2.2.1 Attachment 2 - DME IDIQ - Pricing and CLIN Sheet - Final.xlsx

XLSX spreadsheet 114 KB Posted Jul 14, 2022

Attached to: FEMA Durable Medical Equipment (DME) Federal contract opportunity
Solicitation number: 70FB7022R00000010
Issued by: Federal Emergency Management Agency

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File	Type	Posted
2.2.1 DME IDIQ - Solicitation 70FB7022R00000010 - Amendment 4 Final 8-5-20022.pdf	PDF	Aug 5, 2022
DME 70FB7022R00000010 - Questions and Answers 8-5-2022 Update.xlsx	XLSX spreadsheet	Aug 5, 2022
2.2.1 DME IDIQ - Solicitation 70FB7022R00000010 - Amendment 3 Final 7-26-20022.pdf	PDF	Jul 26, 2022
2.2.1 DME IDIQ - Solicitation 70FB7022R00000010 - Amendment 2 Final 7-25-20022.pdf	PDF	Jul 25, 2022
2.2.1 DME IDIQ - Solicitation 70FB7022R00000010 - Final Amendment 01 7-21-20022.pdf	PDF	Jul 21, 2022
DME 70FB7022R00000010 - Questions and Answers 7-21-2022.xlsx	XLSX spreadsheet	Jul 21, 2022
2.2.1 Attachment 1 - SOW - DME IDIQ - Final.pdf	PDF	Jul 14, 2022
2.2.1 Attachment 3 - DME IDIQ - Past Performance Questionnaire.pdf	PDF	Jul 14, 2022
2.2.1 DME IDIQ - Solicitation 70FB7022R00000010 - Final.pdf	PDF	Jul 14, 2022

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Item Pricing Sheet Durable Medical Equipment Pricing Spreadsheet

Note: Durable Medical Equipment (DME) Items may be ordered "A La Carte" or as "Complete DME Kits." A "Complete DME Kit" includes items (DM-001 thru DM-047). Items (DM-048 thru DM-051) are only "A La Carte" items. All items, including those in a complete DME Kit, can be ordered "A La Carte" as well.

DME Item and Quantity List
Item ID#	Item	Description	Quantity (per kit)	Unit	Trailers	Unit Cost	Total Cost
DM-001	Bed Wedge for Bariatric Cot	24” x 24" x 12”	3	EA			$ - 0
DM-002	Westcot 700 Cot, Bariatric with Mattress (or equivalent)	600 lbs. Capacity	3	EA			$ - 0
DM-003	Westcot 400 Cot with Mattress (or equivalent)	with Half Rails	5	EA			$ - 0
DM-004	Bedside Commode	300 lbs. capacity	2	EA			$ - 0
DM-005	3 in 1 Commode for Over Toilet Use	300 lbs capacity	2	EA			$ - 0
DM-006	Independent Toilet Seat with Safety Bars	Contoured, w/Soft Foam Armrests; Height Adjustable Legs; Weight Capacity: 350 lbs. Adds 4" to Height.Width: 22 1/2"; Width between Arms: 19"; Depth: 15 1/4"; Height: Floor to seat 20”	2	EA			$ - 0
DM-007	Egg Crate Padding	32"W x 72"L, 1-2" density foam, roller compressed package	1	EA			$ - 0
DM-008	Walker, Dual Release	Standard w/out Wheels	1	EA			$ - 0
DM-009	Walker, Dual Release	Standard w/Wheels	1	EA			$ - 0
DM-010	Walker, Dual Release (Bariatric)	Heavy duty w/wheels; capacity up to 600lbs	1	EA			$ - 0
DM-011	Wheelchair, Adult	1 each with Footrest; 1 each with/ elevated Leg Rest	2	EA			$ - 0
DM-012	Wheelchair, Adult XL (Bariatric)	Overall width (open) 39"; capacity 700lbs. With Elevated Leg Rest	1	EA			$ - 0
DM-013	IV-Pole, 5 Caster	Heavy Gauge Steel, Slow-descending pole, 3" caster's with dust covers and Thread Guards; Base has durable Black Powder finish	2	EA			$ - 0
DM-014	Canes, White	Standard Cane for the Blind	2	EA			$ - 0
DM-015	Canes, Quad	Large Base	2	EA			$ - 0
DM-016	Crutches, Adult	Hardwood Armpit Crutch with 20" Length of 1" X 1"; Padded Top (Adjustable)	2	PR			$ - 0
DM-017	Crutches, Youth	Same Description as Adult Crutch but size adjusted to Children (Adjustable)	1	PR			$ - 0
DM-018	Handheld Shower	With 84" Hose	2	EA			$ - 0
DM-019	Shower Chair (Bariatric)	700 lbs; Bath Bench	2	EA			$ - 0
DM-020	Privacy Screen	Three (3) Panel with Castors	10	EA			$ - 0
