BRQ 15BPCC25Q00000025 - UPDATED 09-15.pdf
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- Attached to
- BD Pyxis Automated Medication Dispensing Cabinet's Federal contract opportunity
- Solicitation number
- 15BPCC25Q00000025
- Issued by
- Department of Justice Bureau of Prisons
About this file
This document is a Solicitation/Contract/Order for Commercial Products and Commercial Services issued by the Department of Justice Bureau of Prisons for BD Pyxis Automated Medication Dispensing Cabinets. The solicitation (No. 15BPCC25Q00000025) is a 100% small business set-aside with a North American Industry Classification Standard (NAICS) code of 339112 and a size standard of 1,000 employees. The contract will cover leasing, maintenance, support, and licensing of various Pyxis medical equipment and systems across 121 Bureau facilities, with approximately 1,600 BD Pyxis branded products currently in use.
The solicitation includes a base year from October 1, 2025 to September 30, 2026, with four additional option years extending through September 30, 2030. The contract covers multiple product lines including MedStation, CIISafe, Pyxis Anesthesia System, refrigerator locks, facility licenses, reporting tool licenses, and monthly support services. Estimated quantities vary by product, with some items having 160 units and others having 412 units. The contract will be awarded by Christine Lindon, and offers are due by September 17, 2025 at 12:00 ET. Offerors are required to complete blocks 12, 17, 23, 24, and 30 of the solicitation document.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| BRQ 15BPCC25Q00000025 - UPDATED 09-16.pdf | ||
| BRAND NAME JUSTIFICATION - PYXIS - REDACTED.pdf | ||
| BRQ 15BPCC25Q00000025.pdf | ||
| SELF ATTESTATION FORM (SOFTWARE).pdf | ||
| NOTICE TO PROSPECTIVE OFFERORS.docx | DOCX document | |
| SOW-AMDC-AUGUST 2025.docx | DOCX document |
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Text version
15BPCC25Q00000025 Page 1 of 104
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES
NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24 AND 30.
1. REQUISITION NUMBER
15B70025PR001039
PAGE 1 OF
5. SOLICITATION NUMBER
15BPCC25Q00000025
2. CONTRACT NUMBER 3. AWARD/EFFECTIVE
DATE
4. ORDER NUMBER 6. SOLICITATION ISSUE
DATE
09/12/2025
7. FOR SOLICITATION
INFORMATION CALL:
a. NAME b. TELEPHONE NUMBER (No collect calls) 8. OFFER DUE DATE / LOCAL
TIME
09/17/2025 12:00 ET
CODE 15BPCC
Federal Bureau of Prisons
Privatized Corrections Contracting
320 First Street NW
Suite 524
Washington, DC 20534
9. ISSUED BY UNRESTRICTED OR X SET ASIDE:100.00 % FOR
SMALL BUSINESS
HUBZONE SMALL
BUSINESS
X SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
(SDVOSB)
WOMEN-OWNED SMALL
BUSINESS (WOSB)
ECONOMICALLY DISADVANTAGED
WOMEN-OWNED SMALL BUSINESS
(EDWOSB)
8(A)
NORTH AMERICAN
INDUSTRY CLASSIFICATION
STANDARD (NAICS):
339112
SIZE STANDARD:
1000 Employees
10. THE ACQUISITION IS
SEE SCHEDULE
11. DELIVERY FOR FREE ON BOARD
(FOB) DESTINATION UNLESS
BLOCK IS MARKED
NET 30
12. DISCOUNT TERMS
13a. THIS CONTRACT IS A
RATED ORDER UNDER THE
DEFENSE PRIORITIES AND
ALLOCATIONS SYSTEM -
DPAS (15 CFR 700)
13b. RATING
X REQUEST
FOR QUOTE
(RFQ)
INVITATION
FOR BID
(IFB)
REQUEST
FOR
PROPOSAL
(RFP)
14. METHOD OF SOLICITATION
CODE15. DELIVER TO CODE 15BPCC16. ADMINISTERED BY
Federal Bureau of Prisons Privatized Corrections Contracting 320 First Street NW Suite 524 Washington, DC 20534
FACILITY
CODE
CODE
TELEPHONE NUMBER
17a. CONTRACTOR/
OFFEROR
15B700CODE18a. PAYMENT WILL BE MADE BY
Federal Bureau of Prisons Central Office Business Office 320 First Street NW Suite 5006 Washington, DC 20534
Please ensure invoice ref the full contract/ order number bop-adm-co-businessoffice-s@bop.gov;
bop-ipp-pmo@bop.gov
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN
OFFER SEE ADDENDUM
18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK
BELOW IS CHECKED
19.
