMMITMENTS MONITORING AND COMPLIANCE (JUL 2018)69
C.6 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)69
C.7 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (NOV 2020)70
SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS78
SECTION E - SOLICITATION PROVISIONS79
E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (JUN 2020)79
E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (OCT 2020)85
E.3 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)88
E.4 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)88
E.5 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)89
E.6 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL ITEMS (NOV 2020)91

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C261 Department of Veterans Affairs VA Sierra Pacific Network (VISN 21) VA Northern California HealthCare System 5342 Dudley Blvd, Bldg 209 McClellan CA 95652-2609

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

[X]
52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or
[]
52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly[]
b. Semi-Annually[]
c. Other[X] Monthly

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

All invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

VA’s Electronic Invoice Presentment and Payment System – The FSC uses a third-party contractor, Tungsten, to transition vendors from paper to electronic invoice submission. Please go to this website: http://www.tungsten-network.com/US/en/veterans-affairs/ to register and begin submitting electronic invoices, free of charge. The Department of Veterans Affairs Tungsten Number is: AAA544240062 (this allows you to file invoices online for free.)

More information on the VA Financial Services Center is available at http://www.fsc.va.gov/einvoice.asp.

Vendor e-Invoice Set-Up Information:

If you have questions about the e-invoicing program or Tungsten, please contact the FSC at the phone number or email address listed below:

• Tungsten e-Invoice Setup Information: 1-877-489-6135

• Tungsten e-Invoice email: VA.Registration@Tungsten-Network.com

• FSC e-Invoice Contact Information: 1-877-353-9791

• FSC e-invoice email: vafsccshd@va.gov ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO
DATE