DM-021	Dressing Aid Stick	Two (2) hooks: One "C" Hook; One Push-Pull Hook; Both hooks Plastic Coated	2	EA			$ - 0
DM-022	Transfer Boards	Standard for Wheelchair	2	EA			$ - 0
DM-023	Assorted Utensil Holders (Non-Latex)	Special Soft Holders, 3" Length x 1" Height	2	EA			$ - 0
DM-024	Wheelchair (Bariatric) Ramps	6' Length X 48" Width; Supports up to 800lbs.	1	EA			$ - 0
DM-025	Gait Belt	70" wipeable/antimicrobial	2	EA			$ - 0
DM-026	Gait Belt	96" wipeable/antimicrobial	2	EA			$ - 0
DM-027	Gravity Feeding Set	Gravity Feeding Set	2	EA			$ - 0
DM-028	I.V. Pole w/2 Hooks	Four (4) Leg; Two (2) hooks	2	EA			$ - 0
DM-029	Assistive Listening Devices	Pocket Talker Ultra: PKT D1 EH (plug mount microphone, microphone extension cord, lanyard, mini earbud, and folding headphone)	2	EA			$ - 0
DM-030	Headset (Listening Device) Covers	Sanitary Stretchable headphone covers: fits three (3) inches in size headphones	500	EA			$ - 0
DM-031	Magnifying Glass	7 x LED illuminated magnifier round (needs AA batteries )	1	EA			$ - 0
DM-032	Communication Cards (picture boards)	Large with common shelter pictures	2	EA			$ - 0
DM-033	Adaptive eating devices	Food Bumper Translucent plastic (Clip-on)	15	EA			$ - 0
DM-034	Adaptive eating devices	Comfort grip angled fork-right hand	15	EA			$ - 0
DM-035	Adaptive eating devices	Comfort grip angled fork-left hand	15	EA			$ - 0
DM-036	Adaptive eating devices	Comfort grip angled spoon-right hand	15	EA			$ - 0
DM-037	Adaptive eating devices	Comfort grip angled spoon-left hand	15	EA			$ - 0
DM-038	Adaptive eating devices (Pediatric)	Comfort grip spoon -left hand	7	EA			$ - 0
DM-039	Adaptive eating devices (Pediatric)	Comfort grip spoon- right hand	7	EA			$ - 0
DM-040	Adaptive eating devices (Pediatric)	Comfort grip fork-right hand	7	EA			$ - 0
DM-041	Adaptive eating devices (Pediatric)	Comfort grip fork-left hand	7	EA			$ - 0
DM-042	Bedside Commode	Capacity 650lbs. or greater	1	EA			$ - 0
DM-043	Elevated Toilet seat	Locking elevated; capacity 350lbs	1	EA			$ - 0
DM-044	3-in-+1 Commode	Capacity 650lbs. or greater	1	EA			$ - 0
DM-045	Shower Mat Non-Slip	16" x 34" Non-Slip Vinyl	4	EA			$ - 0
DM-046	Digital Infared Thermometer (temporal)	Heat-seeker infrared, laser pointer, no touch	3	EA			$ - 0
DM-047	Seated (Bariatric) Walker	Up to 800lbs	1	EA			$ - 0
DM-048	Comfort Box	1 each Knit Pant, T-shirt, Pair of Socks for Bariatric Resident	10	EA			$ - 0
DM-049	Transfer Lift with two (2) Mesh Swings	450lbs, Capacity (Hoyer Lift/or equivaent)	2	EA			$ - 0
DM-050	Wheelchair, Pediatric	1each with Footrest; 1 each with Elevated Leg Rest	2	EA			$ - 0
DM-051	Refrigerator (No Freezer)	Counter Height (4 cubic feet); Used for Medications	2	EA			$ - 0
DM-052	Complete Kit	Complete Kit (all items DM-001-DM-0047)	25	KT			$ - 0
	Transportation	Steady State Delivery cost per kit to location within the United States (CONUS)		TL	7		$ - 0
	Transportation	Emergency Response Delivery cost per kit to location within the United States (CONUS)		TL	7		$ - 0
	Transportation	Steady State Delivery cost per kit to location outside the US (OCONUS)		TL	7		$ - 0
	Transportation	Emergency Response Delivery cost per kit to location outside the US (OCONUS)		TL	7		$ - 0
	Drop Trailer	Drop Trailer Rate (per day) NTE $150.00	30	DA	7		$ - 0
	Diversion Rate	Diversion Rate (per mile) NTE $3.00	1,000	MI	7		$ - 0
	Driver Hour	Labor (Driver) Rate (per hour) NTE $45.00	8	HR	7		$ - 0
		Complete Kit Total					$ - 0
							$0.00