ITEM NUMBER
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
AMOUNT
-Pyxis Automated Dispensing Cabinets, Maintenance and Support, and License.
-The quantities listed herein are estimated and may be adjusted as needs change.
Firm Fixed Price
See Continuation Sheet(s) (Use Reverse and/or Attach Additional Sheets as Necessary)
25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Government Use Only)
X 27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3
AND 52.212-5 ARE ATTACHED. ADDENDA
X ARE ARE NOT ATTACHED
27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN 1 COPIES TO
ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS SET FORTH
OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE
TERMS AND CONDITIONS SPECIFIED.
29. AWARD OF CONTRACT: REFERENCE _____________________________
OFFER DATED _________________ . YOUR OFFER ON SOLICITATION (BLOCK
5) INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE SET FORTH
HEREIN, IS ACCEPTED AS TO ITEMS:
30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)
30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED 31b. NAME OF THE CONTRACTING OFFICER (Type or print)
Christine Lindon
31c. DATE SIGNED
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
STANDARD FORM 1449 (REV. 11/2021)
Prescribed by GSA - FAR (48 CFR) 53.212
15BPCC25Q00000025 Page 2 of 104
19.
ITEM NUMBER
20.
SCHEDULE OF SUPPLIES/SERVICES
21.
QUANTITY
22.
UNIT
23.
UNIT PRICE
24.
AMOUNT
32a. QUANTITY IN COLUMN 21 HAS BEEN
RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: _________________________________
32b. SIGNATURE OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f. TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT
REPRESENTATIVE
32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE
PARTIAL FINAL
33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED
CORRECT FOR
COMPLETE PARTIAL FINAL
36. PAYMENT 37. CHECK NUMBER
38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY
41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42a. RECEIVED BY (Print)
41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE
42b. RECEIVED AT (Location)
42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS
STANDARD FORM 1449 (REV. 11/2021) BACK
15BPCC25Q00000025 Page 3 of 104
Table of Contents
Section Description Page Number
Solicitation/Contract Form 1 Commodity or Services Schedule 2 Contract Clauses
2852.212-4 Contract Terms and Conditions, Commercial Items (FAR Deviation) (NOV 2020) 52.204-13 System for Award Management Maintenance (Oct 2018) 52.204-18 Commercial and Government Entity Code Maintenance (Aug 2020) 52.204-19 Incorporation by Reference of Representations and Certifications (Dec 2014) 52.204-21 Basic Safeguarding of Covered Contractor Information Systems (Nov 2021) 52.212-4 Contract Terms and Conditions-Commercial Products and Commercial Services (Nov 2023) 52.216-21 Requirements (Oct 1995) 52.232-18 Availability of Funds (Apr 1984) 52.232-39 Unenforceability of Unauthorized Obligations (Jun 2013) 52.233-1 Disputes (May 2014) 52.242-13 Bankruptcy (July 1995)
508 COMPLIANCE WITH SECTION 508 OF THE REHABILITATION ACT OF 1973, 1998
AMENDMENTS
BOP 2852.242-71 EVALUATION OF CONTRACTOR PERFORMANCE UTILIZING CPARS
(APR 2011)
52.216-18 Ordering (Aug 2020) 52.216-19 Order Limitations (Oct 1995) 52.217-8 Option to Extend Services (Nov 1999) 52.217-9 Option to Extend the Term of the Contract (Mar 2000) 52.252-6 Authorized Deviations in Clauses (Nov 2020) 2852.201-70 Contracting Officer's Representative (COR) (NOV 2020) DOJ-01 Whistleblower Information Distribution (Oct 2021) DOJ-02 Contractor Privacy Requirements (JAN 2022) DOJ-03 Personnel Security Requirements For Contractor Employees (Nov 2021) DOJ-05 Security of Department Information and Systems (OCT 2023) DOJ-07 Prohibition On Access By Non-U.S. Citizens To DOJ IT Systems (MAR 2002) DOJ-08 Continuing Contract Performance During a Pandemic Influenza or other National Emergency (OCT 2007) 52.212-5 (DEV) Contract Terms and Conditions Required To Implement Statutes or Executive Orders-Commercial Products and Commercial Services (Jan 2025) (DEVIATION FEB 2025)
1.0 Unilateral Modification for Funds Management
3 List of Attachments 4 Solicitation Provisions
52.204-7 System for Award Management (Nov 2024) 52.204-16 Commercial and Government Entity Code Reporting (Aug 2020) 52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Nov 2021) 52.212-1 Instructions to Offerors-Commercial Products and Commercial Services (Sep 2023) 52.233-2 Service of Protest (Sept 2006) 52.209-7 Information Regarding Responsibility Matters (Oct 2018) 52.216-1 Type of Contract (Apr 1984) 52.252-5 Authorized Deviations in Provisions (Nov 2020)
1.0 System Updates
52.212-3 (DEV) Offeror Representations and Certifications-Commercial Products and Commercial Services (May 2024) (DEVIATION FEB 2025)
15BPCC25Q00000025 Page 4 of 104
Section 1 - Commodity or Services Schedule
SCHEDULE OF SUPPLIES/SERVICES
CONTINUATION SHEET
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0001 MEDSTATION, ES, MAIN, 2DR
Part #323 Leased Estimated Units = 160 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
1,920 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0002 MEDSTATION, ES, MAIN, 6DR
Part #323 Leased Estimated Units = 412 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
4,944 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0003 MEDSTATION, ES, AUX, 7-DRAWER
Part #324 Leased Estimated Units = 150 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
1,800 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0004 CIISAFE, V9.X, SGL IM, BIO, SLD DOORS, Narcotic Safe Part #111-221 Leased Estimated Units = 3 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