B.2 PRICE SCHEDULE

PRICE SCHEDULE

Base Year: March 1, 2020 – February 28, 2021

CLIN
Equipment/Location
Category
Qty
Unit Price
Total Price
0001
GSI

Mod: AudioStar Pro

SN: GS0074743

Mather, CA

Clinical Audiometer
2 JB
$
$
0002
GSI

Mod: AudioStar Pro AMTAS

SN: GS0082116

Mather, CA

Clinical Audiometer
2 JB
$
$
0003
GSI

Mod: AudioStar Pro AMTAS

SN: GS0081807

Mather, CA

Clinical Audiometer
2 JB
$
$
0004
GSI

Mod: AudioStar Pro AMTAS

SN: GS0081765

Mather, CA

Clinical Audiometer
2 JB
$
$
0005
GSI

Mod: AudioStar Pro AMTAS

SN: GS0081546

Mather, CA

Clinical Audiometer
2 JB
$
$
0006
GSI

Mod: AudioStar Pro AMTAS

SN: GS0081763

Mather, CA

Clinical Audiometer
2 JB
$
$
0007
GSI

Mod: AudioStar Pro HF

SN: GS0074743HF

Mather, CA

Audiometer High Freq
2 JB
$
$
0008
Eckel

Mod: C-27-LP

SN: 109060

Mather, CA

Sound Room
1 JB
$
$
0009
Bio-logic

Mod: Scout

SN: 10E15359

Mather, CA

OAE
2 JB
$
$
0010
GSI

Mod: TympStar V2

SN: AL083951

Mather, CA

Tymp
2 JB
$
$
0011
Audioscan

Mod: Verifit

SN: 4625

Mather, CA

HA Analyzer
2 JB
$
$
0012
Audioscan

Mod: Verifit 2

SN: C2804

Mather, CA

HA Analyzer
2 JB
$
$
0013
GSI

Mod: AudioStar Pro

SN: GS0055528

Martinez, CA

Clinical Audiometer
2 JB
$
$
0014
GSI

Mod: AudioStar Pro

SN: GS0074694

Martinez, CA

Clinical Audiometer
2 JB
$
$
0015
GSI

Mod: AudioStar Pro HF

SN: GS0055528HF

Martinez, CA

Audiometer High Freq
2 JB
$
$
0016
GSI

Mod: AudioStar Pro HF

SN: GS0074694HF

Martinez, CA

Audiometer High Freq
2 JB
$
$
0017
Bio-logic

Mod: Scout

SN: SP0610879

Martinez, CA

OAE
2 JB
$
$
0018
GSI

Mod: TympStar Pro

SN: GS0063089

Martinez, CA

Tymp
2 JB
$
$
0019
GSI

Mod: TympStar Pro

SN: GS0062956

Martinez, CA

Tymp
2 JB
$
$
0020
Audioscan

Mod: Verifit

SN: 3084

Martinez, CA

HA Analyzer
2 JB
$
$
0021
Audioscan

Mod: Verifit

SN: 3085

Martinez, CA

HA Analyzer
2 JB
$
$
0022
Audioscan

Mod: Verifit 2

SN: C1226

Martinez, CA

HA Analyzer
2 JB
$
$
0023
Micromedical

Mod: AirFx

SN: AIR-30-1121

Martinez, CA

Irrigator
1 JB
$
$
0024
Audioscan

Mod: Verifit2

SN: C4224

Martinez, CA

HA Analyzer
2 JB
$
$
0025
IAC

Mod: 250

SN: 1294

McClellan, CA

Sound Room
1 JB
$
$
0026
GSI

Mod: AudioStar Pro

SN: GS0055521

McClellan, CA

Clinical Audiometer
2 JB
$
$
0027
GSI

Mod: AudioStar Pro

SN: GS0055501

McClellan, CA

Clinical Audiometer
2 JB
$
$
0028
GSI

Mod: AudioStar Pro

SN: GS0062839

McClellan, CA

Clinical Audiometer
2 JB
$
$
0029
GSI

Mod: AudioStar Pro HF

SN: GS0055521HF

McClellan, CA

Audiometer High Freq
2 JB
$
$
0030
GSI

Mod: AudioStar Pro HF

SN: GS0055501HF

McClellan, CA

Audiometer High Freq
2 JB
$
$
0031
Tremetrics

Mod: RA500

SN: 9024085

McClellan, CA

Industrial Audiometer
1 JB
$
$
0032
Eckel

Mod: S-121

SN: 106246

McClellan, CA

Sound Room
1 JB
$
$
0033
Bio-logic

Mod: Scout SN: 16d023732b McClellan, CA

OAE
2 JB
$
$
0034
GSI

Mod: TympStar Pro

SN: GS0078613

McClellan, CA

Tymp
2 JB
$
$
0035
GSI

Mod: TympStar Pro

SN: GS0070229

McClellan, CA

Tymp
2 JB
$
$
0036
GSI

Mod: TympStar V2

SN: AL095059

McClellan, CA

Tymp
2 JB
$
$
0037
Audioscan

Mod: Verifit

SN: 3129

McClellan, CA

HA Analyzer
2 JB
$
$
0038
Audioscan

Mod: Verifit

SN: 2020

McClellan, CA

HA Analyzer
2 JB
$
$
0039
Audioscan

Mod: Verifit

SN: 3128

McClellan, CA

HA Analyzer
2 JB
$
$
0040
Audioscan

Mod: Verifit 2

SN: C1224

McClellan, CA

HA Analyzer
2 JB
$
$
0041
Audioscan

Mod: Verifit 2

SN: C4226

McClellan, CA

HA Analyzer
2 JB
$
$
0042
Micromedical

Mod: AirFx

SN: AIR1-40-0101

McClellan, CA

Irrigator
1 JB
$
$
0043
Micromedical

Mod: AquaStim

SN: AQUA1-40-0037

McClellan, CA

Irrigator
1 JB
$
$
0044
Interacoustics

Mod: Eclipse

SN: 979369

McClellan, CA

AEP
1 JB
$
$
0045
Acoustic Systems

Mod: RE143

SN: 19848A

McClellan, CA

Sound Room
1 JB
$
$
0046
IAC

Mod: 402

SN: 101502

McClellan, CA

Sound Room
1 JB
$
$
0047
Micromedical

Mod: VISUALEYES 525

SN: B4S6MR2

McClellan, CA

Videonystagmographs
1 JB
$
$
0048
GSI

Mod: AudioStar Pro

SN: GS0076162

Chico, CA

Clinical Audiometer
2 JB
$
$
0049
GSI

Mod: AudioStar Pro HF

SN: GS0076162HF

Chico, CA

Audiometer High Freq
2 JB
$
$
0050
Maico

Mod: MA41

SN: 72110

Chico, CA

Diagnostic Audiometer
1 JB
$
$
0051
Interacoustics

Mod: Titan

SN: 976039OAE

Chico, CA

OAE
2 JB
$
$
0052
Interacoustics

Mod: Titan

SN: 976039

Chico, CA

Tymp
2 JB
$
$
0053
Audioscan

Mod: Verifit 2

SN: C3771

Chico, CA

HA Analyzer
2 JB
$
$
0054
Audioscan

Mod: Verifit 2

SN: C3773

Chico, CA

HA Analyzer
2 JB
$
$
0055
Audioscan

Mod: Verifit 2

SN: C3772

Chico, CA

HA Analyzer
2 JB
$
$
0056
IAC

Mod: 401A

SN: EE21254

Redding, CA

Sound Room
1 JB
$
$
0057
GSI

Mod: AudioStar Pro

SN: GS0055262

Redding, CA

Clinical Audiometer
2 JB
$
$
0058
GSI

Mod: AudioStar Pro HF

SN: GS0055262HF

Redding, CA

Audiometer High Freq
2 JB
$
$
0059
Maico

Mod: MA41

SN: 72111

Redding, CA

Diagnostic Audiometer
1 JB
$
$
0060
Interacoustics

Mod: Titan

SN: 982897

Redding, CA

OAE
2 JB
$
$
0061
GSI

Mod: TympStar

SN: AL062205

Redding, CA

Tymp
2 JB
$
$
0062
Audioscan

Mod: Verifit

SN: 3195

Redding, CA

HA Analyzer
2 JB
$
$
0063
Audioscan

Mod: Verifit 2

SN: C4225

Redding, CA

HA Analyzer
2 JB
$
$
0064
GSI

Mod: Audiostar Pro

SN: GS0052885

Mare Island, CA

Clinical Audiometer
2 JB
$
$
0065
GSI

Mod: Audiostar Pro HF

SN: GS0052885HF

Mare Island, CA

Audiometer High Freq
2 JB
$
$
0066
Bio-logic

Mod: Scout

SN: SP0610875

Mare Island, CA

OAE
2 JB
$
$
0067
GSI

Mod: TympStar Pro

SN: GS0063090

Mare Island, CA

Tymp
2 JB
$
$
0068
Audioscan

Mod: Verifit 2

SN: C2758

Mare Island, CA

HA Analyzer
2 JB
$
$
Base YEAR 1:
$

Option Year 1: March 1, 2022 – February 28, 2023

CLIN
Equipment/Location
Category
Qty
Unit Price
Total Price
1001
GSI

Mod: AudioStar Pro

SN: GS0074743

Mather, CA

Clinical Audiometer
2 JB
$
$
1002
GSI

Mod: AudioStar Pro AMTAS

SN: GS0082116

Mather, CA

Clinical Audiometer
2 JB
$
$
1003
GSI

