P09 SOW Audiology Mansfield Audiology UPDATED.docx
DOCX document 111 KB Posted
- Solicitation number
- 36C25025Q0671
About this file
This Statement of Work (SOW) details a procurement for the Mansfield VA Medical Center's Audiology department, seeking to acquire a custom sound room and related equipment for hearing testing and hearing aid fitting. The specific requirements include: 1 custom sound room (Eckel sound room or equivalent), 1 add-on door with window, 2 additional utility outlets, installation labor, and shipping services. The equipment will be delivered to the Mansfield VA Clinic located at 1025 South Trimble Road in Mansfield, Ohio, with the delivery and installation schedule to be determined and agreed upon with the vendor at the time of award. The procurement is associated with a Sources Sought Notice (Solicitation Number: 36C25025Q0671) for medical equipment, targeting the North American Industry Classification System (NAICS) code 334510 with a small business size standard of 1,250 employees. Responses to the Sources Sought Notice were due by 14:30 PM EST on 11JUL25, with interested vendors required to provide company details, capabilities, and socioeconomic status.
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STATEMENT OF WORK (SOW)
as of 05/16/2025
Contract Number:
Task Order Number:
IFCAP Tracking Number:
Follow-on to Contract and Task Order Number:
| Name: |
| Mary Richards |
| Section: |
| Audiology |
| Address: |
| 10701 East Blvd Cleveland, Oh 44106 |
| Phone Number: |
| 216-225-5748 |
Fax Number:
| E-Mail Address: |
| Mary.richards5@va.gov |
2. Contract Title. e3 Diagnostics Audiology Sound booth -Mansfield VA
3. Background.
The Audiology department is seeking the purchase of equipment for new Mansfield Audiology clinic that is required for audiology hearing testing of patients and fitting of hearing aids. E3Diagnostics audiology equipment (OR EQUIVALENT) helps with our advanced clinical functionality that provides the best possible hearing experience for our patients.
4. Scope.
Audiology is requesting that the contractor shall provide all resources necessary to accomplish the deliverables described in the statement of work (SOW), except as may otherwise be specified.
5. Specific Tasks.
VAMC is requesting the following:
1. Vendor shall provide the following items.
| Product Number |
| Product |
| Quantity |
1000696
MISC
Custom Sound Room CL-15A PR LP2 Eckel sound room OR EQUIVALENT
1001320
EAO-D-005
EAO-D-005 Add-On Door - Window in Door 20"W x
60"H – OR EQUIVALENT
1001319
EAO-U-001
| EAO-U-001 Add-Ons - Utilities - Additional Outlet – OR EQUIVALENT |
| 2 |
1000027
SERVICE
LBR-Installation Sound Room Labor/Installation – OR EQUIVALENT
8122326
SERVICE
Shipping Sound room freight – OR EQUIVALENT
6. Performance Monitoring
Performance monitoring will be completed by the COR. COR will be responsible to ensure all work is done in accordance with the award.
7. Security Requirements Equipment is used in patient care and includes PHI.
8. Government-Furnished Equipment (GFE)/Government-Furnished Information (GFI).
Not applicable to this request.
9. Other Pertinent Information or Special Considerations.
Not applicable to this request.
a. Identification of Possible Follow-on Work.
Follow-on work is not anticipated
b. Identification of Potential Conflicts of Interest (COI).
There are no known conflicts of interest related to this request.
c. Identification of Non-Disclosure Requirements.
Not applicable to this request
d. Packaging, Packing and Shipping Instructions.
| Louis Stokes Cleveland VA Medical Center |
| 10701 East Blvd Cleveland, OH 44106 |
e. Inspection and Acceptance Criteria.
COR and warehouse staff will be responsible for all inspection and acceptance criteria related to this request.
10. Risk Control No risk control assessment is required.
11. Place of Performance.
Mansfield VA Clinic 1025 South Trimble Road Mansfield, OH 44906-3427
12. Period of Performance.
Delivery schedule/installation will be determined and agreed upon with vendor at the time of award.
13. Delivery Schedule.
Delivery schedule/installation will be determined and agreed upon with vendor at the time of award.
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