Item ID#	Item	Description	Quantity (per kit)	Unit	Trailers	Unit Cost	Total Cost
DM-001	Bed Wedge for Bariatric Cot	24” x 24" x 12”	3	EA			$ - 0
DM-002	Westcot 700 Cot, Bariatric with Mattress (or equivalent)	600 lbs. Capacity	3	EA			$ - 0
DM-003	Westcot 400 Cot with Mattress (oe equivalent)	with Half Rails	5	EA			$ - 0
DM-004	Bedside Commode	300 lbs. capacity	2	EA			$ - 0
DM-005	3 in 1 Commode for Over Toilet Use	300 lbs capacity	2	EA			$ - 0
DM-006	Independent Toilet Seat with Safety Bars	Contoured, w/Soft Foam Armrests; Height Adjustable Legs; Weight Capacity: 350 lbs. Adds 4" to Height.Width: 22 1/2"; Width between Arms: 19"; Depth: 15 1/4"; Height: Floor to seat 20”	2	EA			$ - 0
DM-007	Egg Crate Padding	32"W x 72"L, 1-2" density foam, roller compressed package	1	EA			$ - 0
DM-008	Walker, Dual Release	Standard w/out Wheels	1	EA			$ - 0
DM-009	Walker, Dual Release	Standard w/Wheels	1	EA			$ - 0
DM-010	Walker, Dual Release (Bariatric)	Heavy duty w/wheels; capacity up to 600lbs	1	EA			$ - 0
DM-011	Wheelchair, Adult	1 each with Footrest; 1 each with/ elevated Leg Rest	2	EA			$ - 0
DM-012	Wheelchair, Adult XL (Bariatric)	Overall width (open) 39"; capacity 700lbs. With Elevated Leg Rest	1	EA			$ - 0
DM-013	IV-Pole, 5 Caster	Heavy Gauge Steel, Slow-descending pole, 3" caster's with dust covers and Thread Guards; Base has durable Black Powder finish	2	EA			$ - 0
DM-014	Canes, White	Standard Cane for the Blind	2	EA			$ - 0
DM-015	Canes, Quad	Large Base	2	EA			$ - 0
DM-016	Crutches, Adult	Hardwood Armpit Crutch with 20" Length of 1" X 1"; Padded Top (Adjustable)	2	PR			$ - 0
DM-017	Crutches, Youth	Same Description as Adult Crutch but size adjusted to Children (Adjustable)	1	PR			$ - 0
DM-018	Handheld Shower	With 84" Hose	2	EA			$ - 0
DM-019	Shower Chair (Bariatric)	700 lbs; Bath Bench	2	EA			$ - 0
DM-020	Privacy Screen	Three (3) Panel with Castors	10	EA			$ - 0
DM-021	Dressing Aid Stick	Two (2) hooks: One "C" Hook; One Push-Pull Hook; Both hooks Plastic Coated	2	EA			$ - 0
DM-022	Transfer Boards	Standard for Wheelchair	2	EA			$ - 0
DM-023	Assorted Utensil Holders (Non-Latex)	Special Soft Holders, 3" Length x 1" Height	2	EA			$ - 0
DM-024	Wheelchair (Bariatric) Ramps	6' Length X 48" Width; Supports up to 800lbs.	1	EA			$ - 0
DM-025	Gait Belt	70" wipeable/antimicrobial	2	EA			$ - 0
DM-026	Gait Belt	96" wipeable/antimicrobial	2	EA			$ - 0
DM-027	Gravity Feeding Set	Gravity Feeding Set	2	EA			$ - 0
DM-028	I.V. Pole w/2 Hooks	Four (4) Leg; Two (2) hooks	2	EA			$ - 0
DM-029	Assistive Listening Devices	Pocket Talker Ultra: PKT D1 EH (plug mount microphone, microphone extension cord, lanyard, mini earbud, and folding headphone)	2	EA			$ - 0
DM-030	Headset (Listening Device) Covers	Sanitary Stretchable headphone covers: fits three (3) inches in size headphones	500	EA			$ - 0
DM-031	Magnifying Glass	7 x LED illuminated magnifier round (needs AA batteries )	1	EA			$ - 0
DM-032	Communication Cards (picture boards)	Large with common shelter pictures	2	EA			$ - 0
DM-033	Adaptive eating devices	Food Bumper Translucent plastic (Clip-on)	15	EA			$ - 0
DM-034	Adaptive eating devices	Comfort grip angled fork-right hand	15	EA			$ - 0
DM-035	Adaptive eating devices	Comfort grip angled fork-left hand	15	EA			$ - 0
DM-036	Adaptive eating devices	Comfort grip angled spoon-right hand	15	EA			$ - 0
DM-037	Adaptive eating devices	Comfort grip angled spoon-left hand	15	EA			$ - 0
DM-038	Adaptive eating devices (Pediatric)	Comfort grip spoon -left hand	7	EA			$ - 0
DM-039	Adaptive eating devices (Pediatric)	Comfort grip spoon- right hand	7	EA			$ - 0
DM-040	Adaptive eating devices (Pediatric)	Comfort grip fork-right hand	7	EA			$ - 0
DM-041	Adaptive eating devices (Pediatric)	Comfort grip fork-left hand	7	EA			$ - 0
DM-042	Bedside Commode	Capacity 650lbs. or greater	1	EA			$ - 0
DM-043	Elevated Toilet seat	Locking elevated; capacity 350lbs	1	EA			$ - 0
DM-044	3-in-+1 Commode	Capacity 650lbs. or greater	1	EA			$ - 0
DM-045	Shower Mat Non-Slip	16" x 34" Non-Slip Vinyl	4	EA			$ - 0
DM-046	Digital Infared Thermometer (temporal)	Heat-seeker infrared, laser pointer, no touch	3	EA			$ - 0
DM-047	Seated (Bariatric) Walker	Up to 800lbs	1	EA			$ - 0
DM-048	Comfort Box	1 each Knit Pant, T-shirt, Pair of Socks for Bariatric Resident	10	EA			$ - 0
DM-049	Transfer Lift with two (2) Mesh Swings	450lbs, Capacity (Hoyer Lift/or equivalent)	2	EA			$ - 0
DM-050	Wheelchair, Pediatric	1each with Footrest; 1 each with Elevated Leg Rest	2	EA			$ - 0
DM-051	Refrigerator (No Freezer)	Counter Height (4 cubic feet); Used for Medications	2	EA			$ - 0
DM-052	Complete Kit	Complete Kit (all items DM-001-DM-0047)	25	KT			$ - 0
	Transportation	Steady State Delivery cost per kit to location within the United States (CONUS)		TL	7		$ - 0
	Transportation	Emergency Response Delivery cost per kit to location within the United States (CONUS)		TL	7		$ - 0
	Transportation	Steady State Delivery cost per kit to location outside the US (OCONUS)		TL	7		$ - 0
	Transportation	Emergency Response Delivery cost per kit to location outside the US (OCONUS)		TL	7		$ - 0
	Drop Trailer	Drop Trailer Rate (per day) NTE $150.00	30	DA	7		$ - 0
	Diversion Rate	Diversion Rate (per mile) NTE $3.00	1,000	MI	7		$ - 0
	Driver Hour	Labor (Driver) Rate (per hour) NTE $45.00	8	HR	7		$ - 0
		Complete Kit Total					$ - 0
							$0.00