Mod: AudioStar Pro AMTAS

SN: GS0081807

Mather, CA

Clinical Audiometer
2 JB
$
$
1004
GSI

Mod: AudioStar Pro AMTAS

SN: GS0081765

Mather, CA

Clinical Audiometer
2 JB
$
$
1005
GSI

Mod: AudioStar Pro AMTAS

SN: GS0081546

Mather, CA

Clinical Audiometer
2 JB
$
$
1006
GSI

Mod: AudioStar Pro AMTAS

SN: GS0081763

Mather, CA

Clinical Audiometer
2 JB
$
$
1007
GSI

Mod: AudioStar Pro HF

SN: GS0074743HF

Mather, CA

Audiometer High Freq
2 JB
$
$
1008
Eckel

Mod: C-27-LP

SN: 109060

Mather, CA

Sound Room
1 JB
$
$
1009
Bio-logic

Mod: Scout

SN: 10E15359

Mather, CA

OAE
2 JB
$
$
1010
GSI

Mod: TympStar V2

SN: AL083951

Mather, CA

Tymp
2 JB
$
$
1011
Audioscan

Mod: Verifit

SN: 4625

Mather, CA

HA Analyzer
2 JB
$
$
1012
Audioscan

Mod: Verifit 2

SN: C2804

Mather, CA

HA Analyzer
2 JB
$
$
1013
GSI

Mod: AudioStar Pro

SN: GS0055528

Martinez, CA

Clinical Audiometer
2 JB
$
$
1014
GSI

Mod: AudioStar Pro

SN: GS0074694

Martinez, CA

Clinical Audiometer
2 JB
$
$
1015
GSI

Mod: AudioStar Pro HF

SN: GS0055528HF

Martinez, CA

Audiometer High Freq
2 JB
$
$
1016
GSI

Mod: AudioStar Pro HF

SN: GS0074694HF

Martinez, CA

Audiometer High Freq
2 JB
$
$
1017
Bio-logic

Mod: Scout

SN: SP0610879

Martinez, CA

OAE
2 JB
$
$
1018
GSI

Mod: TympStar Pro

SN: GS0063089

Martinez, CA

Tymp
2 JB
$
$
1019
GSI

Mod: TympStar Pro

SN: GS0062956

Martinez, CA

Tymp
2 JB
$
$
1020
Audioscan

Mod: Verifit

SN: 3084

Martinez, CA

HA Analyzer
2 JB
$
$
1021
Audioscan

Mod: Verifit

SN: 3085

Martinez, CA

HA Analyzer
2 JB
$
$
1022
Audioscan

Mod: Verifit 2

SN: C1226

Martinez, CA

HA Analyzer
2 JB
$
$
1023
Micromedical

Mod: AirFx

SN: AIR-30-1121

Martinez, CA

Irrigator
1 JB
$
$
1024
Audioscan

Mod: Verifit2

SN: C4224

Martinez, CA

HA Analyzer
2 JB
$
$
1025
IAC

Mod: 250

SN: 1294

McClellan, CA

Sound Room
1 JB
$
$
1026
GSI

Mod: AudioStar Pro

SN: GS0055521

McClellan, CA

Clinical Audiometer
2 JB
$
$
1027
GSI

Mod: AudioStar Pro

SN: GS0055501

McClellan, CA

Clinical Audiometer
2 JB
$
$
1028
GSI

Mod: AudioStar Pro

SN: GS0062839

McClellan, CA

Clinical Audiometer
2 JB
$
$
1029
GSI

Mod: AudioStar Pro HF

SN: GS0055521HF

McClellan, CA

Audiometer High Freq
2 JB
$
$
1030
GSI

Mod: AudioStar Pro HF

SN: GS0055501HF

McClellan, CA

Audiometer High Freq
2 JB
$
$
1031
Tremetrics

Mod: RA500

SN: 9024085

McClellan, CA

Industrial Audiometer
1 JB
$
$
1032
Eckel

Mod: S-121

SN: 106246

McClellan, CA

Sound Room
1 JB
$
$
1033
Bio-logic

Mod: Scout SN: 16d023732b McClellan, CA

OAE
2 JB
$
$
1034
GSI

Mod: TympStar Pro

SN: GS0078613

McClellan, CA

Tymp
2 JB
$
$
1035
GSI

Mod: TympStar Pro

SN: GS0070229

McClellan, CA

Tymp
2 JB
$
$
1036
GSI

Mod: TympStar V2

SN: AL095059

McClellan, CA

Tymp
2 JB
$
$
1037
Audioscan

Mod: Verifit

SN: 3129

McClellan, CA

HA Analyzer
2 JB
$
$
1038
Audioscan

Mod: Verifit

SN: 2020

McClellan, CA

HA Analyzer
2 JB
$
$
1039
Audioscan

Mod: Verifit

SN: 3128

McClellan, CA

HA Analyzer
2 JB
$
$
1040
Audioscan

Mod: Verifit 2

SN: C1224

McClellan, CA

HA Analyzer
2 JB
$
$
1041
Audioscan

Mod: Verifit 2

SN: C4226

McClellan, CA

HA Analyzer
2 JB
$
$
1042
Micromedical

Mod: AirFx

SN: AIR1-40-0101

McClellan, CA

Irrigator
1 JB
$
$
1043
Micromedical

Mod: AquaStim

SN: AQUA1-40-0037

McClellan, CA

Irrigator
1 JB
$
$
1044
Interacoustics

Mod: Eclipse

SN: 979369

McClellan, CA

AEP
1 JB
$
$
1045
Acoustic Systems

Mod: RE143

SN: 19848A

McClellan, CA

Sound Room
1 JB
$
$
1046
IAC

Mod: 402

SN: 101502

McClellan, CA

Sound Room
1 JB
$
$
1047
Micromedical

Mod: VISUALEYES 525l

SN: B4S6MR2

McClellan, CA

Videonystagmographs
1 JB
$
$
1048
GSI

Mod: AudioStar Pro

SN: GS0076162

Chico, CA

Clinical Audiometer
2 JB
$
$
1049
GSI

Mod: AudioStar Pro HF

SN: GS0076162HF

Chico, CA

Audiometer High Freq
2 JB
$
$
1050
Maico

Mod: MA41

SN: 72110

Chico, CA

Diagnostic Audiometer
1 JB
$
$
1051
Interacoustics

Mod: Titan

SN: 976039OAE

Chico, CA

OAE
2 JB
$
$
1052
Interacoustics

Mod: Titan

SN: 976039

Chico, CA

Tymp
2 JB
$
$
1053
Audioscan

Mod: Verifit 2

SN: C3771

Chico, CA

HA Analyzer
2 JB
$
$
1054
Audioscan

Mod: Verifit 2

SN: C3773

Chico, CA

HA Analyzer
2 JB
$
$
1055
Audioscan

Mod: Verifit 2

SN: C3772

Chico, CA

HA Analyzer
2 JB
$
$
1056
IAC

Mod: 401A

SN: EE21254

Redding, CA

Sound Room
1 JB
$
$
1057
GSI

Mod: AudioStar Pro

SN: GS0055262

Redding, CA

Clinical Audiometer
2 JB
$
$
1058
GSI

Mod: AudioStar Pro HF

SN: GS0055262HF

Redding, CA

Audiometer High Freq
2 JB
$
$
1059
Maico

Mod: MA41

SN: 72111

Redding, CA

Diagnostic Audiometer
1 JB
$
$
1060
Interacoustics

Mod: Titan

SN: 982897

Redding, CA

OAE
2 JB
$
$
1061
GSI

Mod: TympStar

SN: AL062205

Redding, CA

Tymp
2 JB
$
$
1062
Audioscan

Mod: Verifit

SN: 3195

Redding, CA

HA Analyzer
2 JB
$
$
1063
Audioscan

Mod: Verifit 2

SN: C4225

Redding, CA

HA Analyzer
2 JB
$
$
1064
GSI

Mod: Audiostar Pro

SN: GS0052885

Mare Island, CA

Clinical Audiometer
2 JB
$
$
1065
GSI

Mod: Audiostar Pro HF

SN: GS0052885HF

Mare Island, CA

Audiometer High Freq
2 JB
$
$
1066
Bio-logic

Mod: Scout

SN: SP0610875

Mare Island, CA

OAE
2 JB
$
$
1067
GSI

Mod: TympStar Pro

SN: GS0063090

Mare Island, CA

Tymp
2 JB
$
$
1068
Audioscan

Mod: Verifit 2

SN: C2758

Mare Island, CA

HA Analyzer
2 JB
$
$
OPTION YEAR 1:
$

Option Year 2: March 1, 2023 – February 29, 2024

CLIN
Equipment/Location
Category
Qty
Unit Price
Total Price
2001
GSI

Mod: AudioStar Pro

SN: GS0074743

Mather, CA

Clinical Audiometer
2 JB
$
$
2002
GSI

Mod: AudioStar Pro AMTAS

SN: GS0082116

Mather, CA

Clinical Audiometer
2 JB
$
$
2003
GSI

Mod: AudioStar Pro AMTAS

SN: GS0081807

Mather, CA

Clinical Audiometer
2 JB
$
$
2004
GSI

Mod: AudioStar Pro AMTAS

SN: GS0081765

Mather, CA

Clinical Audiometer
2 JB
$
$
2005
GSI

Mod: AudioStar Pro AMTAS

SN: GS0081546

Mather, CA

Clinical Audiometer
2 JB
$
$
2006
GSI

Mod: AudioStar Pro AMTAS

SN: GS0081763

Mather, CA

Clinical Audiometer