36 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0005 CIISAFE, V9.X, DBL IM, BIO, SLD DOORS Narcotic Safe Part #111-215 Leased Estimated Units = 2 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
24 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0006 CIISAFE, SGL AUX, SOLID DOORS
Part #111-217 Leased
24 MO $________ $_________________
15BPCC25Q00000025 Page 5 of 104
Estimated Units = 2 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0007 CIISAFE, TALL DBL AUX, SOLID DOORS
Part #111-160-201 Leased Estimated Units = 3 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
36 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0008 PYXIS ANESTHESIA SYSTEM ES
Part #327 Leased Estimated Units = 3 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
36 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0009 MEDSTATION, ES, AUX, TOWER, SC
Part #343 Leased Estimated Units = 174 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
2,088 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0010 ADC 1/2 HEIGHT AUX, TOWER
Part #156-033-01 Leased Estimated Units = 4 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
48 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0011 Remote Refrigerator Lock for ADC Part #345 Leased Estimated Units = 258 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
3,096 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0012 Facility License - Connect Local Site to Enterprise Server Part #134314-01 Estimated Units = 96 Base Year
PSC: 7A21
1,152 MO $________ $_________________
15BPCC25Q00000025 Page 6 of 104
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0013 Reporting Tool License Part #134908-01 Estimated Units = 101 Base Year
PSC: 7A21
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
1,212 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0014 Formulary/Active Directory for each site 1-10 mains Part #134782-01 Leased Estimated Units = 88 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
1,056 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0015 MEDSTATION, ES, AUX, TOWER, DC
Part #343 Leased Estimated Units = 5 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
60 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0016 Medical Label Module for Medstation Part #136276-02 Leased Estimated Units = 0 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0017 Formulary/Active Directory for each site 11-20 mains Part #134804-01 Leased Estimated Units = 4 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
48 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0018 Formulary/Active Directory for each site 21-40 mains Part #134805-01 Leased Estimated Units = 1 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
12 MO $________ $_________________
15BPCC25Q00000025 Page 7 of 104
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0019 Formulary/Active Directory for each site 41-60 mains Part #134806-01 Leased Estimated Units = 1 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
12 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0020 Formulary/Active Directory for each site 61+ mains Part #134807-01 Leased Estimated Units = 0 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0021 ES Infrastructure Part #1115-00 Leased Estimated Units = 2 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
24 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0022 CCE Enterprise SW Site License Part #134556-01 Estimated Units = 1 Base Year
PSC: 7A21
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
12 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0023 ES Single Integrated Main Part #352 Leased Estimated Units = 0 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0024 CCE Site (Covered under the Enterprise) Part #135343-01 Estimated Units = 0 Base Year
PSC: 7A21
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
0 MO $________ $_________________
15BPCC25Q00000025 Page 8 of 104
0025 INTF, MED, STD New Patient Prof Part #129812-01 Leased Estimated Units = 0 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0026 INTF, MED, TD New, Usage Part #129773-01 Estimated Units = 0 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0027 INTF, MED, STD New, ADT Leased Part #129776-01 Estimated Units = 0 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0028 Hosted Data Services OPT IN Part #136607-01 Estimated Units = 0 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0029 Coordination Engine ENTERPRISE TEST CORE SW LI Leased Part #133915-01 Estimated Units = 0 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0030 ASSY 1U RACK DIM V1.01.1 HERE
Leased Part #128803-01 Estimated Units = 0 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0031 PYXIS ES REF 13CF, RHG-15 STD BINS
Leased Part #137549-01 Estimated Units = 68
816 MO $________ $_________________
15BPCC25Q00000025 Page 9 of 104
Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0032 PYXISES REF 5CF, RHG-12 STD BINS, CASTER
Leased Part #: 137728-01 Estimated units = 62 Base Year
PSC: 6515
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
744 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0033 Monthly Support Part #323-2-SUPP Estimated units = 160 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
1,920 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0034 Monthly Support Part #323-6-SUPP Estimated units = 412 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
4,944 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0035 Monthly Support Part #324-SUPP Estimated units = 150 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
1,800 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0036 Monthly Support Part #111-221-SUPP Estimated units = 3 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
