Attachment A - Aud Cal St Cloud VA Med Ctr.xlsx

XLSX spreadsheet 16 KB Posted

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J065--Audiology Equipment Calibration Services St. Cloud VA Med Ctr, & MN Area
Solicitation number
36C26323Q0413
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Sheet1

Location: VHASTC Medical Center 4801 Veterans Drive St. Cloud MN
EquipmentQty Base YearQty OY1Qty OY2Qty OY3Qty OY4FrequencyLast CalNotes
Madsen Astera Audiometer77777Biannual9/25/17
GN Otometrics 100's AIA77777Annual3/24/2017*
Audioscan Verifits50000Annual3/24/2017*OY 1 - qty 0
Aurical Real Ear612121212Annual3/24/2017*Qty 12 by Option Year 1
Capella OAE33333Annual3/24/2017*
GSI Tympstar AIA11111Annual3/27/2017*
Lifeline Int'l AT 235 AIA11111Annual3/27/2017*
GN Otometrics ICS Charter 200 VNG w/Air Caloric Delivery System11111Annual3/21/2017*
IHS ABR11111Annual3/21/2017*
Aurical Real Ear HIT Box11111Annual3/24/2017*
Zodiac Accoustic AIA31111AnnualN/Aclinic, SN:215496 in booth 10,SN:1911411 9F,SN:1918082 in 9B
Mobile Audiology Clinic (MAC) Van:There
EquipmentQuantityQty OY 1Qty OY 2Qty OY 3Qty OY4FrequencyLast CalNotes
Madsen Astera Audiometer11111Biannual9/25/17SVC Mondays Only @ VHASTC
GN Otometrics 100's AIA11111annual9/25/17SVC Mondays Only @ VHASTC
Aurical Real Ear11111annual9/25/17SVC Mondays Only @ VHASTC
Location: Alexandria Clinic: 515 22nd Ave E, Alexandria, MN 56308
EquipmentQuantityQty OY 1Qty OY 2Qty OY 3Qty OY4FrequencyLast CalNotes
Madsen Astera Audiometer11111Biannual8/18/18On Telehealth Cart
Aurical Real Ear11111Annual8/18/18On Telehealth Cart
Aurical Real Ear HIT Box11111Annual8/18/18On Telehealth Cart
GN Ottometrics Otoflex 100's AIA11111Annual8/18/18On Telehealth Cart
Location: Brainerd Clinic: 722 NW 7th St, Brainerd, MN 56401
EquipmentQuantityQty OY 1Qty OY 2Qty OY 3Qty OY4FrequencyLast CalNotes
Madsen Astera Audiometer12222Biannual11/21/181 on Telehealth Cart, 1 in rm 198*
Aurical Real Ear13333Annual11/21/181 on Telehealth Cart, 1 in rm(198 & 196)
Aurical Real Ear HIT Box12222Annual11/21/181 on Telehealth Cart, 1 in rm 196
GN Otometrics Otoflex 100's11111Annual11/21/18On Telehealth Cart
Zodiac Accoustic AIA11111AnnualN/Aclinic, cart in room 198
IHS ABR01111AnnualN/Aclinic, 196
Capella OAE01111AnnualN/Aclinic, 196
Location: Montevideo Clinic: 1025 N 13th St, Montevideo, MN 56265
EquipmentQuantityQty OY 1Qty OY 2Qty OY 3Qty OY4FrequencyLast CalNotes
Madsen Astera Audiometer11111Biannual8/11/18On Telehealth Cart
Aurical Real Ear11111Annual8/11/18On Telehealth Cart
Aurical Real Ear HIT Box11111Annual8/11/18On Telehealth Cart
GN Otometrics Otoflex 100's AIA11111Annual8/11/18On Telehealth Cart

