ATTACHMENT 1- SOW -Long Beach PKG 013 - Audiology Equip. - 8.11.2020-CS 8.12.docx

VA Long Beach Healthcare System 5901 E 7th St.

Building 149 Long Beach, CA 90822

VA Long Beach Healthcare System Audiology Equipment – Pkg. #13 Statement of Work 8/12/20

VA Long Beach Healthcare System 5901 E 7th Street

Introduction

The VA Long Beach Healthcare System has a requirement to purchase Audiology Equipment with an authorized vendor to supply and deliver the item(s) identified in Table 1 below. This requirement is in support of a Brand Name or Equal requirement. See VAAR Clause 852.211-73 – Brand Name or Equal (JAN 2008) for additional information. See attachments for salient characteristics. This requirement is in support of the activation of the VA Long Beach Healthcare System Project. Item(s) are to be delivered to the location specified in section 2.4.1.

Table 1 – Package Items Summary

ON

QTY

General Conditions Site Address The address of the VA Long Beach Healthcare System is listed below. Additional information on delivery is located in section 2.4.

VA Long Beach Healthcare System 5901 E. 7th Street Building 149 Long Beach, CA 90822 Delivery Schedule Items shall be delivered no earlier than the estimated delivery start date and no later than the delivery end date listed in Table 2 below.

Table 2 – Anticipated Building Outfitting Schedule

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

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

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

Delivery and Receiving Delivery and receipt of the proposed items is anticipated to be directed to the location identified below. Confirmation of delivery location will be provided post-award. To coordinate delivery, contact Vickie Orloff at (714) 904-8850, Victoria.Orloff@va.gov or Alfred Burton, 562-355-8983, Alfred.Burton@va.gov ☒ VA Long Beach Healthcare System Direct Delivery to address detailed in paragraph 2.1.1) ☐ IOT&A Contractor-Provided Warehouse Local to the VALBHCS Delivery shall be freight on board (FOB) – Destination.

The delivery of items identified in this document shall take place during normal business hours which are defined as: 0700 to 1530 (i.e.: 7:00am to 3:30 pm Pacific Standard Time), Monday through Friday, and excluding Federal Holidays.

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

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

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

The removal of waste and/or excess material shall be conducted through the loading dock area. Delivery trucks and/or other vendor vehicles will not be permitted to remain at the loading dock. Vehicles will need to be brought back to the dock if required to remove any waste, tools, or excess materials.

Assembly and Installation Installation will be completed by the Contractor. The vendor is required to manage and coordinate installation at the VALB with the COR.

On-site assembly and installation of items, and performance of services identified in this document shall take place during normal business hours which are defined as: 0800 to 1600 (i.e.: 8:00am to 4:00pm Pacific Standard Time), Monday through Friday, and excluding Federal Holidays.

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

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

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

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

Training Training will be provided by the Contractor. The vendor shall coordinate through the VA POC to provide a hands-on training session to staff selected by the VA. Training shall be completed within 60 days after final installation of equipment. The vendor will record the training and provide a copy of the training to the VA POC for VA to use to train additional personal at a future date. In addition, the vendor shall provide additional training documents to the VA POC for training additional persons at a future date.

Use of Premises During the performance of this contract, work will be carried out on VALB premises. The vendor will perform all work in such a manner that will cause a minimum interference with VALB operations and the operations of other contractors on the premises.

The vendor will communicate through the VA POC any required coordination requirements with the GC prior to and during delivery and installation activities.

The project may be an active construction site during delivery and installation. The vendor will take all necessary precautions to protect the premises and all persons and property therein from damage or injury. The vendor will assume responsibility for taking precautions for the vendor's (and associated subcontractors’) employees, agents, licensees, and permittees. The vendor shall abide by any safety requirements imposed by the GC (e.g. hard hats, safety vests).

5901 E. 7th Street

Total Quantity: 7 ☐ Finish Sample Required if Checked ☒ Manufacturer Certified Installation Required if Checked ☒ BMET Training Required if Checked ☒ End User Training Required if Checked Item Name: Tympanometer Brand Name or Equal: Otometrics - Audiology Systems | Madsen Zodiac | 8-04-16046

Salient Characteristics:

Three ergonomic probe types for screening, diagnostic and clinical testing Dual Probe functionality Tympanometry (226 & 1000 Hz), reflex screening/threshold/decay (both ipsi & contra) and Eustachian Tube Function (ETF) Sweep/auto tympanometry Noah compatibility Automatic test sequences Cleanable surfaces designed for easy cleaning Built-in printer Tymp History comparison functionality Main Image:

Total Quantity: 6 ☐ Finish Sample Required if Checked ☒ Manufacturer Certified Installation Required if Checked ☒ BMET Training Required if Checked ☒ End User Training Required if Checked Item Name: Audiometer, Diagnostic, Middle Ear, Impendance Brand Name or Equal: Otometrics - Audiology Systems | 1066 Madsen Astera 2 | 8-04-13102 Salient Characteristics:

Dual channel audiometer with speaker system Two separate and identical channels ("true" two-channel circuitry), is PC controlled, and is operated from the OTO-suite Audiometry Module PC Software.

