09 - Attachment I - Cost Proposal Response Sheet - Amendment One (1).xlsx
XLSX spreadsheet 31 KB Posted
- Attached to
- Medical Supplies, Consumables & Equipment
- Solicitation number
- 1433
- Issued by
- Ada County, Idaho
About this file
This is a Cost Proposal Response Sheet for RFP 1433, a Medical Supplies & Equipment master agreement issued by the State of Idaho Department of Administration under the NASPO ValuePoint cooperative purchasing program. The RFP covers two categories: Category 1 includes 100 line items of consumables and supplies (such as adhesive dressings, bandages, gloves, surgical instruments, and wound care products) across 14 subcategories, while Category 2 includes 20 line items of medical equipment (such as respiratory protection equipment, examination furniture, cardiovascular instrumentation, and monitoring systems) across 14 subcategories. Offerors may propose for one or both categories and are not required to submit pricing for every line item; however, failure to offer discounts for every subcategory within a proposed category may result in a non-responsive finding. The proposal deadline was November 9, 2026 at 5:00 p.m. Mountain Time, with a pre-proposal conference scheduled for October 7, 2026 at 11:30 a.m. Mountain Time via video conference. The resulting master agreement is available to all 50 states, U.S. territories, political subdivisions, federally recognized tribes, K-12 schools, higher education institutions, quasi-governmental entities, and eligible nonprofits, with an initial one-year term and options to renew for up to seven additional one-year periods.
All pricing submitted must be fully burdened and inclusive of all fees, charges for credit card payments, personnel, and the NASPO ValuePoint administrative fee of 0.4 percent of invoiced sales (0.33 percent if fully compliant with reporting). Proposed costs represent not-to-exceed pricing and must include all costs associated with meeting specifications and FOB Destination freight prepaid and allowed. Award is made to the responsive and responsible offeror with the highest average category discount percentage; cost evaluation allocates 500 points with the highest average discount receiving full score and remaining proposals receiving proportional points. Volume discounts are optional and not evaluated but become binding if submitted. Technical evaluation (500 points per category) assesses Organization, Staffing, and Experience (200 points), Scope of Work (100 points), Warranty, Customer Service & Technology (100 points), and Cooperative Contracting Ability (100 points), with proposals achieving fewer than 300 normalized technical points rejected. Contractors must maintain toll-free ordering with maximum three-minute wait times, accept orders via email and Internet, deliver Category 2 equipment within 45 days and all other items within 7 days, maintain a minimum 95 percent order fill rate, offer emergency and same-day delivery options, accept VISA and MasterCard, provide quarterly price lists and 24-hour recall notification, and maintain commercial general liability insurance of at least $1 million per occurrence and $2 million general aggregate.
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Text version
Cost Proposal Instructions
| RFP 1433 - Medical Supplies & Equipment |
| Attachment I - Cost Proposal Categories 1 & 2 |
| INSTRUCTIONS |
| Submission |
| This completed Cost Proposal must be submitted in Microsoft Excel format through IPRO Powered by Luma, following the file naming convention: "Form B - Insert Bidder Name." Offeror's must not alter the format of, or any parts contained in, this document. Altering the format may result in a finding that your Cost Proposal is non-responsive. When submitting through IPRO, enter "$0.01" as a placeholder cost in the system; actual pricing must be provided in this form. |
| Fully Burdened Costs |
| Offeror’s Cost Proposal must be inclusive of all fees and charges, including but not limited to fees or charges for, credit card payments, and personnel. All costs proposed by Offeror must also be inclusive of the NASPO ValuePoint administrative fee. Proposed costs incorporated into a Master Agreement resulting from this RFP represent not-to-exceed pricing and minimum discounts, where applicable. All unit prices must include all costs associated with meeting the specifications outlined in Exhibit 2 - General Requirements and Exhibit 3 - Specifications, and FOB Destination freight prepaid and allowed, as specified. |
| Cost Proposal Entry Instructions |
| Offerors are not required to submit Cost Proposals for both categories. For each category for which a Cost Proposal is submitted, the Offeror must offer a discount for every subcategory listed in Table 2. Failure to offer a discount for every subcategory within a proposed category may result in the Offeror being deemed non-responsive. The Offeror must complete Table 1 for the category(s) they are submitting a Cost Proposal for. The Offeror's Catalog Number/SKU must correspond with the identifier/SKU listed in the Offeror's full-line catalog/price sheet. If the Offeror does not supply a particular line item that is listed in this table, the required fields must be left as is (do not enter N/A, 0, or any other text or number). Offeror is wholly responsible for ensuring figures and calculations submitted in Offeror’s completed Cost Proposal are accurate, even if formulas have been provided by the Lead State as a courtesy. |
| Volume Discounts |
| Submission of Volume Discounts is optional for this RFP. Offerors are not required to provide Volume Discounts for either category. Submitted discounts will not be evaluated as part of the Cost Proposal. However, if an Offeror elects to submit Volume Discounts, those discounts will be incorporated into the final Contract and will become binding and enforceable. |
| Evaluation and Award |
| For both Categories, Table 1 item-level pricing will be used to assess price reasonableness and validate the discount structures proposed. Table 1 will not be part of the overall cost evaluation. The Cost Proposal award will be made to the responsive and responsible Offeror with the highest average category discount percentage on Table 2 for both Category 1 – Supplies and Category 2 – Equipment. |
| Offeror Company Name: |
| Company Address: |
| Offeror Contact Name: |
| Contact Phone Number: |
| Contact Email: |
Category 1 - Supplies
| RFP2026#### |
| Attachment I - Category 1 Supplies & Consumables Cost Exhibit & Market Basket Discounts |
| Table 1 - Supplies and Consumables (not for evaluation purposes) | |||||||||