Item ID#	Item	Description	Quantity (per kit)	Unit	Trailers	Unit Cost	Total Cost
DM-001	Bed Wedge for Bariatric Cot	24” x 24" x 12”	3	EA			$ - 0
DM-002	Westcot 700 Cot, Bariatric with Mattress (or equivalent)	600 lbs. Capacity	3	EA			$ - 0
DM-003	Westcot 400 Cot with Mattress (or equivalent)	with Half Rails	5	EA			$ - 0
DM-004	Bedside Commode	300 lbs. capacity	2	EA			$ - 0
DM-005	3 in 1 Commode for Over Toilet Use	300 lbs capacity	2	EA			$ - 0
DM-006	Independent Toilet Seat with Safety Bars	Contoured, w/Soft Foam Armrests; Height Adjustable Legs; Weight Capacity: 350 lbs. Adds 4" to Height.Width: 22 1/2"; Width between Arms: 19"; Depth: 15 1/4" Height: Floor to seat 20”	2	EA			$ - 0
DM-007	Egg Crate Padding	32"W x 72"L, 1-2" density foam, roller compressed package	1	EA			$ - 0
DM-008	Walker, Dual Release	Standard w/out Wheels	1	EA			$ - 0
DM-009	Walker, Dual Release	Standard w/Wheels	1	EA			$ - 0
DM-010	Walker, Dual Release (Bariatric)	Heavy duty w/wheels; capacity up to 600lbs	1	EA			$ - 0
DM-011	Wheelchair, Adult	1 each with Footrest; 1 each with/ elevated Leg Rest	2	EA			$ - 0
DM-012	Wheelchair, Adult XL (Bariatric)	Overall width (open) 39"; capacity 700lbs. With Elevated Leg Rest	1	EA			$ - 0
DM-013	IV-Pole, 5 Caster	Heavy Gauge Steel, Slow-descending pole, 3" caster's with dust covers and Thread Guards; Base has durable Black Powder finish	2	EA			$ - 0
DM-014	Canes, White	Standard Cane for the Blind	2	EA			$ - 0
DM-015	Canes, Quad	Large Base	2	EA			$ - 0
DM-016	Crutches, Adult	Hardwood Armpit Crutch with 20" Length of 1" X 1"; Padded Top (Adjustable)	2	PR			$ - 0
DM-017	Crutches, Youth	Same Description as Adult Crutch but size adjusted to Children (Adjustable)	1	PR			$ - 0
DM-018	Handheld Shower	With 84" Hose	2	EA			$ - 0
DM-019	Shower Chair (Bariatric)	700 lbs; Bath Bench	2	EA			$ - 0
DM-020	Privacy Screen	Three (3) Panel with Castors	10	EA			$ - 0
DM-021	Dressing Aid Stick	Two (2) hooks: One "C" Hook; One Push-Pull Hook; Both hooks Plastic Coated	2	EA			$ - 0
DM-022	Transfer Boards	Standard for Wheelchair	2	EA			$ - 0
DM-023	Assorted Utensil Holders (Non-Latex)	Special Soft Holders, 3" Length x 1" Height	2	EA			$ - 0
DM-024	Wheelchair (Bariatric) Ramps	6' Length X 48" Width; Supports up to 800lbs.	1	EA			$ - 0
DM-025	Gait Belt	70" wipeable/antimicrobial	2	EA			$ - 0
DM-026	Gait Belt	96" wipeable/antimicrobial	2	EA			$ - 0
DM-027	Gravity Feeding Set	Gravity Feeding Set	2	EA			$ - 0
DM-028	I.V. Pole w/2 Hooks	Four (4) Leg; Two (2) hooks	2	EA			$ - 0
DM-029	Assistive Listening Devices	Pocket Talker Ultra: PKT D1 EH (plug mount microphone, microphone extension cord, lanyard, mini earbud, and folding headphone)	2	EA			$ - 0
DM-030	Headset (Listening Device) Covers	Sanitary Stretchable headphone covers: fits three (3) inches in size headphones	500	EA			$ - 0
DM-031	Magnifying Glass	7 x LED illuminated magnifier round (needs AA batteries )	1	EA			$ - 0
DM-032	Communication Cards (picture boards)	Large with common shelter pictures	2	EA			$ - 0
DM-033	Adaptive eating devices	Food Bumper Translucent plastic (Clip-on)	15	EA			$ - 0
DM-034	Adaptive eating devices	Comfort grip angled fork-right hand	15	EA			$ - 0
DM-035	Adaptive eating devices	Comfort grip angled fork-left hand	15	EA			$ - 0
DM-036	Adaptive eating devices	Comfort grip angled spoon-right hand	15	EA			$ - 0
DM-037	Adaptive eating devices	Comfort grip angled spoon-left hand	15	EA			$ - 0
DM-038	Adaptive eating devices (Pediatric)	Comfort grip spoon -left hand	7	EA			$ - 0
DM-039	Adaptive eating devices (Pediatric)	Comfort grip spoon- right hand	7	EA			$ - 0
DM-040	Adaptive eating devices (Pediatric)	Comfort grip fork-right hand	7	EA			$ - 0
DM-041	Adaptive eating devices (Pediatric)	Comfort grip fork-left hand	7	EA			$ - 0
DM-042	Bedside Commode	Capacity 650lbs. or greater	1	EA			$ - 0
DM-043	Elevated Toilet seat	Locking elevated; capacity 350lbs	1	EA			$ - 0
DM-044	3-in-+1 Commode	Capacity 650lbs. or greater	1	EA			$ - 0
DM-045	Shower Mat Non-Slip	16" x 34" Non-Slip Vinyl	4	EA			$ - 0
DM-046	Digital Infared Thermometer (temporal)	Heat-seeker infrared, laser pointer, no touch	3	EA			$ - 0
DM-047	Seated (Bariatric) Walker	Up to 800lbs	1	EA			$ - 0
DM-048	Comfort Box	1 each Knit Pant, T-shirt, Pair of Socks for Bariatric Resident	10	EA			$ - 0
DM-049	Transfer Lift with two (2) Mesh Swings	450lbs, Capacity (Hoyer Lift/or equivalent)	2	EA			$ - 0
DM-050	Wheelchair, Pediatric	1each with Footrest; 1 each with Elevated Leg Rest	2	EA			$ - 0
DM-051	Refrigerator (No Freezer)	Counter Height (4 cubic feet); Used for Medications	2	EA			$ - 0
DM-052	Complete Kit	Complete Kit (all items DM-001-DM-0047)	25	KT			$ - 0
	Transportation	Steady State Delivery cost per kit to location within the United States (CONUS)		TL	7		$ - 0
	Transportation	Emergency Response Delivery cost per kit to location within the United States (CONUS)		TL	7		$ - 0
	Transportation	Steady State Delivery cost per kit to location outside the US (OCONUS)		TL	7		$ - 0
	Transportation	Emergency Response Delivery cost per kit to location outside the US (OCONUS)		TL	7		$ - 0
	Drop Trailer	Drop Trailer Rate (per day) NTE $150.00	30	DA	7		$ - 0
	Diversion Rate	Diversion Rate (per mile) NTE $3.00	1,000	MI	7		$ - 0
	Driver Hour	Labor (Driver) Rate (per hour) NTE $45.00	8	HR	7		$ - 0
		Complete Kit Total					$ - 0
							$0.00

