Page 2 of 7 The Department of Veterans Affairs Network Contracting Office 16 is seeking Service Disabled Veteran Owned Business (SDVOSB), Veteran-Owned Small Business (VOSB), and/or Small Business (SB) sources capable of providing the equipment detailed in the Statement of Need below for the Jackson VA Health Care System, located at 1500 E Woodrow Wilson Dr., Jackson MS 39216. The acquisition will be accomplished using commercial item procedures in accordance with FAR art 12 & 13. The North American Industry Classification System (NAICS) is 339113. Any SDVOSB/VOSB/SB firm who wishes to identify their interests and capability to provide this service must provide interest information by notifying the Contract Administrator no later than 11:00 AM Central Standard Time, May 17, 2018. Such notification must include any documentation that includes certification to be able to provide the equipment and pertinent installation, maintenance and support during the warranty period. Notification shall be e-mailed to Hector Lopez, Contract Administrator, [email protected] . NOTE: TO QUALIFY SDVOSB/VOSB VENDORS MUST BE VERIFIED AND CERTIFIED IN THE VA VENDOR INFORMATION DATABASE (VIP). DISCLAIMER: This RFI is issued solely for information and planning purposes only and does not constitute a solicitation. All information received in response to this RFI that is marked as proprietary will be handled accordingly. In accordance with FAR 15.201(e), responses to this notice are not offers and cannot be accepted by the Government to form a binding contract. Responders are solely responsible for all expenses associated with responding to this RFI. Also, in accordance with VAAR 852.211-73, any brand name s mentioned are for information/description purposes only and are not restrictive. STATEMENT OF NEED (SON) Description/Specifications/Work Statement Scope of Work: The Contractor shall provide the equipment needed as described on the Schedule of values Section of this SON for the G.V. Sonny Montgomery Veterans Affairs Medical Center (VAHCS), Jackson, MS 39216. Also, the contractor shall provide delivery FOB Destination, installation and training. The installation shall be performed during normal business hours Mondays to Fridays between 8:00 am and 4:30 pm, excluding Federal Holidays. The contractor shall unload at the Receiving Dock of the Jackson VAHCS, located at 1500 E. Woodrow Wilson Ave., Jackson, MS 39216. Coordination with the Point of Contact (POC) is required prior to delivery and start of installation process. The POC information will be provided after award by the Contracting Officer (CO). B. Schedule of Values Audiometers must be equal or better to the salient characteristics listed in this section. In accordance with VAAR 852.211-73, brand names are mentioned for information/description purposes only and are not restrictive 1. Audiometer equal or better to Grason Stadler Audiostar Pro Clinical Two Channel Audiometer: The two channel Audiometer must be able to function with a computer or independently as a standalone audiometer without a PC connection, if the computer system goes down. The Audiometer must have a compatible desktop computer, monitor & printer for data transfer to Patient Record Audiogram Edit, NOAH 4 Hearing Aid Programming system The Audiometer must have Two Independent Channels. The audiometer must have a direct printer connection without using a PC. PC Enabled/Stand Alone Transfer data to connected PC with an E-Record Solution Software Print complete report directly to a compatible USB printer Frequency Range for Channels 1 and 2: Air Conduction: Frequency range: 125 Hz to 12, 000 Hz High Frequency Range: 125 Hz to 20,000 Hz; Full Frequency range: 125 Hz to 20,000 Hz Bone Conduction: 250 Hz to 8,000 Hz Sound Field: 125 Hz to 8,000 Hz; Paired Inserts: 1325 Hz to 8,000 Hz Frequency Accuracy: +/-1% Total Harmonic Distortion: 2% (earphones and paired insert phones) 5% (bone vibrator) Intensity Range for Channels 1 and 2: Air Conduction (TDH 50P): -10 dB HL to 120 dB HL High Frequency: * -20 dB HL to 100 dB HL (with Sennheiser HDA 200 Phones) Bone Conduction Mastoid: -10 dB HL to 75 dB HL Forehead: -10 dB HL to 65 dB HL Sound Field: * 10 dB HL to 90 dB HL (basic speakers) 10 dB HL to 96 dB HL (high performance speakers) 10 dB HL to 102 dB HL (high performance speakers and external booster amplifier) Paired Inserts: * -10 dB HL to 110 dB HL Masking Intensity Range (Calibrated in effective masking) Narrow Band Noise: Maximum dB HL is 15 dB below tone Speech Noise: Air Conduction: -10 dB HL to 105 dB HL (TDH 50P and Insert Phones*) Bone