New Contract Quantities

Location: VHASTC Medical Center 4801 Veterans Drive St. Cloud MN
EquipmentQty Base YearFrequencyNotes
Madsen Astera Audiometer8BiannualEE 26011, EE 21613, EE 26013, EE 21678, EE 21624, EE 21679, EE 26014, EE 26012
GN Otometrics 100's AIA7AnnualEE 26986, EE 26991, EE 26985, EE 26987, EE 26988, EE 26992, EE 26990
Audioscan Verifit2 (VF2)6AnnualMX 2337670, MX 2337673, MX 2337674, MX 2337675, MX 2337677, MX 2337679
Aurical Real Ear (Freefit)9AnnualMX 1271211, MX 1271215, MX 1271216, MX 1271218, MX 1271219, MX 1271220, MX 1271221, MX 2019973, MX 2019974
Capella OAE3AnnualEE 31567, EE 31565, EE 31566
Lifeline Int'l AT 235 AIA1AnnualBldg 1 rm 243 (EE 21616)
GN Otometrics ICS Chartr 200 VNG w/Air Caloric Delivery System1AnnualMX 1857628
IHS ABR1AnnualMX 1053672
Aurical Real Ear HIT Box3AnnualMX 1271242, MX 2336855, MX 2037336
Zodiac Accoustic AIA3AnnualMX 1814037 in booth 10, MX 2019909 in booth 9F, MX 2019906 in booth 9B
Titan Tympanometers3AnnaulMX 2824009, 2824039 & 2824041
Location: Alexandria Clinic: 515 22nd Ave E, Alexandria, MN 56308New Location: 30th Avenue E, Alexandria, MN 56308 within Base year
EquipmentQuantityFrequencyNotes
Madsen Astera Audiometer2BiannualOn Telehealth Cart, 1 in rm 129 (MX2703710 and MX1053689)
Aurical Real Ear (Freefit)3AnnualOn Telehealth Cart, 2 in rm 129 (MX 1054108, MX 2703737, MX 2753981)
Aurical Real Ear HIT Box2AnnualOn Telehealth Cart, 1 in rm 131 (MX 1053695 and MX 2703732)
Zodiac Accoustic AIA2AnnualOn Telehealth Cart, 1 in rm 129 (MX 2002160 and MX 2703740)
Location: Brainerd Clinic: 722 NW 7th St, Brainerd, MN 56401
EquipmentQuantityFrequencyNotes
Madsen Astera Audiometer2Biannual1 on Telehealth Cart, 1 in rm 198 (MX1813779 and MX1053688)
Aurical Real Ear (Freefit)4Annual1 on Telehealth Cart, 1 in rm 197, 198, 153 (MX 2753969, MX 1814052, MX 1054109, MX 1814051)
Aurical Real Ear HIT Box2Annual1 on Telehealth Cart, 1 in rm 196 (MX 1813782 and MX 1053692)
GN Otometrics Otoflex 100's1Annualclinic, 198 (EE 26989)
Zodiac Accoustic AIA2Annual1 on Telehealth Cart, 1 in rm 198 (MX 1929324 and MX 2412225)
Capella OAE1Annualclinic, 198 (MX 1813810)
Location: Montevideo Clinic: 1025 N 13th St, Montevideo, MN 56265New Location: 824 N 11th St, Suite 1, Montevideo, MN 56265 within Base year
EquipmentQuantityFrequencyNotes
Madsen Astera Audiometer2BiannualOn Telehealth Cart, 1 in rm 104 (MX2703729 and MX1053690)
Aurical Real Ear (Freefit)3AnnualOn Telehealth Cart, 1 in rm 104 and 1 in rm 108* (MX 2703738, MX 1053696, and MX 1054107)
Aurical Real Ear HIT Box1AnnualOn Telehealth Cart (MX 2703734)
Zodiac Accoustic AIA2AnnualOn Telehealth Cart, 1 in rm 104 (MX 2002155 and MX 2703742)
Repairs, parts and emergency services at any of the locations1YearSubject to a not-to-exceed (NTE) ceiling price of $10,000.00 without prior approval/modification from the Contracting Office

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