Item ID#	Item	Description	Quantity (per kit)	Unit	Trailers	Unit Cost	Total Cost
DM-001	Bed Wedge for Bariatric Cot	24” x 24" x 12”	3	EA			$ - 0
DM-002	Westcot 700 Cot, Bariatric with Mattress (or equivalent)	600 lbs. Capacity	3	EA			$ - 0
DM-003	Westcot 400 Cot with Mattress (or equivalent)	with Half Rails	5	EA			$ - 0
DM-004	Bedside Commode	300 lbs. capacity	2	EA			$ - 0
DM-005	3 in 1 Commode for Over Toilet Use	300 lbs capacity	2	EA			$ - 0
DM-006	Independent Toilet Seat with Safety Bars	Contoured, w/Soft Foam Armrests; Height Adjustable Legs; Weight Capacity: 350 lbs. Adds 4" to Height.Width: 22 1/2"; Width between Arms: 19"; Depth: 15 1/4"; Height: Floor to seat 20”	2	EA			$ - 0
DM-007	Egg Crate Padding	32"W x 72"L, 1-2" density foam, roller compressed package	1	EA			$ - 0
DM-008	Walker, Dual Release	Standard w/out Wheels	1	EA			$ - 0
DM-009	Walker, Dual Release	Standard w/Wheels	1	EA			$ - 0
DM-010	Walker, Dual Release (Bariatric)	Heavy duty w/wheels; capacity up to 600lbs	1	EA			$ - 0
DM-011	Wheelchair, Adult	1 each with Footrest; 1 each with/ elevated Leg Rest	2	EA			$ - 0
DM-012	Wheelchair, Adult XL (Bariatric)	Overall width (open) 39"; capacity 700lbs. With Elevated Leg Rest	1	EA			$ - 0
DM-013	IV-Pole, 5 Caster	Heavy Gauge Steel, Slow-descending pole, 3" caster's with dust covers and Thread Guards; Base has durable Black Powder finish	2	EA			$ - 0
DM-014	Canes, White	Standard Cane for the Blind	2	EA			$ - 0
DM-015	Canes, Quad	Large Base	2	EA			$ - 0
DM-016	Crutches, Adult	Hardwood Armpit Crutch with 20" Length of 1" X 1"; Padded Top (Adjustable)	2	PR			$ - 0
DM-017	Crutches, Youth	Same Description as Adult Crutch but size adjusted to Children (Adjustable)	1	PR			$ - 0
DM-018	Handheld Shower	With 84" Hose	2	EA			$ - 0
DM-019	Shower Chair (Bariatric)	700 lbs; Bath Bench	2	EA			$ - 0
DM-020	Privacy Screen	Three (3) Panel with Castors	10	EA			$ - 0
DM-021	Dressing Aid Stick	Two (2) hooks: One "C" Hook; One Push-Pull Hook; Both hooks Plastic Coated	2	EA			$ - 0
DM-022	Transfer Boards	Standard for Wheelchair	2	EA			$ - 0
DM-023	Assorted Utensil Holders (Non-Latex)	Special Soft Holders, 3" Length x 1" Height	2	EA			$ - 0
DM-024	Wheelchair (Bariatric) Ramps	6' Length X 48" Width; Supports up to 800lbs.	1	EA			$ - 0
DM-025	Gait Belt	70" wipeable/antimicrobial	2	EA			$ - 0
DM-026	Gait Belt	96" wipeable/antimicrobial	2	EA			$ - 0
DM-027	Gravity Feeding Set	Gravity Feeding Set	2	EA			$ - 0
DM-028	I.V. Pole w/2 Hooks	Four (4) Leg; Two (2) hooks	2	EA			$ - 0
DM-029	Assistive Listening Devices	Pocket Talker Ultra: PKT D1 EH (plug mount microphone, microphone extension cord, lanyard, mini earbud, and folding headphone)	2	EA			$ - 0
DM-030	Headset (Listening Device) Covers	Sanitary Stretchable headphone covers: fits three (3) inches in size headphones	500	EA			$ - 0
DM-031	Magnifying Glass	7 x LED illuminated magnifier round (needs AA batteries )	1	EA			$ - 0
DM-032	Communication Cards (picture boards)	Large with common shelter pictures	2	EA			$ - 0
DM-033	Adaptive eating devices	Food Bumper Translucent plastic (Clip-on)	15	EA			$ - 0
DM-034	Adaptive eating devices	Comfort grip angled fork-right hand	15	EA			$ - 0
DM-035	Adaptive eating devices	Comfort grip angled fork-left hand	15	EA			$ - 0
DM-036	Adaptive eating devices	Comfort grip angled spoon-right hand	15	EA			$ - 0
DM-037	Adaptive eating devices	Comfort grip angled spoon-left hand	15	EA			$ - 0
DM-038	Adaptive eating devices (Pediatric)	Comfort grip spoon -left hand	7	EA			$ - 0
DM-039	Adaptive eating devices (Pediatric)	Comfort grip spoon- right hand	7	EA			$ - 0
DM-040	Adaptive eating devices (Pediatric)	Comfort grip fork-right hand	7	EA			$ - 0
DM-041	Adaptive eating devices (Pediatric)	Comfort grip fork-left hand	7	EA			$ - 0
DM-042	Bedside Commode	Capacity 650lbs. or greater	1	EA			$ - 0
DM-043	Elevated Toilet seat	Locking elevated; capacity 350lbs	1	EA			$ - 0
DM-044	3-in-+1 Commode	Capacity 650lbs. or greater	1	EA			$ - 0
DM-045	Shower Mat Non-Slip	16" x 34" Non-Slip Vinyl	4	EA			$ - 0
DM-046	Digital Infared Thermometer (temporal)	Heat-seeker infrared, laser pointer, no touch	3	EA			$ - 0
DM-047	Seated (Bariatric) Walker	Up to 800lbs	1	EA			$ - 0
DM-048	Comfort Box	1 each Knit Pant, T-shirt, Pair of Socks for Bariatric Resident	10	EA			$ - 0
DM-049	Transfer Lift with two (2) Mesh Swings	450lbs, Capacity (Hoyer Lift/or equivalent)	2	EA			$ - 0
DM-050	Wheelchair, Pediatric	1each with Footrest; 1 each with Elevated Leg Rest	2	EA			$ - 0
DM-051	Refrigerator (No Freezer)	Counter Height (4 cubic feet); Used for Medications	2	EA			$ - 0
DM-052	Complete Kit	Complete Kit (all items DM-001-DM-0047)	25	KT			$ - 0
	Transportation	Steady State Delivery cost per kit to location within the United States (CONUS)		TL	7		$ - 0
	Transportation	Emergency Response Delivery cost per kit to location within the United States (CONUS)		TL	7		$ - 0
	Transportation	Steady State Delivery cost per kit to location outside the US (OCONUS)		TL	7		$ - 0
	Transportation	Emergency Response Delivery cost per kit to location outside the US (OCONUS)		TL	7		$ - 0
	Drop Trailer	Drop Trailer Rate (per day) NTE $150.00	30	DA	7		$ - 0
	Diversion Rate	Diversion Rate (per mile) NTE $3.00	1,000	MI	7		$ - 0
	Driver Hour	Labor (Driver) Rate (per hour) NTE $45.00	8	HR	7		$ - 0
		Complete Kit Total					$ - 0
							$0.00