| No. | Item | Offeror's Catalog Number/SKU | Manufacturer's Part Number | Offeror's Package UOM | Offeror's Package MSRP/List Price | Discount % Off MSRP/List Price | Final Contract Price | Notes | Owned/In-House Brand? Y/N |
| Example | Glove Liners | 1234ABCD | ABCD1234 | EA/BOX/CASE | $ 30.00 | 10% | $ 27.00 | Gloves are packaged by size | Y |
| 1 | Adhesive Dressings | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 2 | Adhesive Tapes | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 3 | Allergy Tests | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 4 | Antibiotic Ointment | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 5 | Antiseptic Products | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 6 | Arm Slings | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 7 | Back Supports | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 8 | Bandages | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 9 | Bedpans | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 11 | Biohazard Bags | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 12 | Blood Collection Kit (Tubes, Tube-Holders, and Needles) | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 13 | Blood Pressure Cuffs | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 14 | Body Wash Soap | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 15 | Briefs | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 16 | Cadaver Bags | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 17 | Catheters | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 18 | Cotton and/or Rayon Surgical Applicators - Dry | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 19 | Cotton and/or Rayon Surgical Applicators with Germicide | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 20 | Decontamination Wipes | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 21 | Defibrillator Pads | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 22 | Diapers | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 23 | Drug Test and Screening Kits | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 24 | Ear Probe Tips | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 25 | Ear Protection | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 26 | Ear Specula | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 27 | ECG Electrodes | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 28 | ECG Gel | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 29 | ECG Leads | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 30 | ECG recording paper | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 49 | Ensure Supplement | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 31 | Exam Table Paper | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 32 | Finger Cots | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 33 | Formula/Solutions/Supplements | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 34 | Gloves - Latex LG | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 35 | Gloves - Liners LG | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 36 | Gloves - Neoprene LG | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 37 | Gloves - Rubber LG | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 38 | Glucose Test Strips | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 39 | Hematology Reagents | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 40 | Hospital Wear, Professional | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 41 | Hydrogen Peroxide | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 42 | Ice Bags | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 43 | Identification Bands | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 44 | Intubation Kits | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 45 | Irrigation Solutions | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 46 | Irrigation Tray | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 47 | Isopropyl Alcohol Bottles | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 48 | Isopropyl Alcohol Prep Pads | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 50 | Laboratory Clothing | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 51 | Lancets | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 52 | Medical Tape | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 53 | N95, N99, N100, P95, P99, P100, R95, R100 Respirators | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 54 | Nasal Cannulas | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 55 | Nasal Speculums | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 56 | Neck Braces | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 57 | Needles - Spinal Type | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 58 | Needles -Amniocentesis Type | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 59 | Operating/Exam Caps | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 60 | Operating/Exam Eye Protection | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 61 | Operating/Exam Face Shield | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 62 | Operating/Exam Gowns | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 63 | Operating/Exam Masks | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 64 | Paramedic Life Support Kits | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 10 | Pediatric Supplement | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 65 | Pillow Cases | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 66 | Plaster of Paris | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 67 | Privacy Screens/Curtains | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 68 | Scalpels | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 69 | Scissors - Paramedic | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 70 | Scrubs | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 71 | Sharps Disposable Containers | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 72 | Sheets | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 73 | Shoe Covers | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 74 | Sickness Bags | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 75 | Skin Staplers | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 76 | Soap - Antibacterial Benzethonium | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 77 | Spill Kits | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 78 | Splints | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 79 | Staple and Suture Removal Kits | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 80 | Sterile Gauze Pads - Dry | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 81 | Sterile Gauze Pads - Impregnated for Topical Applications | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 82 | Surgical Caps | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 83 | Surgical Drapes | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 84 | Surgical Gauze | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 85 | Sutures | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 86 | Suturing Needles | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 87 | Syringes - Hypodermic | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 88 | Syringes - Irrigation | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 89 | Thermometer Sheath Dispenser | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 90 | Thermometer Sheaths | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 91 | Thermometers | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 92 | Tongue Depressors | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 93 | Torso Supports | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 94 | Tourniquets | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 95 | Tracheal Tubes | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 96 | Trauma Kits | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 97 | Urinalysis Strips | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 98 | Urine Cups | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 99 | Waste Containers | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| 100 | Wound Clips (non-auto suturing instruments) | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter Package Type | Enter List Price | Enter Discount | Enter Y or N | ||
| Total Average % | |||||||||
| Table 2: Evaluation Plan - Category Discounts | |||||||||
| No. | Category | Discount Percentage | |||||||
| Example | Diagnostic | 20% | |||||||
| 1 | Apparel | 0% | |||||||
| 2 | Diagnostic | 0% | |||||||
| 3 | Feeding Supplies | 0% | |||||||
| 4 | Gloves | 0% | |||||||
| 5 | Incontinence | 0% | |||||||
| 6 | IV & Infusion | 0% | |||||||
| 7 | Needles & Syringes | 0% | |||||||
| 8 | Nutritional Supplements | 0% | |||||||
| 9 | Obstetrics & Gynecology | 0% | |||||||
| 10 | Orthopedic, Therapy & Support Products | 0% | |||||||
| 11 | Ostomy & Urology | 0% | |||||||
| 12 | Respiratory | 0% | |||||||
| 13 | Surgical Instruments | 0% | |||||||
| 14 | Wound Care | 0% | |||||||
| Total Average % | 0% | ||||||||
| Table 3 - OPTIONAL: Annual Volume Bonus Rebates | |||||||||
| No. | Annual $ Volume Range | Annual Rebate % | |||||||
| Example | $100,001 - $200,000 | 5% | |||||||
| 1 | 0% | ||||||||
| 2 | 0% | ||||||||
| 3 | 0% | ||||||||
| 4 | 0% | ||||||||
| 5 | 0% |
Category 2 - Equipment Attachment I - Category 2 Medical Equipment Cost Exhibit & Market Basket Discounts
| Table 1 - Medical Equipment (not for evaluation purposes) | ||||||||
| No. | Item | Offeror's Catalog Number/SKU | Manufacturer's Part Number | Offeror's Package MSRP/List Price | Discount % Off MSRP/List Price | Final Contract Price | Notes | Owned/In-House Brand? Y/N |
| Example | Exam Table | 1234 | ABCD | $ 1,500.00 | 5% | $ 1,425.00 | Exam Tables Have Multiple Height and Length Options | Y |
| 1 | Respiratory Protection Equipment And Parts (Including Cpap Equipment And Parts) | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 2 | Resuscitators And Parts (Including Portable Rescue Units) | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 3 | Recovery And Treatment Room Furniture: Reclining Chairs, Etc. | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 4 | Cardiovascular Instrumentation: Defibrillators, Heart Pumps, Monitoring Equipment, Etc. | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 5 | Operating And Examination Room Furniture | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 6 | Analyzer Equipment, Medical (Not Otherwise Classified) | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 7 | Carts: Dressing, Laboratory, Medication, Patient Tray, Resuscitation And Utility | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 8 | Cardiac Pacemakers, Heart Valves, Stints, Etc. | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 9 | Medical Examination Equipment And Supplies (Not Otherwise Classified) | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 10 | Wheelchairs (Including Mobile Treatment Chairs) | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 11 | Blood Pressure And Blood Flow Detection Equipment: Dopplers, Sphygmomanometers, Stethoscopes, Etc. | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 12 | Clinical Forensic And Postmortem Equipment And Supplies (Not Otherwise Classified) | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 13 | Furniture, Health Care (Custom Made) | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 14 | Monitoring Systems, All Types (Hospital And Patient) | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 15 | Ambulance Cots And Stretchers (Incl. Shifting Boards) | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 16 | Beds And Mattresses, Hospital Specialized: Air Beds, Intensive Care, Orthopedic, Waterbeds, Etc. | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 17 | Height Measurement Devices | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 18 | Restraint And Protection Items: Crib Nets, Foam Helmets, Jackets, Mittens, Wristlets, Etc. | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 19 | Vaporizers, Humidifiers, And Nebulizers (Including Room Size) | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| 20 | Tables, Examination, Including Parts and Accessories | Enter Catalog Number/SKU | Enter Mfg. Part Number | Enter List Price | Enter Discount | Enter Y or N | ||
| Total Average % |
| Table 2: Evaluation Plan - Volume Discounts | ||
| No. | Category | Discount Percentage |
| Example | Diagnostic | 20% |
| 1 | Ambulatory | 0% |
| 2 | Anesthesia Equipment | 0% |
| 3 | Appliances (Durable Goods) | 0% |
| 4 | Cardiology | 0% |
| 5 | Examination Equipment | 0% |
| 6 | Feeding Equipment | 0% |
| 7 | Indicators & Signage | 0% |
| 8 | IV & Infusion Equipment | 0% |
| 9 | Medical Imaging | 0% |
| 10 | Monitoring Equipment | 0% |
| 11 | Operating & Exam Room Furniture | 0% |
| 12 | Respiratory | 0% |
| 13 | Sterilization | 0% |
| 14 | Transfer Equipment | 0% |
| Total Average % | 0% | |
| Table 3 - OPTIONAL: Annual Volume Bonus Rebates | ||
| No. | Annual $ Volume Range | Annual Rebate % |
| Example | $100,001 - $200,000 | 5% |
| 1 | 0% | |
| 2 | 0% | |
| 3 | 0% | |
| 4 | 0% | |
| 5 | 0% |
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