Supports 3 sets of air conduction transducers: TDH39 headphones, HDA 300 Headphones for high-frequency, and insert phones.

Features built-in power amplifier, narrow-band noise masking, and 6 stimulus types. Includes TDH 39 headphones, HDA 300 headphones, insert phones, bone oscillators, sound field loud speakers, monitor headphones with boom microphone, assistant headphones, desktop microphone, talkback microphone, monitor speaker, one or two patient responders, power supply, mains cable, and connection cables.

To include Audiometer Control Unit (ACP) Main Image:

Total Quantity: 1 ☐ Finish Sample Required if Checked ☒ Manufacturer Certified Installation Required if Checked ☒ BMET Training Required if Checked ☒ End User Training Required if Checked Item Name: Electronystagmograph w/Accessories Brand Name or Equal: Otometrics - Audiology Systems | ICS Impulse | 8-62-52700-US

Salient Characteristics:

Video Head Impulse Testing (HIT) System.

Records fast eye movements that allow for identification of overt and covert saccades, head motion sensor for accurate head velocity measurement, built-in calibration lasers.

Records eye and room video synchronously.

Provides ability to network multiple systems on a shared database.

Includes recommended Laptop.

System is customized per required module selections Caloric module with expanded toolbox assessment with caloric irrigation, Lateral head impulse, LARP/RALP head impulse,ICS monocular VNG.

Head position feedback, 3D Nystagmus Assessment, and external monitor.

Light Weight – 2.1 oz Main Image:

☐ Finish Sample Required if Checked ☒ Manufacturer Certified Installation Required if Checked ☒ BMET Training Required if Checked ☒ End User Training Required if Checked Item Name: Otoscope, Video Brand Name or Equal: Otometrics - Audiology Systems | AURICAL OTOcam 300 | 8-04-13250 Salient Characteristics:

Video otoscope with light source and software.

Allows for examination and documentation of ear canal and eardrum; evaluation and preparation of ear canal prior to making earmold impressions.

Features small footprint, lightweight, integrated control buttons, heater to prevent lens fogging, fast documentation, NOAH compatible software, powered by supply voltage through USB port. 9.6 ft. cable length.

Main Image:

Total Quantity: 1 ☐ Finish Sample Required if Checked ☒ Manufacturer Certified Installation Required if Checked ☒ BMET Training Required if Checked ☒ End User Training Required if Checked Item Name: Stimulator, Caloric, Air Brand Name or Equal: Otometrics - Audiology Systems | ICS AirCal | 8-04-13311 Salient Characteristics:

* Air caloric stimulator.

* The irrigator device delivers a stream of air to the ear canal at controlled rates of airflow and temperature and is intended for vestibular function testing of a patient's body balance system.

* The delivery head provides a fully lighted view of the tympanic membrane, enabling the direction of the flow of air, using a disposable specula for irrigation, and cooling of the air without condensation buildup.

* Features temperature control, intuitive digital display, and can operate with the VNG/ENG solutions.

* Temperature range: 12° to 50°C with digital temp readout in less than 60 seconds.

* Internally mounted compressor and internally generated audible beep timeout indicator.

* Safety features include the primary temperature read-out and a separate over-temperature cut-off. Includes 3 meter cable.

Main Image:

Total Quantity: 3 ☐ Finish Sample Required if Checked ☒ Manufacturer Certified Installation Required if Checked ☒ BMET Training Required if Checked ☒ End User Training Required if Checked Item Name: Audiometer, Portable Brand Name or Equal: Otometrics - Audiology Systems | AURICAL Complete System w/ Hi-Pro 2 | 8-04-14540 Salient Characteristics:

Portable diagnostic audiometer Integrated with PMM (probe microphone measurement), counseling, and simulation.

Configured with optional built-in Hi-Pro 2: a universal hardware interface for programming all types of hearing instruments, both digital and analog.

Audiometer is configured with built-in amplifier, tone audiometry up to 12.5kHz, integrated speech material, intuitive on-screen control panel, built-in USB hub, and wireless and binaural PMM.

System consists of five elements: The Audiometer with built-in Hi-Pro, the wireless PMM unit with REM, the loudspeaker, the HIT box and the OTOsuite software.

Main Image:

☐ Finish Sample Required if Checked ☒ Manufacturer Certified Installation Required if Checked ☒ BMET Training Required if Checked ☒ End User Training Required if Checked Item Name: Programmer, Hearing Aid, PMM Brand Name or Equal: Natus Medical Inc. | Aurical Freefit 1081, PMM CS | 8-04-24546

Salient Characteristics:

Built in Hi-Pro Wireless and Binaurdal Real Speech stimuli inclluding ISTS

Dynamic fitting using percentile analysis Chirp and OpenREM calebration FitAssist Tools Configurable user tests and sequencing 2-Channel stimulous.

Dedicated noise reduction Tinnitus markers.

Extensive sound library ABR/ASSR Data conversion Listen at eardrum.

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