Item ID#	Item	Description	Quantity (per kit)	Unit	Trailers	Unit Cost	Total Cost
DM-001	Bed Wedge for Bariatric Cot	24” x 24" x 12”	3	EA			$ - 0
DM-002	Westcot 700 Cot, Bariatric with Mattress (or equivalent)	600 lbs. Capacity	3	EA			$ - 0
DM-003	Westcot 400 Cot with Mattress (or equivalent)	with Half Rails	5	EA			$ - 0
DM-004	Bedside Commode	300 lbs. capacity	2	EA			$ - 0
DM-005	3 in 1 Commode for Over Toilet Use	300 lbs capacity	2	EA			$ - 0
DM-006	Independent Toilet Seat with Safety Bars	Contoured, w/Soft Foam Armrests; Height Adjustable Legs; Weight Capacity: 350 lbs. Adds 4" to Height.Width: 22 1/2"; Width between Arms: 19"; Depth: 15 1/4"; Height: Floor to seat 20”	2	EA			$ - 0
DM-007	Egg Crate Padding	32"W x 72"L, 1-2" density foam, roller compressed package	1	EA			$ - 0
DM-008	Walker, Dual Release	Standard w/out Wheels	1	EA			$ - 0
DM-009	Walker, Dual Release	Standard w/Wheels	1	EA			$ - 0
DM-010	Walker, Dual Release (Bariatric)	Heavy duty w/wheels; capacity up to 600lbs	1	EA			$ - 0
DM-011	Wheelchair, Adult	1 each with Footrest; 1 each with/ elevated Leg Rest	2	EA			$ - 0
DM-012	Wheelchair, Adult XL (Bariatric)	Overall width (open) 39"; capacity 700lbs. With Elevated Leg Rest	1	EA			$ - 0
DM-013	IV-Pole, 5 Caster	Heavy Gauge Steel, Slow-descending pole, 3" caster's with dust covers and Thread Guards; Base has durable Black Powder finish	2	EA			$ - 0
DM-014	Canes, White	Standard Cane for the Blind	2	EA			$ - 0
DM-015	Canes, Quad	Large Base	2	EA			$ - 0
DM-016	Crutches, Adult	Hardwood Armpit Crutch with 20" Length of 1" X 1"; Padded Top (Adjustable)	2	PR			$ - 0
DM-017	Crutches, Youth	Same Description as Adult Crutch but size adjusted to Children (Adjustable)	1	PR			$ - 0
DM-018	Handheld Shower	With 84" Hose	2	EA			$ - 0
DM-019	Shower Chair (Bariatric)	700 lbs; Bath Bench	2	EA			$ - 0
DM-020	Privacy Screen	Three (3) Panel with Castors	10	EA			$ - 0
DM-021	Dressing Aid Stick	Two (2) hooks: One "C" Hook; One Push-Pull Hook; Both hooks Plastic Coated	2	EA			$ - 0
DM-022	Transfer Boards	Standard for Wheelchair	2	EA			$ - 0
DM-023	Assorted Utensil Holders (Non-Latex)	Special Soft Holders, 3" Length x 1" Height	2	EA			$ - 0
DM-024	Wheelchair (Bariatric) Ramps	6' Length X 48" Width; Supports up to 800lbs.	1	EA			$ - 0
DM-025	Gait Belt	70" wipeable/antimicrobial	2	EA			$ - 0
DM-026	Gait Belt	96" wipeable/antimicrobial	2	EA			$ - 0
DM-027	Gravity Feeding Set	Gravity Feeding Set	2	EA			$ - 0
DM-028	I.V. Pole w/2 Hooks	Four (4) Leg; Two (2) hooks	2	EA			$ - 0
DM-029	Assistive Listening Devices	Pocket Talker Ultra: PKT D1 EH (plug mount microphone, microphone extension cord, lanyard, mini earbud, and folding headphone)	2	EA			$ - 0
DM-030	Headset (Listening Device) Covers	Sanitary Stretchable headphone covers: fits three (3) inches in size headphones	500	EA			$ - 0
DM-031	Magnifying Glass	7 x LED illuminated magnifier round (needs AA batteries )	1	EA			$ - 0
DM-032	Communication Cards (picture boards)	Large with common shelter pictures	2	EA			$ - 0
DM-033	Adaptive eating devices	Food Bumper Translucent plastic (Clip-on)	15	EA			$ - 0
DM-034	Adaptive eating devices	Comfort grip angled fork-right hand	15	EA			$ - 0
DM-035	Adaptive eating devices	Comfort grip angled fork-left hand	15	EA			$ - 0
DM-036	Adaptive eating devices	Comfort grip angled spoon-right hand	15	EA			$ - 0
DM-037	Adaptive eating devices	Comfort grip angled spoon-left hand	15	EA			$ - 0
DM-038	Adaptive eating devices (Pediatric)	Comfort grip spoon -left hand	7	EA			$ - 0
DM-039	Adaptive eating devices (Pediatric)	Comfort grip spoon- right hand	7	EA			$ - 0
DM-040	Adaptive eating devices (Pediatric)	Comfort grip fork-right hand	7	EA			$ - 0
DM-041	Adaptive eating devices (Pediatric)	Comfort grip fork-left hand	7	EA			$ - 0
DM-042	Bedside Commode	Capacity 650lbs. or greater	1	EA			$ - 0
DM-043	Elevated Toilet seat	Locking elevated; capacity 350lbs	1	EA			$ - 0
DM-044	3-in-+1 Commode	Capacity 650lbs. or greater	1	EA			$ - 0
DM-045	Shower Mat Non-Slip	16" x 34" Non-Slip Vinyl	4	EA			$ - 0
DM-046	Digital Infared Thermometer (temporal)	Heat-seeker infrared, laser pointer, no touch	3	EA			$ - 0
DM-047	Seated (Bariatric) Walker	Up to 800lbs	1	EA			$ - 0
DM-048	Comfort Box	1 each Knit Pant, T-shirt, Pair of Socks for Bariatric Resident	10	EA			$ - 0
DM-049	Transfer Lift with two (2) Mesh Swings	450lbs, Capacity (Hoyer Lift/or equivalent)	2	EA			$ - 0
DM-050	Wheelchair, Pediatric	1each with Footrest; 1 each with Elevated Leg Rest	2	EA			$ - 0
DM-051	Refrigerator (No Freezer)	Counter Height (4 cubic feet); Used for Medications	2	EA			$ - 0
DM-052	Complete Kit	Complete Kit (all items DM-001-DM-0047)	25	KT			$ - 0
	Transportation	Steady State Delivery cost per kit to location within the United States (CONUS)		TL	7		$ - 0
	Transportation	Emergency Response Delivery cost per kit to location within the United States (CONUS)		TL	7		$ - 0
	Transportation	Steady State Delivery cost per kit to location outside the US (OCONUS)		TL	7		$ - 0
	Transportation	Emergency Response Delivery cost per kit to location outside the US (OCONUS)		TL	7		$ - 0
	Drop Trailer	Drop Trailer Rate (per day) NTE $150.00	30	DA	7		$ - 0
	Diversion Rate	Diversion Rate (per mile) NTE $3.00	1,000	MI	7		$ - 0
	Driver Hour	Labor (Driver) Rate (per hour) NTE $45.00	8	HR	7		$ - 0
		Complete Kit Total					$ - 0
							$0.00
							$0.00