2 JB
$
$
2007
GSI

Mod: AudioStar Pro HF

SN: GS0074743HF

Mather, CA

Audiometer High Freq
2 JB
$
$
2008
Eckel

Mod: C-27-LP

SN: 109060

Mather, CA

Sound Room
1 JB
$
$
2009
Bio-logic

Mod: Scout

SN: 10E15359

Mather, CA

OAE
2 JB
$
$
2010
GSI

Mod: TympStar V2

SN: AL083951

Mather, CA

Tymp
2 JB
$
$
2011
Audioscan

Mod: Verifit

SN: 4625

Mather, CA

HA Analyzer
2 JB
$
$
2012
Audioscan

Mod: Verifit 2

SN: C2804

Mather, CA

HA Analyzer
2 JB
$
$
2013
GSI

Mod: AudioStar Pro

SN: GS0055528

Martinez, CA

Clinical Audiometer
2 JB
$
$
2014
GSI

Mod: AudioStar Pro

SN: GS0074694

Martinez, CA

Clinical Audiometer
2 JB
$
$
2015
GSI

Mod: AudioStar Pro HF

SN: GS0055528HF

Martinez, CA

Audiometer High Freq
2 JB
$
$
2016
GSI

Mod: AudioStar Pro HF

SN: GS0074694HF

Martinez, CA

Audiometer High Freq
2 JB
$
$
2017
Bio-logic

Mod: Scout

SN: SP0610879

Martinez, CA

OAE
2 JB
$
$
2018
GSI

Mod: TympStar Pro

SN: GS0063089

Martinez, CA

Tymp
2 JB
$
$
2019
GSI

Mod: TympStar Pro

SN: GS0062956

Martinez, CA

Tymp
2 JB
$
$
2020
Audioscan

Mod: Verifit

SN: 3084

Martinez, CA

HA Analyzer
2 JB
$
$
2021
Audioscan

Mod: Verifit

SN: 3085

Martinez, CA

HA Analyzer
2 JB
$
$
2022
Audioscan

Mod: Verifit 2

SN: C1226

Martinez, CA

HA Analyzer
2 JB
$
$
2023
Micromedical

Mod: AirFx

SN: AIR-30-1121

Martinez, CA

Irrigator
1 JB
$
$
2024
Audioscan

Mod: Verifit2

SN: C4224

Martinez, CA

HA Analyzer
2 JB
$
$
2025
IAC

Mod: 250

SN: 1294

McClellan, CA

Sound Room
1 JB
$
$
2026
GSI

Mod: AudioStar Pro

SN: GS0055521

McClellan, CA

Clinical Audiometer
2 JB
$
$
2027
GSI

Mod: AudioStar Pro

SN: GS0055501

McClellan, CA

Clinical Audiometer
2 JB
$
$
2028
GSI

Mod: AudioStar Pro

SN: GS0062839

McClellan, CA

Clinical Audiometer
2 JB
$
$
2029
GSI

Mod: AudioStar Pro HF

SN: GS0055521HF

McClellan, CA

Audiometer High Freq
2 JB
$
$
2030
GSI

Mod: AudioStar Pro HF

SN: GS0055501HF

McClellan, CA

Audiometer High Freq
2 JB
$
$
2031
Tremetrics

Mod: RA500

SN: 9024085

McClellan, CA

Industrial Audiometer
1 JB
$
$
2032
Eckel

Mod: S-121

SN: 106246

McClellan, CA

Sound Room
1 JB
$
$
2033
Bio-logic

Mod: Scout SN: 16d023732b McClellan, CA

OAE
2 JB
$
$
2034
GSI

Mod: TympStar Pro

SN: GS0078613

McClellan, CA

Tymp
2 JB
$
$
2035
GSI

Mod: TympStar Pro

SN: GS0070229

McClellan, CA

Tymp
2 JB
$
$
2036
GSI

Mod: TympStar V2

SN: AL095059

McClellan, CA

Tymp
2 JB
$
$
2037
Audioscan

Mod: Verifit

SN: 3129

McClellan, CA

HA Analyzer
2 JB
$
$
2038
Audioscan

Mod: Verifit

SN: 2020

McClellan, CA

HA Analyzer
2 JB
$
$
2039
Audioscan

Mod: Verifit

SN: 3128

McClellan, CA

HA Analyzer
2 JB
$
$
2040
Audioscan

Mod: Verifit 2

SN: C1224

McClellan, CA

HA Analyzer
2 JB
$
$
2041
Audioscan

Mod: Verifit 2

SN: C4226

McClellan, CA

HA Analyzer
2 JB
$
$
2042
Micromedical

Mod: AirFx

SN: AIR1-40-0101

McClellan, CA

Irrigator
1 JB
$
$
2043
Micromedical

Mod: AquaStim

SN: AQUA1-40-0037

McClellan, CA

Irrigator
1 JB
$
$
2044
Interacoustics

Mod: Eclipse

SN: 979369

McClellan, CA

AEP
1 JB
$
$
2045
Acoustic Systems

Mod: RE143

SN: 19848A

McClellan, CA

Sound Room
1 JB
$
$
2046
IAC

Mod: 402

SN: 101502

McClellan, CA

Sound Room
1 JB
$
$
2047
Micromedical

Mod: VISUALEYES 525

SN: B4S6MR2

McClellan, CA

Videonystagmographs
1 JB
$
$
2048
GSI

Mod: AudioStar Pro

SN: GS0076162

Chico, CA

Clinical Audiometer
2 JB
$
$
2049
GSI

Mod: AudioStar Pro HF

SN: GS0076162HF

Chico, CA

Audiometer High Freq
2 JB
$
$
2050
Maico

Mod: MA41

SN: 72110

Chico, CA

Diagnostic Audiometer
1 JB
$
$
2051
Interacoustics

Mod: Titan

SN: 976039OAE

Chico, CA

OAE
2 JB
$
$
2052
Interacoustics

Mod: Titan

SN: 976039

Chico, CA

Tymp
2 JB
$
$
2053
Audioscan

Mod: Verifit 2

SN: C3771

Chico, CA

HA Analyzer
2 JB
$
$
2054
Audioscan

Mod: Verifit 2

SN: C3773

Chico, CA

HA Analyzer
2 JB
$
$
2055
Audioscan

Mod: Verifit 2

SN: C3772

Chico, CA

HA Analyzer
2 JB
$
$
2056
IAC

Mod: 401A

SN: EE21254

Redding, CA

Sound Room
1 JB
$
$
2057
GSI

Mod: AudioStar Pro

SN: GS0055262

Redding, CA

Clinical Audiometer
2 JB
$
$
2058
GSI

Mod: AudioStar Pro HF

SN: GS0055262HF

Redding, CA

Audiometer High Freq
2 JB
$
$
2059
Maico

Mod: MA41

SN: 72111

Redding, CA

Diagnostic Audiometer
1 JB
$
$
2060
Interacoustics

Mod: Titan

SN: 982897

Redding, CA

OAE
2 JB
$
$
2061
GSI

Mod: TympStar

SN: AL062205

Redding, CA

Tymp
2 JB
$
$
2062
Audioscan

Mod: Verifit

SN: 3195

Redding, CA

HA Analyzer
2 JB
$
$
2063
Audioscan

Mod: Verifit 2

SN: C4225

Redding, CA

HA Analyzer
2 JB
$
$
2064
GSI

Mod: Audiostar Pro

SN: GS0052885

Mare Island, CA

Clinical Audiometer
2 JB
$
$
2065
GSI

Mod: Audiostar Pro HF

SN: GS0052885HF

Mare Island, CA

Audiometer High Freq
2 JB
$
$
2066
Bio-logic

Mod: Scout

SN: SP0610875

Mare Island, CA

OAE
2 JB
$
$
2067
GSI

Mod: TympStar Pro

SN: GS0063090

Mare Island, CA

Tymp
2 JB
$
$
2068
Audioscan

Mod: Verifit 2

SN: C2758

Mare Island, CA

HA Analyzer
2 JB
$
$
OPTION YEAR 2:
$

Option Year 3: March 1, 2024 – February 28, 2025

CLIN
Equipment/Location
Category
Qty
Unit Price
Total Price
3001
GSI

Mod: AudioStar Pro

SN: GS0074743

Mather, CA

Clinical Audiometer
2 JB
$
$
3002
GSI

Mod: AudioStar Pro AMTAS

SN: GS0082116

Mather, CA

Clinical Audiometer
2 JB
$
$
3003
GSI

Mod: AudioStar Pro AMTAS

SN: GS0081807

Mather, CA

Clinical Audiometer
2 JB
$
$
3004
GSI

Mod: AudioStar Pro AMTAS

SN: GS0081765

Mather, CA

Clinical Audiometer
2 JB
$
$
3005
GSI

Mod: AudioStar Pro AMTAS

SN: GS0081546

Mather, CA

Clinical Audiometer
2 JB
$
$
3006
GSI

Mod: AudioStar Pro AMTAS

SN: GS0081763

Mather, CA

Clinical Audiometer
2 JB
$
$
3007
GSI

Mod: AudioStar Pro HF

SN: GS0074743HF

Mather, CA

Audiometer High Freq
2 JB
$
$
3008
Eckel

Mod: C-27-LP

SN: 109060

Mather, CA

Sound Room
1 JB
$
$
3009
Bio-logic

Mod: Scout

SN: 10E15359

Mather, CA

OAE
2 JB
$
$
3010
GSI

Mod: TympStar V2

SN: AL083951

Mather, CA

Tymp
2 JB
$
$
3011
Audioscan