36 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0037 Monthly Support Part #111-215-SUPP Estimated units = 2 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
15BPCC25Q00000025 Page 10 of 104
0038 Monthly Support Part #111-217-SUPP Estimated units = 2 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
24 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0039 Monthly Support Part #111-160-201-SUPP Estimated units = 3 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
36 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0040 Monthly Support Part #327-SUPP Estimated units = 3 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
36 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0041 Monthly Support Part #343-SC-SUPP Estimated units = 174 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
2,088 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0042 Monthly Support Part #156-033-01-SUPP Estimated units = 4 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
48 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0043 Monthly Support Part #345-SUPP Estimated units = 258 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
3,096 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0044 Monthly Support Part #134314-01-SUPP Estimated units = 96
15BPCC25Q00000025 Page 11 of 104
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0045 Monthly Support Part #134908-01-SUPP Estimated units = 101 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
1,212 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0046 Monthly Support Part #134782-01-SUPP Estimated units = 88 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
1,056 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0047 Monthly Support Part #343-DC-SUPP Estimated units = 5 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
60 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0048 Monthly Support Part #136276-02-SUPP Estimated units = 0 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0049 Monthly Support Part #134804-01-SUPP Estimated units = 4 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
48 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0050 Monthly Support Part #134805-01-SUPP Estimated units = 1 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
15BPCC25Q00000025 Page 12 of 104
0051 Monthly Support Part #134806-01-SUPP Estimated units = 1 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
12 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0052 Monthly Support Part #134807-01-SUPP Estimated units = 0 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0053 Monthly Support Part #1115-00-SUPP Estimated units = 2 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
24 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0054 Monthly Support Part #134556-01-SUPP Estimated units = 1 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
12 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0055 Monthly Support Part #352-SUPP Estimated units = 0 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0056 Monthly Support Part #135343-01-SUPP Estimated units = 0 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0057 Monthly Support Part #129812-01-SUPP Estimated units = 0 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
15BPCC25Q00000025 Page 13 of 104
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0058 Monthly Support Part #129773-01-SUPP Estimated units = 0 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0059 Monthly Support Part #129776-01-SUPP Estimated units = 0 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0060 Monthly Support Part #136607-01-SUPP Estimated units = 0 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0061 Monthly Support Part #133915-01-SUPP estimated units = 0 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0062 Monthly Support Part #128803-01-SUPP Estimated units = 0 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0063 Monthly Support Part #137549-01-SUPP Estimated units = 68 Base Year
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
816 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0064 Monthly Support Part #137728-01-SUPP-MCN Estimated units = 62
744 MO $________ $_________________
15BPCC25Q00000025 Page 14 of 104
PSC: DA01
Line Period of Performance: 10/01/2025 - 09/30/2026
Base Period
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0065 MEDSTATION, ES, MAIN, 2DR
Part #323 Leased Estimated Units = 160 Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
1,920 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0066 MEDSTATION, ES, MAIN, 6DR
Part #323 Leased Estimated Units = 412 Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
4,944 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0067 MEDSTATION, ES, AUX, 7-DRAWER
Part #324 Leased Estimated Units = 150 Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
1,800 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0068 CIISAFE, V9.X, SGL IM, BIO, SLD DOORS, Narcotic Safe Part #111-221 Leased Estimated Units = 3 Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
36 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0069 CIISAFE, V9.X, DBL IM, BIO, SLD DOORS Narcotic Safe Part #111-215 Leased Estimated Units = 2 Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
24 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0070 CIISAFE, SGL AUX, SOLID DOORS
Part #111-217 Leased Estimated Units = 2 Option Year 1
PSC: 6515
15BPCC25Q00000025 Page 15 of 104
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0071 CIISAFE, TALL DBL AUX, SOLID DOORS
Part #111-160-201 Leased Estimated Units = 3 Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
36 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0072 PYXIS ANESTHESIA SYSTEM ES
