3- Price Schedule 36C248-22-Q-0162.pdf
PDF 240 KB Posted
- Attached to
- 6835--HOME OXYGEN Federal contract opportunity
- Solicitation number
- 36C24822Q0162
About this file
This document is a price schedule for a federal contract solicitation for home oxygen and respiratory services and equipment. The Department of Veterans Affairs West Palm Beach VA Healthcare System is seeking quotes for a base year and four option years to provide various oxygen cylinders, regulators, refills, portable oxygen systems, liquid oxygen systems, cannulas, ventilators, respiratory supplies and services to veterans. Pricing is requested for over 30 categories of equipment and services, with estimated annual quantities provided. Quotes are due by November 30th, 2022 and must be submitted via email to the point of contact listed. The solicitation number is 36C24822Q0162 and will use tiered evaluations with priority given to offers from service-disabled and veteran-owned small businesses, then other small businesses.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 1- SF30 Amendment 36C24822Q0162 0003.pdf | ||
| 2- SF30 Amendment 36C24822Q0162 0002 Signed.pdf | ||
| 1- Solicitation-Description Amendment 0002.pdf | ||
| 3- Solicitation 36C24822Q0162 Amendment 0002.pdf | ||
| SF 30 Amendent 36C24822Q0162 0001 Signed.pdf | ||
| Solicitation 36C24822Q0162.pdf | ||
| 4- Past Performance Questionnaire 36C248-22-Q-0162.pdf | ||
| 2- Performance Work Statement 36C248-22-Q-0162.pdf | ||
| 5- Evalualtion Criteria 36C248-21-Q-0162.pdf | ||
| 36C24822Q0162.docx | DOCX document | |
| 1- Combined Synopsis Solicitation 36C248-22-Q-0162.pdf |
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Text version
PRICE SCHEDULE WEST PALM BEACH
Item
BASE YEAR
01/04/2022 to 01/03/2023
Estimated Yearly
Quantity Minimum- Maximum
Unit of Issue
Unit Price
Total Price
(NTE)
0001. Cylinders - Monthly rental of “H” style tank (244 cu. Ft) or “M60” style tank to include initial setup, transportation and maintenance.
EACH
0002. Cylinders – Monthly rental of “E” style tank (22 cu.ft) Includes initial setup, transportation and maintenance.
0003. Monthly refills for “H” tank, est. 3 per patient.
0004. Monthly refills for “E” tank, est. 2 per patient.
0005. “H” Regulator, 0006. “E” Regulator, 0007. Monthly rental of Oxylite type portable oxygen system (M-6, D, or M-9 Tanks)
0008. Liquid oxygen Portable system (low loss) unit
0009. Liquid Oxygen Reservoir (low loss) for refilling.
0010. Liquid Oxygen monthly Refills for Reservoirs Average monthly usage per patient Est. Monthly qty: 12,000 lbs per mo.