Mod: Verifit

SN: 4625

Mather, CA

HA Analyzer
2 JB
$
$
3012
Audioscan

Mod: Verifit 2

SN: C2804

Mather, CA

HA Analyzer
2 JB
$
$
3013
GSI

Mod: AudioStar Pro

SN: GS0055528

Martinez, CA

Clinical Audiometer
2 JB
$
$
3014
GSI

Mod: AudioStar Pro

SN: GS0074694

Martinez, CA

Clinical Audiometer
2 JB
$
$
3015
GSI

Mod: AudioStar Pro HF

SN: GS0055528HF

Martinez, CA

Audiometer High Freq
2 JB
$
$
3016
GSI

Mod: AudioStar Pro HF

SN: GS0074694HF

Martinez, CA

Audiometer High Freq
2 JB
$
$
3017
Bio-logic

Mod: Scout

SN: SP0610879

Martinez, CA

OAE
2 JB
$
$
3018
GSI

Mod: TympStar Pro

SN: GS0063089

Martinez, CA

Tymp
2 JB
$
$
3019
GSI

Mod: TympStar Pro

SN: GS0062956

Martinez, CA

Tymp
2 JB
$
$
3020
Audioscan

Mod: Verifit

SN: 3084

Martinez, CA

HA Analyzer
2 JB
$
$
3021
Audioscan

Mod: Verifit

SN: 3085

Martinez, CA

HA Analyzer
2 JB
$
$
3022
Audioscan

Mod: Verifit 2

SN: C1226

Martinez, CA

HA Analyzer
2 JB
$
$
3023
Micromedical

Mod: AirFx

SN: AIR-30-1121

Martinez, CA

Irrigator
1 JB
$
$
3024
Audioscan

Mod: Verifit2

SN: C4224

Martinez, CA

HA Analyzer
2 JB
$
$
3025
IAC

Mod: 250

SN: 1294

McClellan, CA

Sound Room
1 JB
$
$
3026
GSI

Mod: AudioStar Pro

SN: GS0055521

McClellan, CA

Clinical Audiometer
2 JB
$
$
3027
GSI

Mod: AudioStar Pro

SN: GS0055501

McClellan, CA

Clinical Audiometer
2 JB
$
$
3028
GSI

Mod: AudioStar Pro

SN: GS0062839

McClellan, CA

Clinical Audiometer
2 JB
$
$
3029
GSI

Mod: AudioStar Pro HF

SN: GS0055521HF

McClellan, CA

Audiometer High Freq
2 JB
$
$
3030
GSI

Mod: AudioStar Pro HF

SN: GS0055501HF

McClellan, CA

Audiometer High Freq
2 JB
$
$
3031
Tremetrics

Mod: RA500

SN: 9024085

McClellan, CA

Industrial Audiometer
1 JB
$
$
3032
Eckel

Mod: S-121

SN: 106246

McClellan, CA

Sound Room
1 JB
$
$
3033
Bio-logic

Mod: Scout SN: 16d023732b McClellan, CA

OAE
2 JB
$
$
3034
GSI

Mod: TympStar Pro

SN: GS0078613

McClellan, CA

Tymp
2 JB
$
$
3035
GSI

Mod: TympStar Pro

SN: GS0070229

McClellan, CA

Tymp
2 JB
$
$
3036
GSI

Mod: TympStar V2

SN: AL095059

McClellan, CA

Tymp
2 JB
$
$
3037
Audioscan

Mod: Verifit

SN: 3129

McClellan, CA

HA Analyzer
2 JB
$
$
3038
Audioscan

Mod: Verifit

SN: 2020

McClellan, CA

HA Analyzer
2 JB
$
$
3039
Audioscan

Mod: Verifit

SN: 3128

McClellan, CA

HA Analyzer
2 JB
$
$
3040
Audioscan

Mod: Verifit 2

SN: C1224

McClellan, CA

HA Analyzer
2 JB
$
$
3041
Audioscan

Mod: Verifit 2

SN: C4226

McClellan, CA

HA Analyzer
2 JB
$
$
3042
Micromedical

Mod: AirFx

SN: AIR1-40-0101

McClellan, CA

Irrigator
1 JB
$
$
3043
Micromedical

Mod: AquaStim

SN: AQUA1-40-0037

McClellan, CA

Irrigator
1 JB
$
$
3044
Interacoustics

Mod: Eclipse

SN: 979369

McClellan, CA

AEP
1 JB
$
$
3045
Acoustic Systems

Mod: RE143

SN: 19848A

McClellan, CA

Sound Room
1 JB
$
$
3046
IAC

Mod: 402

SN: 101502

McClellan, CA

Sound Room
1 JB
$
$
3047
Micromedical

Mod: VISUALEYES 525

SN: B4S6MR2

McClellan, CA

Videonystagmographs
1 JB
$
$
3048
GSI

Mod: AudioStar Pro

SN: GS0076162

Chico, CA

Clinical Audiometer
2 JB
$
$
3049
GSI

Mod: AudioStar Pro HF

SN: GS0076162HF

Chico, CA

Audiometer High Freq
2 JB
$
$
3050
Maico

Mod: MA41

SN: 72110

Chico, CA

Diagnostic Audiometer
1 JB
$
$
3051
Interacoustics

Mod: Titan

SN: 976039OAE

Chico, CA

OAE
2 JB
$
$
3052
Interacoustics

Mod: Titan

SN: 976039

Chico, CA

Tymp
2 JB
$
$
3053
Audioscan

Mod: Verifit 2

SN: C3771

Chico, CA

HA Analyzer
2 JB
$
$
3054
Audioscan

Mod: Verifit 2

SN: C3773

Chico, CA

HA Analyzer
2 JB
$
$
3055
Audioscan

Mod: Verifit 2

SN: C3772

Chico, CA

HA Analyzer
2 JB
$
$
3056
IAC

Mod: 401A

SN: EE21254

Redding, CA

Sound Room
1 JB
$
$
3057
GSI

Mod: AudioStar Pro

SN: GS0055262

Redding, CA

Clinical Audiometer
2 JB
$
$
3058
GSI

Mod: AudioStar Pro HF

SN: GS0055262HF

Redding, CA

Audiometer High Freq
2 JB
$
$
3059
Maico

Mod: MA41

SN: 72111

Redding, CA

Diagnostic Audiometer
1 JB
$
$
3060
Interacoustics

Mod: Titan

SN: 982897

Redding, CA

OAE
2 JB
$
$
3061
GSI

Mod: TympStar

SN: AL062205

Redding, CA

Tymp
2 JB
$
$
3062
Audioscan

Mod: Verifit

SN: 3195

Redding, CA

HA Analyzer
2 JB
$
$
3063
Audioscan

Mod: Verifit 2

SN: C4225

Redding, CA

HA Analyzer
2 JB
$
$
3064
GSI

Mod: Audiostar Pro

SN: GS0052885

Mare Island, CA

Clinical Audiometer
2 JB
$
$
3065
GSI

Mod: Audiostar Pro HF

SN: GS0052885HF

Mare Island, CA

Audiometer High Freq
2 JB
$
$
3066
Bio-logic

Mod: Scout

SN: SP0610875

Mare Island, CA

OAE
2 JB
$
$
3067
GSI

Mod: TympStar Pro

SN: GS0063090

Mare Island, CA

Tymp
2 JB
$
$
3068
Audioscan

Mod: Verifit 2

SN: C2758

Mare Island, CA

HA Analyzer
2 JB
$
$
OPTION YEAR 3:
$

Option Year 4: March 1, 2025 – February 28, 2026

CLIN
Equipment/Location
Category
Qty
Unit Price
Total Price
4001
GSI

Mod: AudioStar Pro

SN: GS0074743

Mather, CA

Clinical Audiometer
2 JB
$
$
4002
GSI

Mod: AudioStar Pro AMTAS

SN: GS0082116

Mather, CA

Clinical Audiometer
2 JB
$
$
4003
GSI

Mod: AudioStar Pro AMTAS

SN: GS0081807

Mather, CA

Clinical Audiometer
2 JB
$
$
4004
GSI

Mod: AudioStar Pro AMTAS

SN: GS0081765

Mather, CA

Clinical Audiometer
2 JB
$
$
4005
GSI

Mod: AudioStar Pro AMTAS

SN: GS0081546

Mather, CA

Clinical Audiometer
2 JB
$
$
4006
GSI

Mod: AudioStar Pro AMTAS

SN: GS0081763

Mather, CA

Clinical Audiometer
2 JB
$
$
4007
GSI

Mod: AudioStar Pro HF

SN: GS0074743HF

Mather, CA

Audiometer High Freq
2 JB
$
$
4008
Eckel

Mod: C-27-LP

SN: 109060

Mather, CA

Sound Room
1 JB
$
$
4009
Bio-logic

Mod: Scout

SN: 10E15359

Mather, CA

OAE
2 JB
$
$
4010
GSI

Mod: TympStar V2

SN: AL083951

Mather, CA

Tymp
2 JB
$
$
4011
Audioscan

Mod: Verifit

SN: 4625

Mather, CA

HA Analyzer
2 JB
$
$
4012
Audioscan

Mod: Verifit 2

SN: C2804

Mather, CA

HA Analyzer
2 JB
$
$
4013
GSI

Mod: AudioStar Pro

SN: GS0055528

Martinez, CA

Clinical Audiometer
2 JB
$
$
4014
GSI

Mod: AudioStar Pro

SN: GS0074694

Martinez, CA

Clinical Audiometer
2 JB
$
$
4015
GSI

Mod: AudioStar Pro HF