EA=Each

KT=Kit

HR=Hour

TL=Trailer Load

MI=Miles

DA=Days

CLIN Pricing Sheet

	Durable Medical Equipment CLIN Ordering Spreadsheet
	Directions	Please see the "Item Pricing Sheet" tab to reference specific item ID# and Description. For each "Complete Kits" Order; that "Total Cost" will show in the corresponding "Item Cost"column. For all "A La Carte Items" orders, the total costs of the A La Carte Items will show in the corresponding column. For all A La Carte items, please use the "Order Description" column to identify those items being ordered.
	Ordering Notes	*Items DM-001 thru DM-0047 represent those items that make up a complete DME kit*
Note: Durable Medical Equipment (DME) Items may be ordered a la carte or as kits. A complete DME kit includes items (DM-001 thru DM-047).		*Items DM-048 thru DM-051 are not part of the DME complete kit and shall be ordered as a la carte items*
	Order Details	Order Date (XXXX); IDIQ # (XXXX); Task Order # (XXXX);
	DME CLIN SHEET
Item ID#	CLIN Number	Description	Item Cost	Total Cost	Order Description

(Item Name, ID#, Quantity Etc.)

	DM-001	0001	Complete Kits (DM-001 - DM-0047)	$ - 0	$ - 0
	DM-002	0001A	CONUS Transportation - Steady State	$ - 0	$ - 0
	DM-003	0001B	CONUS Transportation - Emergency Response	$ - 0	$ - 0
	DM-004	0001C	OCONUS Transportation - Steady State	$ - 0	$ - 0
	DM-005	0001D	OCONUS Transportation - Emergency Response	$ - 0	$ - 0
	DM-006	0002	A LA Carte Items (DM-001 - DM-0051)	$ - 0	$ - 0
	DM-007	0002A	CONUS Transportation - Steady State	$ - 0	$ - 0
	DM-008	0002B	CONUS Transportation - Emergency Response	$ - 0	$ - 0
	DM-009	0002C	OCONUS Transportation - Steady State	$ - 0	$ - 0
	DM-010	0002D	OCONUS Transportation - Emergency Response	$ - 0	$ - 0
	DM-011	0003	Drop Trailer Rate (per day) NTE $150.00	$ - 0	$ - 0
	DM-012	0004	Diversion Rate (per mile) NTE $3.00	$ - 0	$ - 0
	DM-013	0005	Driver Hour Rate	$ - 0	$ - 0
		Total Cost
Base Year		$ - 0	$ - 0
	DM-014	1001	Complete Kits (DM-001 - DM-0047)	$ - 0	$ - 0
	DM-015	1001A	CONUS Transportation - Steady State	$ - 0	$ - 0
	DM-016	1001B	CONUS Transportation - Emergency Response	$ - 0	$ - 0
	DM-017	1001C	OCONUS Transportation - Steady State	$ - 0	$ - 0
	DM-018	1001D	OCONUS Transportation - Emergency Response	$ - 0	$ - 0
	DM-019	1002	A LA Carte Items (DM-001 - DM-0051)	$ - 0	$ - 0
	DM-020	1002A	CONUS Transportation - Steady State	$ - 0	$ - 0
	DM-021	1002B	CONUS Transportation - Emergency Response	$ - 0	$ - 0
	DM-022	1002C	OCONUS Transportation - Steady State	$ - 0	$ - 0
	DM-023	1002D	OCONUS Transportation - Emergency Response	$ - 0	$ - 0
	DM-024	1003	Drop Trailer Rate (per day) NTE $150.00	$ - 0	$ - 0
	DM-025	1004	Diversion Rate (per mile) NTE $3.00	$ - 0	$ - 0
	DM-026	1005	Driver Hour Rate	$ - 0	$ - 0
		Total Cost
Option Yr 1		$ - 0	$ - 0
	DM-027	2001	Complete Kits (DM-001 - DM-0047)	$ - 0	$ - 0
	DM-028	2001A	CONUS Transportation - Steady State	$ - 0	$ - 0
	DM-029	2001B	CONUS Transportation - Emergency Response	$ - 0	$ - 0
	DM-030	2001C	OCONUS Transportation - Steady State	$ - 0	$ - 0
	DM-031	2001D	OCONUS Transportation - Emergency Response	$ - 0	$ - 0
	DM-032	2002	A LA Carte Items (DM-001 - DM-0051)	$ - 0	$ - 0