Conduction: -10 dB HL to 55 dB HL (forehead) -10 dB HL to 55 dB HL (forehead)              White Noise:     Air Conduction: -10 dB HL to 105 dB HL Bone Conduction:  -10 dB HL to 65 dB HL (mastoid)  -10 dB HL to 55 dB HL (forehead)10 dB HL to 65 dB HL (mastoid): Signal Format: Steady: Tone continuously present. Pulsed: Tone pulsed 200 msec ON, 200 msec OFF FM: Modulation Rate: 5 Hz Modulation Depth: +/- 5% Pulsed/FM: Pulsed and Modulated Pediatric Noise Pediatric Noise Pulsed Speech Channels 1 and 2 Microphone: For live voice testing and communications INT/EXT A & INT/EXT B: Can be utilized for internal wave files or recorded speech material from an external digital device Intensity Range: Air Conduction: -10 dB HL to 100 dB HL for TDH 50P (Linear Type 4) Bone Conduction Mastoid: -10 dB HL to 55 dB HL Forehead: -10 dB HL to 35 dB HL Sound Field:* -10 dB HL to 80 dB HL Paired Inserts:* -10 dB HL to 95 dB HL Masking Intensity Range: Speech Noise: Air Conduction: -10 dB HL to 95 dB HL (TDH 50P) Bone Conduction: -10 dB HL to 50 dB HL (mastoid) -10 dB HL to 35 dB HL (forehead) Sound Field: -10 dB HL to 80 dB HL White Noise: Air Conduction: -10 dB HL to 95 dB HL (TDH 50P) Bone Conduction: -10 dB HL to 50 dB HL (mastoid) -10 dB HL to 35 dB HL (forehead) Sound Field: -10 dB HL to 80 dB HL Special Tests ABLB or Fowler: Tone alternating between Channel 1 and Channel 2: Channel 1 is 400 msec ON, 400 msec OFF followed by Channel 2, 400 msec ON, 400 msec OFF. SISI: An intensity increment is added to a tone in the selected channel for 200 msec, every 5 seconds. The HL increments are in 1, 2 or 5 dB. High Frequency:* Pure tone testing in the frequency range of 8,000 Hz to 20,000 Hz using circum-aural headphones. TEN: TEN masking noise will be presented to the test ear. Pure tone stimuli between 500 Hz and 4000 Hz may be used at 1, 2, or 5 dB increments to obtain TEN thresholds. QuickSIN: Six (6) sentences with five (5) key words per sentence are presented in four-talker babble noise. The sentences are presented at pre-recorded signal-to-noise ratios. The SNR s used are 25, 20, 15, 10, 5, and 0. BKB-SIN: Contains 18 List Paris. The sentences are presented at prerecorded signal-to-noise ratios that decrease in 3-dB steps. Each list in the pair is individually scored, and the results of the two lists are averages to obtain the List Pair score. Results are compared to normative data to obtain the SNR Loss. Monaural Loudness Balance (MLB) Test Lombard Test. Pure Tone Stenger Test. Speech Stenger Test. Sensori-neural  Acuity Level (SAL) Test. PC Enabled/Stand Alone Transfer data to connected PC with an E-Record Solution Software Print complete report directly to a compatible USB printer Special Tests (pre-configured) Lombard test Pure Tone Stenger Speech Stenger SAL Doerfler - Stewart Test Communications and Monitoring Talk Forward: Permits the tester to speak through the examiner microphone into the selected transducer. Talk Back: Allows the examiner to listen to comments from the patient in the testing booth. Monitor: The monitor headset or monitor speaker built into the instrument housing may be used by the examiner to listen to Channel 1, Channel 2, Aux intercom, and/or Talk Back signals. Aux Intercom: The built-in Auxiliary Intercom and assistant headset allows the examiner to speak directly to an Assistant and allows the assistant to hear what is being presented to the patient. On-Board VRA Control: The built-in VRA controls facilitate fast and simple activation of VRA systems. Environmental Requirements Temperature: +15ºC to 40ºC (59 to 104ºF) Relative Humidity: 5% to 90% (non-condensing) Ambient Pressure Range: 98 kPa to 104 kPa Background Sound Level: <35 dB(A) Frequency of Use: Once a year to multiple times per day Storage Temperature: -20ºC to + 60ºC (-4ºF to 140ºF) Quality System and Standards Manufactured, designed, developed and marketed under ISO 13485 certified quality systems Compliance/Regulatory Standards Designed, tested and manufactured to meet the following domestic (USA), Canadian, European and International Standards: ANSI S3.6, ANSI S3.43, IEC 60645-1, IEC 60645-2, ISO 389 UL 60601-1 American Standards for Medical Electrical Equipment IEC/EN 60601-1 International Standards for Medical Electrical Equipment CSA C22.2 # 601-1-M90 Medical Device Directive (MDD) to comply with EC Directive 93/42/EEC Other Specialized Functions Needed Maximum dB HL is 30 dB below tone In the event of power failure, the audiometric data collected will be recovered and displayed. A large easy to read color monitor must be integrated into the control