Part #327 Leased Estimated Units = 3 Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
36 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0073 MEDSTATION, ES, AUX, TOWER, SC
Part #343 Leased Estimated Units = 174 Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
2,088 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0074 ADC 1/2 HEIGHT AUX, TOWER
Part #156-033-01 Leased Estimated Units = 4 Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
48 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0075 Remote Refrigerator Lock for ADC Part #345 Leased Estimated Units = 258 Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
3,096 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0076 Facility License - Connect Local Site to Enterprise Server Part #134314-01 Estimated Units = 96 Option Year 1
PSC: 7A21
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
15BPCC25Q00000025 Page 16 of 104
0077 Reporting Tool License Part #134908-01 Estimated Units = 101 Option Year 1
PSC: 7A21
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
1,212 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0078 Formulary/Active Directory for each site 1-10 mains Part #134782-01 Leased Estimated Units = 88 Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
1,056 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0079 MEDSTATION, ES, AUX, TOWER, DC
Part #343 Leased Estimated Units = 5 Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
60 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0080 Medical Label Module for Medstation Part #136276-02 Leased Estimated Units = 0
Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0081 Formulary/Active Directory for each site 11-20 mains Part #134804-01 Leased Estimated Units = 4 Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
48 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0082 Formulary/Active Directory for each site 21-40 mains Part #134805-01 Leased Estimated Units = 1 Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
15BPCC25Q00000025 Page 17 of 104
0083 Formulary/Active Directory for each site 41-60 mains Part #134806-01 Leased Estimated Units = 1 Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
12 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0084 Formulary/Active Directory for each site 61+ mains Part #134807-01 Leased Estimated Units = 0 Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0085 ES Infrastructure Part #1115-00 Leased Estimated Units = 2 Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
24 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0086 CCE Enterprise SW Site License Part #134556-01 Estimated Units = 1 Option Year 1
PSC: 7A21
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
12 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0087 ES Single Integrated Main Part #352 Leased Estimated Units = 0 Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0088 CCE Site (Covered under the Enterprise) Part #135343-01 Estimated Units = 0 Option Year 1
PSC: 7A21
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0089 INTF, MED, STD New Patient Prof Part #129812-01 Leased Estimated Units = 0
15BPCC25Q00000025 Page 18 of 104
Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0090 INTF, MED, TD New, Usage Part #129773-01 Estimated Units = 0 Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0091 INTF, MED, STD New, ADT Leased Part #129776-01 Estimated Units = 0 Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0092 Hosted Data Services OPT IN Part #136607-01 Estimated Units = 0 Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0093 Coordination Engine ENTERPRISE TEST CORE SW LI Leased Part #133915-01 Estimated Units = 0 Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0094 ASSY 1U RACK DIM V1.01.1 HERE
Leased Part #128803-01 Estimated Units = 0 Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0095 PYXIS ES REF 13CF, RHG-15 STD BINS
Leased Part #137549-01 Estimated Units = 68 Option Year 1
PSC: 6515
15BPCC25Q00000025 Page 19 of 104
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0096 PYXISES REF 5CF, RHG-12 STD BINS, CASTER
Leased Part #: 137728-01 Estimated units = 62 Option Year 1
PSC: 6515
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
744 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0097 Monthly Support Part #323-2-SUPP Estimated units = 160 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
1,920 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0098 Monthly Support Part #323-6-SUPP Estimated units = 412 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
4,944 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0099 Monthly Support Part #324-SUPP Estimated units = 150 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
1,800 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0100 Monthly Support Part #111-221-SUPP Estimated units = 3 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
36 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0101 Monthly Support Part #111-215-SUPP Estimated units = 2 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
24 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0102 Monthly Support Part #111-217-SUPP
15BPCC25Q00000025 Page 20 of 104
Estimated units = 2 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0103 Monthly Support Part #111-160-201-SUPP Estimated units = 3 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
36 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0104 Monthly Support Part #327-SUPP Estimated units = 3 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
36 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0105 Monthly Support Part #343-SC-SUPP Estimated units = 174 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
