STATEMENT OF WORK.docx

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AUDIO BOOTH FOR BURLINGTON CBOC VA MEDICAL CENTER
Solicitation number
36C26326Q0572
Issued by

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This is a Statement of Work for a custom audio booth to be installed at the West Burlington/Waterloo Community Based Outpatient Clinic (CBOC) for the Department of Veterans Affairs. The booth is a double-wall exam room with premium 4-inch thick panels, measuring 12 feet 6 inches by 9 feet by 8 feet 1 inch externally, with an interior exam room of 7 feet by 10 feet 7 inches by 6 feet 6 inches. The booth must be flush with the recessed audiology room floor (4-inch depth) and include a 36-inch clear opening door with tempered glass windows, recessed LED lighting, dimmers, and light switches installed by the vendor's licensed electrician. The vendor is responsible for providing and installing all electrical rough-in work, including 110V/20A hospital-grade duplex receptacles at 36 inches above finish floor, 4-port CAT-6 data outlets, quad power outlets, and conduit runs compliant with the National Electric Code, with final connections terminating from a VA-provided junction box for turnkey operation.

The required line items include one double-wall exam suite with single-wall control room, factory-trained installation, five-year extended warranty on wear items, 36-inch door upgrade, window installation, quad power outlets, data port faceplate, five recessed conduit drops, dimmer switch, pass-through pipes, and user manuals with cleaning instructions. The solicitation, numbered 36C26326Q0572, is a Request for Quotes (RFQ) set aside for Service-Disabled Veteran-Owned Small Businesses with a NAICS code of 334510 (size standard: 1,250 employees). Technical questions are due by 10:00 a.m. CST on April 20, 2025, and quotes are due by 10:00 a.m. CST on April 23, 2026, submitted via email to Becky De Los Santos, Contracting Officer, at becky.delossantos@va.gov. All offerors must be registered and current in the System for Award Management (SAM) database at time of offer.

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36C26326Q0572 0001.pdf PDF
52.225-2 Buy American Act Certificate-COTS.pdf PDF
Drawing.pdf PDF
36C26326Q0572.pdf PDF

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Text version

SPECIFICATIONS

General Equipment Name: Audio Booth for West Burlington CBOC Build Description & Salient Characteristics

One (1) Double Wall Exam Room audio booth to be custom fitted into new construction for the Waterloo CBOC. The audio booth has specific requirements dictated by the VA for use in veterans’ hearing tests. These requirements include:

· Double wall construction for exam booth with premium 4” thick panels

· Size - Exterior Size: 12 feet 6 inches x 9 feet 0 inches x 8 feet 1 inches or height adjusted to correct height for 7-foot interior height

· Exam Room Interior Size: 7 feet 0 inches x 10 feet 7 inches x 6 feet 6 inches

· Flooring - Base of booth should be built so that it is flush with the floor such that there is no need for a ramp to be built into the patient side/exam room.

· Interior Booth Height: Exam - 7 feet

· Exterior Booth Height - 9 feet 0 inches OR height commensurate with 7-foot interior in the exam room

· Door Height - Height must be adjusted for 7-foot interior height of room.

· Doors - 36-inch clear opening door / Full vision 20in x 60in Tempered (and labeled as such) glass door in each door. Door window of 8” W x 20” H

· Electrical - General Note: Vendor shall provide and install all rough-in conduit, junction boxes, and necessary fittings. All receptacles provided and installed by vendor shall be 110V/20A duplex Hospital grade. All data outlets provided and installed by vendor shall be 4-port and turn-key installed and terminated with four CAT-6 cables (4 blue). Labeling shall match facility existing. Vendor shall provide and install all conduit at 90° angles IAW latest edition of National Electric Code. All conductors and cabling shall be installed in EMT conduit, and existing cable trays; Metal-Clad (MC) cable will be allowed within walls, and EMT shall extend over cable trays.

· Electrical power and data ports shall be provided and installed in Cove Molding at 36 inches above finish floor. A pull cord should be run from the top of the booth for each power and data connection to ensure a path is available.

· Electrical power strips with the receptacles no more than 12-inches apart to be located on walls designated at design

· Recessed conduit drops, quad power outlets

· Duplex 110/20A hospital grade receptacles on either side of the window at 36 inches from the floor.

· Electrical connections, terminations, to be installed by a licensed electrician and to be installed in compliance with IAW latest edition of National Electric Code (NFPA 70).

· VA will provide and install booth power circuit including the breaker and junction box, per the booth manufacturers provided rough-in directions and drawings.

· Vendor shall make all necessary electrical connections and terminations from this customer provided junction box to the booth for a full turnkey installation and booth operation consistent with IAW, the latest edition of NFPA National Electrical Code

· Light Switches – shall be provided and installed by Booth Vendor’s licensed electrician

· Dimmers – shall be provided and installed by Booth Vendor’s licensed electrician

· Lighting - Recessed LED lighting installed by booth vendor

· Sprinkler System - Booth vendor shall provide factory or field-cut penetration in booth shell and interior ceiling panel for typical sprinkler system pass-through. VA and/or construction contractor shall provide, install, and test sprinkler system piping, head, escutcheon, etc.

· Access pipe for sprinkler system installed

· The floor in the audiology room is recessed. The depth is 4 ¾”.

Required Individual Line Items & Quantity of Items

· 1 EA Double Wall Exam, Single Wall Control Suite

· with AS-A504 Premium 4” Thick Panel Construction

· 1 EAShipping Charges (Estimate Only)
· 1 EAInstallation by Factory Trained Installation Team
· 1 EAExtended Warranty for 5 Years from Purchase on Wear Items
· 1 EAUpgrade from a 32” to 36” Clear Opening Door

· (Configuration Permitting)

· 1 EAWindow in Door, 8” wide by 20” high
· 2 EAQuad Power Outlets
· 1 EAQuad Data Port Faceplate
· 5 EARecessed Conduit Drop, Rough in for Devices by Others
· 1 EADimmer Switch for Lights
· 1 EA2” pass through pipe for equipment wires
· 1 EA3” X 3” Framed opening with Notched Cover Plate

· (2 each) User Manuals

· (1 each) Cleaning Instructions for all equipment, supplies and accessories Optional Line Items

· Trade-In Items (include make, model and serial # of all items to be used as a trade-in) - *Consult Logistics

· Product Specifications (CD, PDF or Word)

· Discount for Volume Purchase

· Expendable Supplies – *Consult Logistics

· Maintenance and Full-Service Repair Contracts - *Consult BioMed

· Warranty Information - *Consult BioMed

· In Service Training

· BioMed Training – *Consult BioMed

· Installation and/or De-Installation Services – *Consult BioMed/Engineering/IRM as needed

· Delivery Requirements:

· All products should be ordered to arrive on or about . Please include any shipping costs that are not included in the cost of the line items.

· Product shall be unloaded and packing material removed and disposed of by the delivery service.

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