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Source Justification Data
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General Information
Requesting Agency: Health Commodity Specialist Reviewer: Cheryl Barth
Material or Service: Materials: Six standard packages with each package to include: 1 Otocheck Portable Screening Unit;
1 set of user manuals; 1 probe; 1 Otolink PC software package (compatible with Window 7, Vista and XP); 1 test cavity; 1 download cable; 1 consumables starter pack (including a box of probe tips); 1 charging cradle; and, 1 carrying case for both the Otocheck screening unit and for standard accessories.  In addition to the standard package also included in this purchase are six (6) UGS General Purpose Probes (TEOAE only).
E-mail: cbarth@pa.gov
Proposed Supplier: Gordon N. Stowe & Associates Inc. DBA Midlantic Technologies Group, LLC Request Type(s): Single Source (Material/Repair/Maintenance)
Description: Six Otodynamics Otocheck Model TE Otoacoustic handheld newborn hearing screening units and related supplies with delivery to selected locations with Central and Southeastern PA. Onsite training will also be provided.
    Date Submitted: 4/17/2014

Review Information
ID: 22180  
Review End Date: Approval Status:
     Submitted: 4/17/2014
     Accepted: 04/17/2014
     Approved by Commodity Specialist 04/17/2014
     Approved by Chief Procurement Officer 06/12/2014
     Approved by Sole Source Coordinator 06/13/2014




Material or service MUST be compatible with existing equipment









Approval/Disapproval Date: Execution Date:
Awarded $ Amount: $29918.94
 

View Source Justification Form as PDF
Related Docs: Sole Source Determination Summary 22180.doc