SN: GS0055528HF

Martinez, CA

Audiometer High Freq
2 JB
$
$
4016
GSI

Mod: AudioStar Pro HF

SN: GS0074694HF

Martinez, CA

Audiometer High Freq
2 JB
$
$
4017
Bio-logic

Mod: Scout

SN: SP0610879

Martinez, CA

OAE
2 JB
$
$
4018
GSI

Mod: TympStar Pro

SN: GS0063089

Martinez, CA

Tymp
2 JB
$
$
4019
GSI

Mod: TympStar Pro

SN: GS0062956

Martinez, CA

Tymp
2 JB
$
$
4020
Audioscan

Mod: Verifit

SN: 3084

Martinez, CA

HA Analyzer
2 JB
$
$
4021
Audioscan

Mod: Verifit

SN: 3085

Martinez, CA

HA Analyzer
2 JB
$
$
4022
Audioscan

Mod: Verifit 2

SN: C1226

Martinez, CA

HA Analyzer
2 JB
$
$
4023
Micromedical

Mod: AirFx

SN: AIR-30-1121

Martinez, CA

Irrigator
1 JB
$
$
4024
Audioscan

Mod: Verifit2

SN: C4224

Martinez, CA

HA Analyzer
2 JB
$
$
4025
IAC

Mod: 250

SN: 1294

McClellan, CA

Sound Room
1 JB
$
$
4026
GSI

Mod: AudioStar Pro

SN: GS0055521

McClellan, CA

Clinical Audiometer
2 JB
$
$
4027
GSI

Mod: AudioStar Pro

SN: GS0055501

McClellan, CA

Clinical Audiometer
2 JB
$
$
4028
GSI

Mod: AudioStar Pro

SN: GS0062839

McClellan, CA

Clinical Audiometer
2 JB
$
$
4029
GSI

Mod: AudioStar Pro HF

SN: GS0055521HF

McClellan, CA

Audiometer High Freq
2 JB
$
$
4030
GSI

Mod: AudioStar Pro HF

SN: GS0055501HF

McClellan, CA

Audiometer High Freq
2 JB
$
$
4031
Tremetrics

Mod: RA500

SN: 9024085

McClellan, CA

Industrial Audiometer
1 JB
$
$
4032
Eckel

Mod: S-121

SN: 106246

McClellan, CA

Sound Room
1 JB
$
$
4033
Bio-logic

Mod: Scout SN: 16d023732b McClellan, CA

OAE
2 JB
$
$
4034
GSI

Mod: TympStar Pro

SN: GS0078613

McClellan, CA

Tymp
2 JB
$
$
4035
GSI

Mod: TympStar Pro

SN: GS0070229

McClellan, CA

Tymp
2 JB
$
$
4036
GSI

Mod: TympStar V2

SN: AL095059

McClellan, CA

Tymp
2 JB
$
$
4037
Audioscan

Mod: Verifit

SN: 3129

McClellan, CA

HA Analyzer
2 JB
$
$
4038
Audioscan

Mod: Verifit

SN: 2020

McClellan, CA

HA Analyzer
2 JB
$
$
4039
Audioscan

Mod: Verifit

SN: 3128

McClellan, CA

HA Analyzer
2 JB
$
$
4040
Audioscan

Mod: Verifit 2

SN: C1224

McClellan, CA

HA Analyzer
2 JB
$
$
4041
Audioscan

Mod: Verifit 2

SN: C4226

McClellan, CA

HA Analyzer
2 JB
$
$
4042
Micromedical

Mod: AirFx

SN: AIR1-40-0101

McClellan, CA

Irrigator
1 JB
$
$
4043
Micromedical

Mod: AquaStim

SN: AQUA1-40-0037

McClellan, CA

Irrigator
1 JB
$
$
4044
Interacoustics

Mod: Eclipse

SN: 979369

McClellan, CA

AEP
1 JB
$
$
4045
Acoustic Systems

Mod: RE143

SN: 19848A

McClellan, CA

Sound Room
1 JB
$
$
4046
IAC

Mod: 402

SN: 101502

McClellan, CA

Sound Room
1 JB
$
$
4047
Micromedical

Mod: VISUALEYES 525

SN: B4S6MR2

McClellan, CA

Videonystagmographs
1 JB
$
$
4048
GSI

Mod: AudioStar Pro

SN: GS0076162

Chico, CA

Clinical Audiometer
2 JB
$
$
4049
GSI

Mod: AudioStar Pro HF

SN: GS0076162HF

Chico, CA

Audiometer High Freq
2 JB
$
$
4050
Maico

Mod: MA41

SN: 72110

Chico, CA

Diagnostic Audiometer
1 JB
$
$
4051
Interacoustics

Mod: Titan

SN: 976039OAE

Chico, CA

OAE
2 JB
$
$
4052
Interacoustics

Mod: Titan

SN: 976039

Chico, CA

Tymp
2 JB
$
$
4053
Audioscan

Mod: Verifit 2

SN: C3771

Chico, CA

HA Analyzer
2 JB
$
$
4054
Audioscan

Mod: Verifit 2

SN: C3773

Chico, CA

HA Analyzer
2 JB
$
$
4055
Audioscan

Mod: Verifit 2

SN: C3772

Chico, CA

HA Analyzer
2 JB
$
$
4056
IAC

Mod: 401A

SN: EE21254

Redding, CA

Sound Room
1 JB
$
$
4057
GSI

Mod: AudioStar Pro

SN: GS0055262

Redding, CA

Clinical Audiometer
2 JB
$
$
4058
GSI

Mod: AudioStar Pro HF

SN: GS0055262HF

Redding, CA

Audiometer High Freq
2 JB
$
$
4059
Maico

Mod: MA41

SN: 72111

Redding, CA

Diagnostic Audiometer
1 JB
$
$
4060
Interacoustics

Mod: Titan

SN: 982897

Redding, CA

OAE
2 JB
$
$
4061
GSI

Mod: TympStar

SN: AL062205

Redding, CA

Tymp
2 JB
$
$
4062
Audioscan

Mod: Verifit

SN: 3195

Redding, CA

HA Analyzer
2 JB
$
$
4063
Audioscan

Mod: Verifit 2

SN: C4225

Redding, CA

HA Analyzer
2 JB
$
$
4064
GSI

Mod: Audiostar Pro

SN: GS0052885

Mare Island, CA

Clinical Audiometer
2 JB
$
$
4065
GSI

Mod: Audiostar Pro HF

SN: GS0052885HF

Mare Island, CA

Audiometer High Freq
2 JB
$
$
4066
Bio-logic

Mod: Scout

SN: SP0610875

Mare Island, CA

OAE
2 JB
$
$
4067
GSI

Mod: TympStar Pro

SN: GS0063090

Mare Island, CA

Tymp
2 JB
$
$
4068
Audioscan

Mod: Verifit 2

SN: C2758

Mare Island, CA

HA Analyzer
2 JB
$
$
Option YEAR 4:
$
GRAND TOTAL:
$

B.3 STATEMENT OF WORK

SCOPE OF WORK

SUPPLIES OR SERVICES

Contractor shall provide the Department of Veterans Affairs Northern California Health Care System (VA NCHCS) Calibration Services for all VA-owned audiology equipment within VA NCHCS. Equipment will be calibrated based on manufacturer’s recommended specifications and frequency. All services shall be provided in accordance with the specifications, terms and conditions contained herein.

Period of Performance: The Period of Performance is for one base year with (4) one-year options:

Base Year Period:March 1, 2021 thru February 28, 2022
Option Year 1:March 1, 2022 thru February 28, 2023
Option Year 2:March 1, 2023 thru February 29, 2024
Option Year 3:March 1, 2024 thru February 28, 2025
Option Year 4:March 1, 2025 thru February 28, 2026

The following equipment located at NCHCS, Mather, CA.

Make
Model
SN
Frequency
Category
GSI
AudioStar Pro
GS0074743
Semi-Annual
Clinical Audiometer
GSI
AudioStar Pro AMTAS
GS0082116
Semi-Annual
Clinical Audiometer
GSI
AudioStar Pro AMTAS
GS0081807
Semi-Annual
Clinical Audiometer
GSI
AudioStar Pro AMTAS
GS0081765
Semi-Annual
Clinical Audiometer
GSI
AudioStar Pro AMTAS
GS0081546
Semi-Annual
Clinical Audiometer
GSI
AudioStar Pro AMTAS
GS0081763
Semi-Annual
Clinical Audiometer
GSI
AudioStar Pro HF
GS0074743HF
Semi-Annual
Audiometer High Freq
Eckel
C-27-LP
109060
Annual
Sound Room
Bio-logic
Scout
10E15359
Semi-Annual
OAE
GSI
TympStar V2
AL083951
Semi-Annual
Tymp
Audioscan
Verifit
4625
Semi-Annual
HA Analyzer
Audioscan
Verifit 2
C2804
Semi-Annual
HA Analyzer

The following equipment located at NCHCS, Martinez, CA.