panel with flexible adjustments for individual viewing preferences. The brightness of monitor can be adjusted by each user. The audiometer must have a database included with the system at no extra charge. The audiometer must have the ability to delete integrated digital word lists. The audiometer must have full implementation of the QuickSIN and BKBSIN as well as research options for both. The audiometer must have the ability to view words/sentences on customized word lists. The audiometer must have the ability to add speech normative values. The audiometer must have AZ Bio lists for pediatric and adults as standard option. The audiometer must have dedicated cochlear implant symbol. The audiometer must be able to display audiogram table in 1 hz steps. The audiometer must provide 11 octave band frequency ranges. The audiometer must include a wireless keyboard and wireless mouse for remote testing in the sound room. Single keystrokes must always be used to control the audiometer. The audiometer must include an option to edit reliability table descriptors. The audiometer must include a simple solution for user defined customized report. The reporting option must include the ability to view and print sequential audiometric data. The audiometer must include a simple user interface for adding custom logos into the user defined report. The reporting option must include the ability to add any or all preferred counseling reports. The audiometer must interface with 5 electronic record solutions available for digital copy of audiogram. The audiometer must have sound field speaker range options- 90 dB HL, 96 dB HL, 102 dB HL. The audiometer must have a Bi-Directional Gooseneck microphone The audiometer must have light pipes surrounding the controls / buttons on the audiometer control panel. All recording parameters must light up and stay lit until changes are needed in the test protocols. Size : Should fit on desktop and power consumption should be approximately 90 Watts C. Other Pertaining Information: Identification, Parking, Smoking and Veterans Affairs (VA) Regulations: The Contractor's employees shall wear visible identification at all times while on the premises of the VAHCS. It is the responsibility of the Contractor to park in the appropriate designated parking areas. Information on parking is available from the VA Police Section. The VAHCS will not invalidate or make reimbursement for parking violations of the Contractor under any conditions. Smoking is prohibited inside any building at the VAHCS and only permitted in designated smoking shelters on the VA campus, which are properly identified. Possession of weapons is prohibited. Enclosed containers, including tool kits, shall be subject to search. Violations of VA regulations may result in citation answerable in the United States (Federal) District Court, not a local district, state, or municipal court. The Contractor shall be required to report to the POC to start working daily. This check-in is mandatory. When the service is completed, the POC shall document services rendered. If the POC is unavailable, the Contractor must contract the CO immediately to find an alternate POC for that day. Protection of Existing Structures, Equipment and Utilities: The Contractor shall preserve and protect all structures and equipment on or adjacent to the work site. The contractor shall replace at his own expense damage to such items to the satisfaction of the CO. Contractor shall take all measures and provide all materials necessary for protecting and preserving existing equipment and property in affected areas of installation against dust, debris and physical damage, so that equipment and affected areas to be used in VAHCS operations will not be hindered. Contractor shall permit access to VA personnel through installation areas as required for maintenance and normal Medical Center operations. Upon receipt of notice to proceed with installation, it shall be the contractor's responsibility to inform the POC or CO of any problems which may be anticipated in connection with installation or which will affect optimum performance until installation is completed. Such matters as inadequacy of power supply, limitations of site or inadequate preparation of site shall be reported prior to start of installation. Installation shall not proceed under such circumstances until authorized by the CO. Warranty: Contractor must provide standard warranty (minimum of one year) after POC review and signature for completion of project. -End of Statement of Need-

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