2,088 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0106 Monthly Support Part #156-033-01-SUPP Estimated units = 4 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
48 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0107 Monthly Support Part #345-SUPP Estimated units = 258 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
3,096 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0108 Monthly Support Part #134314-01-SUPP Estimated units = 96 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
15BPCC25Q00000025 Page 21 of 104
0109 Monthly Support Part #134908-01-SUPP Estimated units = 101 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
1,212 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0110 Monthly Support Part #134782-01-SUPP Estimated units = 88 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
1,056 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0111 Monthly Support Part #343-DC-SUPP Estimated units = 5 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
60 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0112 Monthly Support Part #136276-02-SUPP Estimated units = 0 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0113 Monthly Support Part #134804-01-SUPP Estimated units = 4 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
48 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0114 Monthly Support Part #134805-01-SUPP Estimated units = 1 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
12 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0115 Monthly Support Part #134806-01-SUPP Estimated units = 1 Option Year 1
15BPCC25Q00000025 Page 22 of 104
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0116 Monthly Support Part #134807-01-SUPP Estimated units = 0 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0117 Monthly Support Part #1115-00-SUPP Estimated units = 2 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
24 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0118 Monthly Support Part #134556-01-SUPP Estimated units = 1 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
12 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0119 Monthly Support Part #352-SUPP Estimated units = 0 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0120 Monthly Support Part #135343-01-SUPP Estimated units = 0 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0121 Monthly Support Part #129812-01-SUPP Estimated units = 0 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
15BPCC25Q00000025 Page 23 of 104
0122 Monthly Support Part #129773-01-SUPP Estimated units = 0 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0123 Monthly Support Part #129776-01-SUPP Estimated units = 0 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0124 Monthly Support Part #136607-01-SUPP Estimated units = 0 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0125 Monthly Support Part #133915-01-SUPP estimated units = 0 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0126 Monthly Support Part #128803-01-SUPP Estimated units = 0 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0127 Monthly Support Part #137549-01-SUPP Estimated units = 68 Option Year 1
PSC: DA01
Line Period of Performance: 10/01/2026 - 09/30/2027
Unexercised Option 1
816 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0128 Monthly Support Part #137728-01-SUPP-MCN Estimated units = 62 Option Year 1
PSC: DA01
15BPCC25Q00000025 Page 24 of 104
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0129 MEDSTATION, ES, MAIN, 2DR
Part #323 Leased Estimated Units = 160 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
1,920 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0130 MEDSTATION, ES, MAIN, 6DR
Part #323 Leased Estimated Units = 412 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
4,944 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0131 MEDSTATION, ES, AUX, 7-DRAWER
Part #324 Leased Estimated Units = 150 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
1,800 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0132 CIISAFE, V9.X, SGL IM, BIO, SLD DOORS, Narcotic Safe Part #111-221 Leased Estimated Units = 3 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
36 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0133 CIISAFE, V9.X, DBL IM, BIO, SLD DOORS Narcotic Safe Part #111-215 Leased Estimated Units = 2 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
24 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0134 CIISAFE, SGL AUX, SOLID DOORS; Part #111-217 Leased Estimated Units = 2 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
15BPCC25Q00000025 Page 25 of 104
0135 CIISAFE, TALL DBL AUX, SOLID DOORS
Part #111-160-201 Leased Estimated Units = 3 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
36 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0136 PYXIS ANESTHESIA SYSTEM ES
Part #327 Leased Estimated Units = 3 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
36 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0137 MEDSTATION, ES, AUX, TOWER, SC
Part #343 Leased Estimated Units = 174 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
2,088 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0138 ADC 1/2 HEIGHT AUX, TOWER
Part #156-033-01 Leased Estimated Units = 4 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
48 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0139 Remote Refrigerator Lock for ADC Part #345 Leased Estimated Units = 258 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
3,096 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0140 Facility License - Connect Local Site to Enterprise Server Part #134314-01 Estimated Units = 96 Option Year 2
PSC: 7A21
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
15BPCC25Q00000025 Page 26 of 104