Make
Model
SN
Frequency
Category
GSI
AudioStar Pro
GS0055528
Semi-Annual
Clinical Audiometer
GSI
AudioStar Pro
GS0074694
Semi-Annual
Clinical Audiometer
GSI
AudioStar Pro HF
GS0055528HF
Semi-Annual
Audiometer High Freq
GSI
AudioStar Pro HF
GS0074694HF
Semi-Annual
Audiometer High Freq
Bio-logic
Scout
SP0610879
Semi-Annual
OAE
GSI
TympStar Pro
GS0063089
Semi-Annual
Tymp
GSI
TympStar Pro
GS0062956
Semi-Annual
Tymp
Audioscan
Verifit
3084
Semi-Annual
HA Analyzer
Audioscan
Verifit
3085
Semi-Annual
HA Analyzer
Audioscan
Verifit 2
C1226
Semi-Annual
HA Analyzer
Micromedical
AirFx
AIR-30-1121
Annual
Irrigator
Audioscan
Verifit 2
C4224
Semi-Annual
HA Analyzer

The following equipment located at NCHCS, McClellan, CA.

Make
Model
SN
Frequency
Category
IAC
250
1294
Annual
Sound Room
GSI
AudioStar Pro
GS0055521
Semi-Annual
Clinical Audiometer
GSI
AudioStar Pro
GS0055501
Semi-Annual
Clinical Audiometer
GSI
AudioStar Pro
GS0062839
Semi-Annual
Clinical Audiometer
GSI
AudioStar Pro HF
GS0055521HF
Semi-Annual
Audiometer High Freq
GSI
AudioStar Pro HF
GS0055501HF
Semi-Annual
Audiometer High Freq
Tremetrics
RA500
9024085
Annual
Industrial Audiometer
Eckel
S-121
106246
Annual
Sound Room
Bio-logic
Scout
16d023732b
Semi-Annual
OAE
GSI
TympStar Pro
GS0078613
Semi-Annual
Tymp
GSI
TympStar Pro
GS0070229
Semi-Annual
Tymp
GSI
TympStar V2
AL095059
Semi-Annual
Tymp
Audioscan
Verifit
3129
Semi-Annual
HA Analyzer
Audioscan
Verifit
2020
Semi-Annual
HA Analyzer
Audioscan
Verifit
3128
Semi-Annual
HA Analyzer
Audioscan
Verifit 2
C1224
Semi-Annual
HA Analyzer
Audioscan
Verifit 2
C4226
Semi-Annual
HA Analyzer
Micromedical
AirFx
AIR1-40-0101
Annual
Irrigator
Micromedical
AquaStim
AQUA1-40-0037
Annual
Irrigator
Interacoustics
Eclipse
979369
Annual
AEP
Acoustic Systems
RE143
19848A
Annual
Sound Room
IAC
402
101502
Annual
Sound Room
Micromedical
VISUALEYES 525
B4S6MR2
Annual
Videonystagmographs

The following equipment located at NCHCS, Chico, CA.

Make
Model
SN
Frequency
Category
GSI
AudioStar Pro
GS0076162
Semi-Annual
Clinical Audiometer
GSI
AudioStar Pro HF
GS0076162HF
Semi-Annual
Audiometer High Freq
Maico
MA41
72110
Annual
Diagnostic Audiometer
Interacoustics
Titan
976039OAE
Semi-Annual
OAE
Interacoustics
Titan
976039
Semi-Annual
Tymp
Audioscan
Verifit 2
C3771
Semi-Annual
HA Analyzer
Audioscan
Verifit 2
C3773
Semi-Annual
HA Analyzer
Audioscan
Verifit 2
C3772
Semi-Annual
HA Analyzer

The following equipment located at NCHCS, Redding, CA.

Make
Model
SN
Frequency
Category
IAC
401A
EE21254
Annual
Sound Room
GSI
AudioStar Pro
GS0055262
Semi-Annual
Clinical Audiometer
GSI
AudioStar Pro HF
GS0055262HF
Semi-Annual
Audiometer High Freq
Maico
MA41
72111
Annual
Diagnostic Audiometer
Interacoustics
Titan
982897
Semi-Annual
OAE
GSI
TympStar
AL062205
Semi-Annual
Tymp
Audioscan
Verifit
3195
Semi-Annual
HA Analyzer
Audioscan
Verifit 2
C4225
Semi-Annual
HA Analyzer

The following equipment located at NCHCS, Mare Island, CA.

Make
Model
SN
Frequency
Category
GSI
Audiostar Pro
GS0052885
Semi-Annual
Clinical Audiometer
GSI
AudioStar Pro HF
GS0052885HF
Semi-Annual
Audiometer High Freq
Bio-logic
Scout
SP0610875
Semi-Annual
OAE
GSI
TympStar Pro
GS0063090
Semi-Annual
Tymp
Audioscan
Verifit 2
C2758
Semi-Annual
HA Analyzer

DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

1. SERVICES: The C&A requirements do not apply, and that a Security Accreditation Package is not required.

Contractor shall furnish the following:

· Calibration for all above listed assets at the specified frequency including calibration required parts, system verification, alignment, and adjustments are provided by the Contractor at no additional customer cost.

2. DEFINITIONS/ACRONYMS:

A. Biomedical Engineering - Supervisor or designee, Phone Number (916) 366-5481

B. CO - Contracting Officer.

C. COR - Contracting Officer's Technical Representative.

D. FSE - Field Service Engineer. A person who is authorized by the contractor to perform maintenance (corrective and/or preventive) services on the VA Outpatient Clinic premises.

E. ESR - Vendor Engineering Service Report. A documentation of the services rendered for each incidence of work performance under the terms and conditions of the contract.

F. Acceptance Signature - VAMC employee who indicates FSE demonstrated service conclusion/status and user has accepted work as complete/pending as stated in ESR.

G. Authorization Signature - COR's signature; indicates COR accepts work status as stated in ESR.

H. NFPA - National Fire Protection Association.

I. CDRH - Center for Devices and Radiological Health.

J. VAMC - Department of Veterans Affairs Medical Center.

K. OEM - Original Equipment Manufacturer

3. CONFORMANCE STANDARDS:

Contractor shall provide services and material to ensure that the equipment functions in conformance with the latest requirements of NFPA-99, TJC, NEC, OSHA, HIPAA, Federal and VA security specifications and requirements as applicable. The equipment shall be maintained such that it meets or exceeds the performance specifications as established in the OEM’s technical specifications. Additional performance specifications that exceed the OEM specifications shall be specified in writing by the VA.

4. CALIBRATION SERVICES:

A. Contractor shall perform calibration services as per contract.

B. The contractor shall furnish documentation, including all measurement and calibration data to certify that the system is performing in accordance with the performance specifications.

5. HOURS OF COVERAGE:

Normal hours of coverage are (Monday through Friday) from 7:30am to 4:00pm, excluding holidays as identified by the CO/COR. Work performed outside the normal hours of coverage at the request of COR will be billed at the government rate. A separate purchase order will be issued to cover the cost(s) associated with any call back service as described herein.

6. PARTS:

· The contractor shall furnish parts necessary for calibration at no cost to the customer.

7. SERVICE MANUALS:

The VAMC shall not provide service manuals or service diagnostic software to the contractor for use in providing services under this contract. The contractor shall obtain, have on file, and make available to its FSE's all operational and technical documentation, (such as: operational and service manuals, schematics, and parts list), which are necessary to meet the performance requirements of this contract. The location and listing of the service data manuals, by name, and/or the manuals themselves shall be provided to the CO upon request.

