Statement of Work

I. Introduction

This Statement of Work (SOW) is issued in accordance with FAR Part 12 for the acquisition of commercial items. The purpose is to procure new testing equipment The VNG System allows providers to efficiently assess the dizzy patient and evaluate if the dizziness is related to a vestibular disorder. It can assess presence of spontaneous nystagmus and VOR function of all six semicircular canals. The contractor shall supply all items, services, and delivery functions necessary to meet the requirements described herein, in accordance with standard commercial practices.

The brand name VisualEyes is a full range VNG system, which allows you to quantify the functionality of the peripheral vestibular system and the central vestibular pathways. Having EyeSeeCam vHIT included in VisualEyes allows you to generate a single report with both your vHIT and VNG results combined.

I II. Description of Supplies/Equipment

The contractor shall provide commercially available items meeting the following requirements:

1. Item Name: Micromedical by Interacoustics Visual Eyes 525 3rd Generation VNG System

• Manufacturer: Micromedical by Interacoustics

• Product #: 8525857

• Quantity: 1

2. Item Name: Standard Warranty 1 year for VisualEyes 525 system

• Manufacturer: Micromedical by Interacoustics

• Product #: 8130117

• “Not Separately Priced”

3. Item Name: VisualEyes SFF Printer kit HP OfficeJet 200 Printer SFF kit

• Product #: 8531174

4. Item Name: Interacoustics EyeSeeCam vHIT

• Product #: 8525982

5. Item Name: Standard Warranty 1 year for Interacoustics EyeSeeCam vHIT

• Product #: 8130117

6. Item Name: OtoAccess Database Singel License Code

• Product #: 8517470

7. Item Name: Air Fx 110V Air Fx 110V US Air Caloric Irrigator

• Product #: 8531357

8. Item Name: Standard Warranty 1 year for Air Fx 110V

• Product #: 8130117

9. Item Name: Aqua Stim 110V

• Product #: 8534226

10. Item Name: Standard Warranty 1 year for Aqua Stim 110V

• Product #: 8130117

11. Item Name: TV 75" monitor for oculomotor tests. To include mounting hardware and cables.

• Product #: 1000683

12. Item Name: Installation Fee Installation

• Product #: 8122535

13. Item Name: Shipping

• Product #: 8122326

The equipment must meet the following salient physical, functional, and/or performance characteristics:

• Must include VNG goggle of choice, VisualEyes software, Full HD room camera, cleaning cloth, Introduction guides, Certificates and reports: e.g. test result report, license certificate, certificate of conformity, and if applicable, safety test report.

• Must have a water flow rate of 250ml/ 30 seconds, flow accuracy of +/- 15ml 30 seconds

• Must be suitable in hospital and clinical environments.

• Must comply with IEC60601-1-2:2014, emission class B group 1

The items must conform to the specifications provided by the industry standard and include any manufacturer’s literature or documentation that verifies conformance.

III. Delivery Requirements

Delivery Location:

Naval Medical Center San Diego 34800 Bob Wilson Dr San Diego CA 92134

Delivery:

90 Days ARO

Installation:

Delivery Installation SHALL be coordinated with Naval Medical Center San Diego after receipt of Purchase Order.

Work Week and Hours of Operation: The Contractor shall provide services during normal working hours excluding federal holidays. Normal working hours are (07:30-16:30), Monday through Friday, unless requirements dictate otherwise. Exceptions can be permitted by the CO upon request and at the CO’s discretion.

Following is a list of holidays observed by the Government.

Name of Holiday Time of Observance New Year’s Day 1 January Martin Luther King Jr. Day Third Monday in January President's Day Third Monday in February Memorial Day Last Monday in May Independence Day 4 July Labor Day First Monday in September Columbus Day Second Monday in October Veteran's Day 11 November Thanksgiving Day Fourth Thursday in November Christmas Day 25 December

If any of the above holidays occur on a Saturday or a Sunday, then such holiday shall be observed by the Contractor in accordance with the practice as observed by the assigned Government employees at the using activity.

Security and Access Requirements: Contractor shall adhere to current installation security policies. All necessary permits, passes and other security/access requirements shall be obtained prior to commencing the applicable stage of work.

The Contractor is responsible for providing the USN Contracting Officer with a list of company personnel that shall be used to execute the contract. The list must contain the following information on each person:

• Name

• Nationality

• Identification Number

• Copy of civil ID or passport

• Copy of driver’s license for all vehicle operators

• The length of time or time period during which the Individual will require a pass.

Safety Requirements:

Contractor personnel shall adhere to all safety regulations within US laws. All equipment brought by the Contractor shall be in good working condition. Proper safety gear must be worn at all times when applicable.

The Contractor shall be responsible for the physical security of all materials, supplies and equipment, including property that is being utilized.

IV. Quality Assurance & Inspection

Conformance:

All items shall be new, commercially acceptable, and conform to the performance specifications provided.

Inspection & Acceptance:

The Government reserves the right to inspect all deliveries at the point of receipt. Non-conforming items will be rejected and may be subject to replacement or repair at no additional cost.

Warranties:

All items must be covered by the manufacturer’s warranty. The contractor shall provide warranties that the items will perform as described for a minimum period of 12 months.

V. Invoicing and Payment

Wide Area WorkFlow (WAWF) Point of Contact (POC):

Name: Michael Gattuso Title: Supply System Analyst Email: Michael.j.gattuso.civ@health.mil Phone: 619-532-8863

Invoices must reference the contract number and be submitted in accordance with the terms of the contract.

Payment:

Payments will be processed upon Government acceptance of the delivered items per the payment provisions of the contract.

VI. Points of Contact

Government POCs:

Name: Bernardo Gapuz:

Title: DRM/Budget Analyst Email: bernardo.n.gapuz.civ@health.mil Phone: 619-532-8162 mailto:Michael.j.gattuso.civ@health.mil mailto:bernardo.n.gapuz.civ@health.mil

Name: Lavonyia Rhames Marshall Title: Health Systems Specialist Email: Lavonyia.c.rhamesmarshall.civ@health.mil Phone: 619-532-6204