Attachment 1 Statement of Work (DRAFT) - 13FEB25.pdf

STATEMENT OF WORK (SOW) FOR Eckel CL-MD-DW LP2 PR - Custom 8-Man Audiometric (Hearing) Booth - (Brand Name or Equal)

GENERAL INFORMATION. The Operational Support Team (OST) at Reynolds Army Health Center, Fort Sill, OK has a requirement for an Eckel CL-MD-DW LP2 PR - Custom 8-Man Audiometric (Hearing) Booth - (Brand Name or Equal) meeting American National Standard ANSI/ASA S3.1-1999 (R2023) –Maximum Permissible Ambient Noise Levels for Audiometric Test Rooms, and ANSI/ASA S3.6-2018 (R2023) – Specification for Audiometers. The booth shall be delivered and installed.

Background. The RAHC has no material handling equipment, e.g., heavy duty dolly, pallet jack, panel carriers, etc., to assist with the removal and/or installation. The floor-to-ceiling height leading to and in the audiometric room is a minimum of 8-feet.

Objectives: To provide and install a new audiometric booth of the required size as required at

RAHC.

Scope of Work. The contractor shall deliver and provide installation/system checkout on audiometric booth to RAHC. The proposed location and room dimensions are in Technical Exhibit A

- Room Layout, and booth size are shown in Technical Exhibit B - Building Layout.

The Contractor shall comply with all applicable laws, rules and regulations, including DoDI 6055.12 Section 3.8 – Hearing Conservation Program.

The Contractor shall only conduct business with designated Government personnel identified as points of contact (POCs) for this requirement. Names of authorized personnel will be provided to the Government Point of Contact (GPOC), in writing within 7 days of contract award, and updated as necessary throughout the contract period.

Place of Delivery: Reynolds Army Hospital, 4301 Wilson St Fort Sill, OK 73503

Government Points of Contact. The Government will provide the Government Point of Contact and their contact information within 7 days of issuance of the resultant purchase order.

Materials. The Contractor shall provide all other supplies, personnel, expertise, transportation, labor, and other items required to meet the requirements under this SOW for the successful consummation of this contract.

Equipment: The Contractor shall furnish a new Eckel CL-MD-DW LP2 PR - Custom 8-Man Audiometric (Hearing) Booth - (Brand Name or Equal) in accordance with the terms, conditions, and specifications delineated herein to meet the requirements under this SOW.

New Equipment Specifications: The contractor shall provide a new fully functional Eckel CL-MD- DW LP2 PR - Custom 8-Man Audiometric (Hearing) Booth - (Brand Name or Equal) for medical audiological examinations in accordance with (IAW) the following specifications:

Eckel CL-M8-DW LP2 PR 8-person multi-station booth (Brand Name or Equal) consisting of:

- a double wall

- Be Pre-wired Jack Panel with Cable Pass-thru.

- Have an Acoustic Floor.

- Be Switch-activated with an LED Illuminations System.

- Be Acoustically Engineered with Roof-mounted Ventilation.

- Have a Sound Secure Patient Viewing Window.

- Features carpeting with Cove Base Trim.

- Have Hospital-grade Recessed Electrical Devices.

- Shall meet American National Standard, ANSI/ASA S3.1-1999 (R2023) or newer certification standard, Maximum Permissible Ambient Noise Levels for Audiometric Test Rooms.

- Shall meet ANSI/ASA S3.6-2018 (R2023) or newer certification standards.

- NOTE TO INDUSTRY: A one (1) year warranty is preferred on any offer submitted.

The booth shall be delivered to the room on the floor in which it is to be installed.

The contractor shall remove from the premises of the RAHC all packing, crating, and installation debris/booth materiel shall be removed and properly disposed of by the contractor.

Tentative Delivery/Installation Date Window: The tentative delivery or installation date will be provided when the individual booth order is placed, subject to change.

The contractor shall perform a sound pressure level test upon completion of installation of the new audiometric booth, for the frequencies of 500 through 8000 hertz, ears covered in accordance with ANSI/ASA S3.1-1999 (R2023). Test results shall be provided to the Government Point of Contact (GPOC) as proof of audiometric booth certification and compliance with ANSI/ASA S3.1-1999 (R2023) and ANSI/ASA S3.6-2018 (R2023) standards. All test equipment used to perform the sound level testing shall have a valid calibration.

After booth installation, the contractor shall provide a copy of the warranty and sound pressure level test results, to include individual frequency and decibel readings.

Vendor Authorization: The vendor must provide proof that they are the manufacturer or authorized distributor/installer of the Eckel CL-MD-DW LP2 PR - Custom 8-Man Audiometric (Hearing) Booth - (Brand Name or Equal)

Attachments/ Exhibits List:

Exhibit A - Room Layout.

Exhibit B - Building Layout.