8. DOCUMENTATION/REPORTS:

The documentation will include equipment down time and detailed descriptions of the scheduled and unscheduled maintenance procedures performed, including replaced parts and prices (for outside normal working hour services) required to maintain the equipment in accordance with conformance standards. Such documentation shall meet the guidelines as set forth in the Conformance Standards. In addition, each ESR must at a minimum document the following data legibly and in complete detail:

A. Name of Contractor B. Name of FSE who performed services.

C. Contractor Service ESR Number/Log Number.

D. Date, Time (starting and ending), Hours-On-Site for service call.

E. VA Purchase Order Number(s) (if any) covering the call, if outside normal working hours.

F. Description of Problem Reported by COR/User.

G. Identification of Equipment to be serviced to include the following: Equipment ID # or MX/EE# from the bar-code, Manufacturer's Name, Device Name, Model#, Serial #, and any other Manufacturer's identification numbers.

H. Itemized Description of Service(s) Performed (including Costs associated with after normal working hour services), including: Labor and Travel, Parts (with part numbers) and Materials and Circuit Location of problem/corrective action.

I. Total Cost to be billed.

J. Signatures from the following:

1. FSE performing services described.

2. VA Employee who witnessed service described.

K. Equipment downtime calculated in accordance with Conformance Standards.

NOTE: ANY ADDITIONAL CHARGES CLAIMED MUST BE APPROVED BY THE COR BEFORE SERVICE IS COMPLETED!

9. REPORTING REQUIREMENTS:

The contractor shall report to Biomedical Engineering to "check-in" upon arrival and prior to performance of work under this contract. This check-in is mandatory and can be accomplished in person or by phone contact. When the service(s) is/are completed, the FSE shall document the services rendered on a legible ESR(s). The FSE shall be required to check out with the Biomedical Engineering Department (location to be specified at time of contract award) and submit the ESR(s) to the COR. All ESRs shall be submitted to the equipment user for an "acceptance signature" and to the COR for an "authorization signature." If the COR is unavailable, a signed accepted copy of the ESR will be sent to the COR within 5 business days of work completion.

FAILURE TO COMPLY, EITHER IN WHOLE OR IN PART, WITH EITHER THE NOTIFICATION OR ESR REQUIREMENTS WILL BE DEEMED SIGNIFICANT NON-COMPLIANCE WITH THE CONTRACT AND MAY BE JUSTIFICATION FOR TERMINATION OF THE CONTRACT.

10. ADDITIONAL CHARGES:

There will be no additional charge for time spent at the site during, or after the normal hours of coverage awaiting the arrival of additional FSE and/or delivery of parts.

11. REPORTING REQUIRED SERVICES BEYOND THE CONTRACT SCOPE:

The Contractor shall immediately, but no later than 24 consecutive hours after discovery, notify the CO and COR, (in writing), of the existence or the development of any defects in, or repairs required to the scheduled equipment which the Contractor considers he/she is not responsible for under the terms of the contract. The contractor shall furnish the CO and COR with a written estimate of the cost to make necessary repairs.

12. CONDITION OF EQUIPMENT:

The contractor accepts responsibility for the equipment described above, in "as is" condition. Failure to inspect the equipment prior to contract award will not relieve the contractor from performance of the requirements of this contract.

13. COMPETENCY OF PERSONNEL SERVICING EQUIPMENT:

A. Each respondent must have an established business, with an office and full-time staff. The staff includes a "fully qualified" FSE and a "fully qualified" FSE who will serve as the backup.

B. "Fully Qualified" is based upon training and on experience in the field. For training, the FSE(s) shall have successfully completed a formalized training program, for the equipment identified above. For field experience, the FSE(s) shall have a minimum of two years of experience, with respect to scheduled and unscheduled preventive and remedial maintenance on equipment identified above.

C. The FSE(s) shall be authorized by the contractor to perform the maintenance services as required. All work shall be performed by "Fully Qualified" competent FSEs. The contractor shall provide written assurance of the competency of their personnel and a list of credentials of approved FSEs for each make and model the contractor services at the VAMC. The CO may authenticate the training requirements, request copies of training certificates or credentials from the contractor at any time for any personnel who are servicing or installing any VAMC equipment. The CO and/or the COR specifically reserve the right to reject any of the contractor's personnel and refuse them permission to work on the VAMC equipment.

14. TEST EQUIPMENT:

Prior to commencement of work on this contract, the contractor shall make available, if requested, a copy of the current calibration certification of all test equipment that is to be used by the contractor in performing work under the contract. This certification shall also be provided on a periodic basis when requested by the VAMC. Test equipment calibration shall be traceable to a national standard.

15. IDENTIFICATION, PARKING, SMOKING, CELLULAR PHONE USE AND VA REGULATIONS:

The contractor's FSE shall always wear visible identification while on the premises of the VAMC. It is the responsibility of the contractor to park in the appropriate designated parking areas. Information on parking is available from the VA Police-Security Service. The VAMC will not invalidate or make reimbursement for parking violations of the contractor under any conditions. Smoking is prohibited inside any buildings at the VAMC. Cellular phones and two-way radios are not to be used within six feet of any medical equipment. Possession of weapons is prohibited. Enclosed containers, including tool kits, shall be subject to search. Violations of VA regulations may result in a citation answerable in the United States (Federal) District Court, not a local district state, or municipal court.

16. COMPLIANCE WITH OSHA BLOODBORNE PATHOGENS STANDARD:

The contractor shall comply with the Federal/California OSHA Bloodborne Pathogens Standard. The contractor shall:

A. Have methods by which all employees are educated as to risks associated with bloodborne pathogens.

B. Have policies and procedures that reduce the risk of employee exposure to bloodborne pathogens.

C. Have mechanisms for employee counseling and treatment following exposure to bloodborne pathogens.

D. Provide appropriate personal protective equipment/clothing such as gloves, gowns, masks, protective eyewear, mouthpieces for the employee during performance of the contract.

Records Management Language for Contracts Required The following standard items relate to records generated in executing the contract and should be included in a typical Electronic Information Systems (EIS) procurement contract:

1. Citations to pertinent laws, codes and regulations such as 44 U.S.C chapters 21, 29, 31 and 33; Freedom of Information Act (5 U.S.C. 552); Privacy Act (5 U.S.C. 552a); 36 CFR Part 1222 and Part 1228.

2. Contractor shall treat all deliverables under the contract as the property of the U.S. Government for which the Government Agency shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest.

3. Contractor shall not create or maintain any records that are not specifically tied to or authorized by the contract using Government IT equipment and/or Government records.

4. Contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected by the Freedom of Information Act.

5. Contractor shall not create or maintain any records containing any Government Agency records that are not specifically tied to or authorized by the contract.

6. The Government Agency owns the rights to all data/records produced as part of this contract.

7. The Government Agency owns the rights to all electronic information (electronic data, electronic information systems, electronic databases, etc.) and all supporting documentation created as part of this contract. Contractor must deliver sufficient technical documentation with all data deliverables to permit the agency to use the data.

8. Contractor agrees to comply with Federal and Agency records management policies, including those policies associated with the safeguarding of records covered by the Privacy Act of 1974. These policies include the preservation of all records created or received regardless of format [paper, electronic, etc.] or mode of transmission [e-mail, fax, etc.] or state of completion [draft, final, etc.].

9. No disposition of documents will be allowed without the prior written consent of the Contracting Officer. The Agency and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701. Records may not be removed from the legal custody of the Agency or destroyed without regard to the provisions of the agency records schedules.

36C26121Q0360

10. Contractor is required to obtain the Contracting Officer's approval prior to engaging in any contractual relationship (sub-contractor) in support of this contract requiring the disclosure of information, documentary material and/or records generated under, or relating to, this contract. The Contractor (and any sub-contractor) is required to abide by Government and Agency guidance for protecting sensitive and proprietary information.

Page 1 of Page 1 of

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (OCT 2018)

(a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. If repair/replacement or reperformance will not correct the defects or is not possible, the Government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming supplies or services. The Government must exercise its post-acceptance rights—

(1) Within a reasonable time after the defect was discovered or should have been discovered; and

(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

(b) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims Act (31 U.S.C. 3727). However, when a third party makes payment (e.g., use of the Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.

(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.

(d) Disputes. This contract is subject to 41 U.S.C. chapter 71, Contract Disputes.

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