	DM-033	2002A	CONUS Transportation - Steady State	$ - 0	$ - 0
	DM-034	2002B	CONUS Transportation - Emergency Response	$ - 0	$ - 0
	DM-035	2002C	OCONUS Transportation - Steady State	$ - 0	$ - 0
	DM-036	2002D	OCONUS Transportation - Emergency Response	$ - 0	$ - 0
	DM-037	2003	Drop Trailer Rate (per day) NTE $150.00	$ - 0	$ - 0
	DM-038	2004	Diversion Rate (per mile) NTE $3.00	$ - 0	$ - 0
	DM-039	2005	Driver Hour Rate	$ - 0	$ - 0
		Total Cost
Option Yr 2		$ - 0	$ - 0
	DM-040	3001	Complete Kits (DM-001 - DM-0047)	$ - 0	$ - 0
	DM-041	3001A	CONUS Transportation - Steady State	$ - 0	$ - 0
	DM-042	3001B	CONUS Transportation - Emergency Response	$ - 0	$ - 0
	DM-043	3001C	OCONUS Transportation - Steady State	$ - 0	$ - 0
	DM-044	3001D	OCONUS Transportation - Emergency Response	$ - 0	$ - 0
	DM-045	3002	A LA Carte Items (DM-001 - DM-0051)	$ - 0	$ - 0
	DM-046	3002A	CONUS Transportation - Steady State	$ - 0	$ - 0
	DM-047	3002B	CONUS Transportation - Emergency Response	$ - 0	$ - 0
	DM-048	3002C	OCONUS Transportation - Steady State	$ - 0	$ - 0
	DM-049	3002D	OCONUS Transportation - Emergency Response	$ - 0	$ - 0
	DM-050	3003	Drop Trailer Rate (per day) NTE $150.00	$ - 0	$ - 0
	DM-051	3004	Diversion Rate (per mile) NTE $3.00	$ - 0	$ - 0
	DM-052	3005	Driver Hour Rate	$ - 0	$ - 0
		Total Cost
Option Yr 3		$ - 0	$ - 0
	DM-001	4001	Complete Kits (DM-001 - DM-0047)	$ - 0	$ - 0
	DM-002	4001A	CONUS Transportation - Steady State	$ - 0	$ - 0
	DM-003	4001B	CONUS Transportation - Emergency Response	$ - 0	$ - 0
	DM-004	4001C	OCONUS Transportation - Steady State	$ - 0	$ - 0
	DM-005	4001D	OCONUS Transportation - Emergency Response	$ - 0	$ - 0
	DM-006	4002	A LA Carte Items (DM-001 - DM-0051)	$ - 0	$ - 0
	DM-007	4002A	CONUS Transportation - Steady State	$ - 0	$ - 0
	DM-008	4002B	CONUS Transportation - Emergency Response	$ - 0	$ - 0
	DM-009	4002C	OCONUS Transportation - Steady State	$ - 0	$ - 0
		4002D	OCONUS Transportation - Emergency Response	$ - 0	$ - 0
		4003	Drop Trailer Rate (per day) NTE $150.00	$ - 0	$ - 0
		4004	Diversion Rate (per mile) NTE $3.00	$ - 0	$ - 0
		4005	Driver Hour Rate	$ - 0	$ - 0
		Total Cost
Option Yr 4		$ - 0	$ - 0
	DM-010	Contractor Grand Total for IDIQ			$0.00
	DM-011
	DM-012		EA=Each
	DM-013		KT=Kit
	DM-014		HR=Hour
	DM-015		TL=Trailer Load
	DM-016		MI=Miles
	DM-017		DA=Days

DM-018	Complete Kit including item numbers DM-001 through DM-047
DM-019	Transportation is for vendor shipping a Truckload of DME complete kits/replenishment items/a la carte items to the required destination. Estimated at a rate for a total of 28 truckloads per year.
DM-020	Drop Trailer is estimated for 30 days @ a rate of $150.00 per day for 28 trailers
DM-021	Trailer Diversion is estimated at $3.00 per mile for 100 miles for 28 trailers
DM-022	Driver Hour is estimated at $45.00 per hour for 8 hours for 28 drivers
DM-023
DM-024
DM-025
DM-026
DM-027
DM-028
DM-029
DM-030
DM-031
DM-032
DM-033
DM-034
DM-035
DM-036
DM-037
DM-038
DM-039
DM-040
DM-041
DM-042
DM-043
DM-044
DM-045
DM-046
DM-047
DM-048
DM-049
DM-050
DM-051
DM-052

File details come from the government source that posted it. Updated Jul 14, 2022.