0141 Reporting Tool License Part #134908-01 Estimated Units = 101 Option Year 2
PSC: 7A21
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
1,212 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0142 Formulary/Active Directory for each site 1-10 mains Part #134782-01 Leased Estimated Units = 88 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
1,056 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0143 MEDSTATION, ES, AUX, TOWER, DC
Part #343 Leased Estimated Units = 5 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
60 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0144 Medical Label Module for Medstation Part #136276-02 Leased Estimated Units = 0 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0145 Formulary/Active Directory for each site 11-20 mains Part #134804-01 Leased Estimated Units = 4 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
48 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0146 Formulary/Active Directory for each site 21-40 mains Part #134805-01 Leased Estimated Units = 1 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
12 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0147 Formulary/Active Directory for each site 41-60 mains Part #134806-01
15BPCC25Q00000025 Page 27 of 104
Estimated Units = 1 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0148 Formulary/Active Directory for each site 61+ mains Part #134807-01 Leased Estimated Units = 0 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0149 ES Infrastructure Part #1115-00 Leased Estimated Units = 2 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
24 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0150 CCE Enterprise SW Site License Part #134556-01 Estimated Units = 1 Option Year 2
PSC: 7A21
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
12 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0151 ES Single Integrated Main Part #352 Leased Estimated Units = 0 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0152 CCE Site (Covered under the Enterprise) Part #135343-01 Estimated Units = 0 Option Year 2
PSC: 7A21
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0153 INTF, MED, STD New Patient Prof Part #129812-01 Leased Estimated Units = 0 Option Year 2
15BPCC25Q00000025 Page 28 of 104
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0154 INTF, MED, TD New, Usage Part #129773-01 Estimated Units = 0 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0155 INTF, MED, STD New, ADT Leased Part #129776-01 Estimated Units = 0 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0156 Hosted Data Services OPT IN Part #136607-01 Estimated Units = 0 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0157 Coordination Engine ENTERPRISE TEST CORE SW LI Leased Part #133915-01 Estimated Units = 0 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0158 ASSY 1U RACK DIM V1.01.1 HERE
Leased Part #128803-01 Estimated Units = 0 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
0 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0159 PYXIS ES REF 13CF, RHG-15 STD BINS
Leased Part #137549-01 Estimated Units = 68 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
15BPCC25Q00000025 Page 29 of 104
0160 PYXISES REF 5CF, RHG-12 STD BINS, CASTER
Leased Part #: 137728-01 Estimated units = 62 Option Year 2
PSC: 6515
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
744 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0161 Monthly Support Part #323-2-SUPP Estimated units = 160 Option Year 2
PSC: DA01
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
1,920 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0162 Monthly Support Part #323-6-SUPP Estimated units = 412 Option Year 2
PSC: DA01
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
4,944 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0163 Monthly Support Part #324-SUPP Estimated units = 150 Option Year 2
PSC: DA01
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
1,800 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0164 Monthly Support Part #111-221-SUPP Estimated units = 3 Option Year 2
PSC: DA01
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
36 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0165 Monthly Support Part #111-215-SUPP Estimated units = 2 Option Year 2
PSC: DA01
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
24 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0166 Monthly Support Part #111-217-SUPP Estimated units = 2 Option Year 2
15BPCC25Q00000025 Page 30 of 104
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0167 Monthly Support Part #111-160-201-SUPP Estimated units = 3 Option Year 2
PSC: DA01
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
36 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0168 Monthly Support Part #327-SUPP Estimated units = 3 Option Year 2
PSC: DA01
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
36 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0169 Monthly Support Part #343-SC-SUPP Estimated units = 174 Option Year 2
PSC: DA01
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
2,088 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0170 Monthly Support Part #156-033-01-SUPP Estimated units = 4 Option Year 2
PSC: DA01
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
48 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0171 Monthly Support Part #345-SUPP Estimated units = 258 Option Year 2
PSC: DA01
Line Period of Performance: 10/01/2027 - 09/30/2028
Unexercised Option 2
3,096 MO $________ $_________________
ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT
0172 Monthly Support Part #134314-01-SUPP Estimated units = 96 Option Year 2
PSC: DA01
Line Period of Performance:…
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