Statement of Work.doc

Installation of a replacement Probe Mic Measure (PMM) Device

1. Background.

This purchase will include the Aurical PMM with Hi-Pro, the Vesa Arm Desk Mount, HIT box, RECD Fitting kid, new product instillation, and a half-day of training for the Audiologists. A NATUS technician will install the product and train the Audiologists. This device will replace the GSI Verifit 2 and will be one of the final devices that needs transitioned to NATUS Otometric devices across the state. The equipment must be compatible with Otosuite.

This Aurical PMM will be in-clinic use only and no identifiable patient information is transferred from the Aurical PMM to the computer or stored on the Aurical PMM device. Current equipment is still calibrated and usable until contract can be completed. Work will be completed through the purchase of the equipment and installation/calibration by certified staff of the contracted supplier. Equipment will be installed in the Benjamin Charles Steele VA Audiology department AU07 room.

2. Specific Tasks.

2.1 Task 1 – Purchase and Delivery of Equipment.

Contractor will sell and deliver equipment as set forth in the contract. Equipment will be received by the VA and processed through BioMed/Logistics prior to task 2. Device must be coordinated for delivery and instillation with Project Manager or COR. Please contact accordingly. Normal business hours for acceptance of deliveries are 8:00am-4:30pm, Monday thru Friday excluding Federal Holidays. Deliveries must be coordinated in advance with Project Manager/COR once a ship date is established. All items included in the requirement shall be shipped and delivered to site at same time.

Deliverables:

· Delivery of Equipment

· Delivered to Logistics at:

Benjamin Charles Steele VA

1766 Majestic Lane

Billings, MT 59102

2.2 Task 2. Installation/Calibration of Equipment

2.2.1 Subtask 1.1 Installation of the Aurical PMM device. Contractor will install the equipment in the location specified. This will include working with BioMed to ensure equipment is appropriately working through the network connection to the VA computer. Contractor does not need access to the VA system as this is a BioMed function. Installing the verification system. Running all connections and ensuring that the system functions.

2.2.2 Subtask 2.1 Contractor will calibrate equipment to published specifications and ensure that all equipment functions as specified.

Deliverables:

· Equipment Installation of Aurical PMM

· Calibration of system

2.2.3 Subtask 3.1 Contractor will send a professional trainer from NATUS that has knowledge in the equipment in software to train the Audiologists. The trainer will show the Audiologists how to use Aurical PMM and the software, including how to calibrate the room and probe tubes. The trainer shall answer any questions the Audiologists may have about the device during the training.

3. Performance Monitoring Acting COR will verify the arrival of the equipment on site.

Acting COR, along with the supervisory audiologist, will assess that the equipment is installed once a schedule is given for this.

Acting COR, along with the supervisory audiologist for Audiology, will receive the calibration paperwork from the contractor at the end of calibration.

4. Security Requirements There are no security concerns with this contractor. The contractor shall have access to the space for installation and calibration of equipment, when staff is available to escort them to the space. As the space is currently in use, there will be no unescorted access.

There is no access to VA computer systems and/or patient information needed. Instillation will consist of connecting the Aurical PMM to the computer using cords/cables. Once instillation is complete, the Project Manager, Gabrielle Firestone Au.D., will confirm set up using her own PIV. Bio-medical engineering will also need to ensure that VA computers properly accept equipment change over after all other items are completed. The contractor shall only use Government IT equipment for purposes specifically tied to or authorized by the contract.

Training of software will be completed while the staff is logged onto their own computer using their own PIV. The contractor will not have access to any VA data during the instillation or training.

5. Government-Furnished Equipment (GFE)/Government-Furnished Information (GFI).

GFI/GFE already in place and will remain in place and be paired with equipment by Biomedical engineering during/after installation.

6. Other Pertinent Information or Special Considerations.

a. Identification of Possible Follow-on Work.

None known at this time.

b. Identification of Potential Conflicts of Interest (COI).

No COI exists.

c. Identification of Non-Disclosure Requirements.

No sensitive or proprietary information involved.

d. Packaging, Packing and Shipping Instructions.

Equipment will be shipped to Logistics at the Benjamin Steele VA for labelling and Bio Medical assessment prior to subtask 2.

e. Inspection and Acceptance Criteria.

Logistics will inspect packaging for damage prior to acceptance. COR will verify installation and calibration completed. All cording will be located along walls if necessary.

7. Risk Control Equipment installation should take place in such a way that boxes, packaging, etc. can be kept clear of the area needed for patient care and can be removed immediately after install to keep the area secure.

8. Place of Performance.

Calibration and installation will be completed onsite at the Benjamin Charles Steele VA. This may be accomplished in either 1 or 2 trips to the Benjamin Charles Steele VA depending on length of installation and install versus calibration staffing by the contractor. The period between installation and calibration should be kept to a minimum (no more than 1-2 weeks).

9. Period of Performance.

Delivery 30 days from order unless otherwise agreed upon.

Installation should be completed within 30-60 days of receipt.

Calibration should follow installation within 1-14 days.

10. Delivery Schedule.