144,000
LB
0011. Monthly rental of Oxygen Cylinder Tank Storage Carts
0012. Portable Oxygen Concentrator Maintenance Required Quarterly.
Stationary Oxygen Concentrator Maintenance Required Quarterly/ Service calls as Required by Veteran
0013. Refills for Oxylite type portable oxygen system (M-6 or M-9 tanks)
220 EACH
0014. Monthly rental of liquid Helios Conservers
300 EACH
0015. Monthly rental of liquid Helios reservoirs
300 EACH
0016. 5-7Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly
40,000 EACH
0017. 14-25Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly
30,000 EACH
0018. 50Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly
30,000 EACH
0019. Monthly rental of ventilator upon request of prescription
5 EACH
0020. Ventilator Maintenance 24 per patient EACH
0021. Ventilator Tubing 192 EACH
0022. Bacterial/humidifier Filters
192 EACH
0023. Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port
1080 EACH
0024. Yankeur Tip Suction 72 EACH
0025. Resuscitation Bag w/ Mask and oxygen tubing
20 EACH
0026. One Suction Pump w/ Suction Collection Jar, Non-Sterile Gloves, Basin, Normal Saline Solution
0027. Trach Care Kit w/Gauze 1080 EACH
0028. Velcro Tracheotomy Tube Holder
1080 EACH
0029. Contractor Owned Concentrator Rental
220 EACH $_____
0030. Respiratory Therapist Visit 200 HOURLY
0031. Oxymizer Nasal Cannula 500 HOURLY
0032. Deliveries of VA Owned Equipment
650 EACH
Base Year Total $ __________________
West Palm Beach VA Medical Center
Item
OPTION YEAR-1
01/04/2023 Thru 01/03/2024
Estimated Yearly
Quantity Minimum- Maximum
Unit of Issue
Unit Price
1001. Cylinders - Monthly rental of style tank to include initial setup, Est. Monthly qty: 2
1002. Cylinders – Monthly rental
Includes initial setup, transportation and
Est. Monthly qty: 8
1003. Monthly refills for “H” tank, est. 3 per patient.
Est. Monthly qty: 5 cyl
1004. Monthly refills for “E” tank, est. 2 per patient.
Est. Monthly qty: 8 cyl
1005. “H” Regulator, Est. Monthly qty: 3
1006. “E” Regulator, Est. Monthly qty: 18
1007. Monthly rental of
1008. Liquid oxygen Portable system
1009. Liquid Oxygen Reservoir
1010. Liquid Oxygen monthly Refills for Reservoirs Average monthly usage per patient Est. Monthly qty: 12,000 lbs per mo.
1011. Monthly rental of Oxygen
1012. Portable Oxygen Concentrator Maintenance Required Quarterly.
Stationary Oxygen Concentrator
1013. Refills for Oxylite type portable oxygen system (M-6 or M-9 tanks)
220 EACH
1014. Monthly rental of liquid Helios Conservers
300 EACH
1015. Monthly rental of liquid Helios reservoirs
300 EACH
1016. 5-7Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly
40,000 EACH
1017. 14-25Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly
30,000 EACH
1018. 50Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly
30,000 EACH
1019. Monthly rental of ventilator upon request of prescription
5 EACH
1020. Ventilator Maintenance 24 per patient EACH
1021. Ventilator Tubing 192 EACH
1022. Bacterial/humidifier
192 EACH
1023. Closed System Suction
Adapter with a MeterDose Inhaler (MDI) port
1080 EACH
1024. Yankeur Tip Suction 72 EACH
1025. Resuscitation Bag w/ Mask
20 EACH
1026. One Suction Pump w/
Non-Sterile Gloves, Basin, Normal Saline Solution
8 EACH
1027. Trach Care Kit w/Gauze 1080 EACH
1028. Velcro Tracheotomy Tube
1080 EACH
1029. Contractor Owned Concentrator
220 EACH $______
1030. Respiratory Therapist Visit 200 HOURLY
1030. Respiratory Therapist Visit 200 HOURLY
1031. Oxymizer Nasal Cannula pendant/mustache
500 EACH
1032. Deliveries of VA Owned Equipment
650 EACH $______
Option Year-1 Total $ __________________
OPTION YEAR-2
01/04/2024 Thru 01/03/2025
Estimated Yearly
Quantity
(NTE)
Unit of Issue
Unit
2001. Cylinders - Monthly rental of
2002. Cylinders – Monthly rental
Includes initial setup, 2003. Monthly refills for “H” tank
2004. Monthly refills for “E”
2005. “H” Regulator, 2006. “E” Regulator, Est. Monthly qty: 18
2007. Monthly rental of
2008. Liquid oxygen Portable system
2009. Liquid Oxygen Reservoir
2010. Liquid Oxygen monthly Refills for Reservoirs
2011. Monthly rental of Oxygen
2012. Portable Oxygen Concentrator Maintenance Required Quarterly.
Stationary Oxygen Concentrator
2013. Refills for Oxylite type portable oxygen system (M-6 or M-9 tanks)
220 EACH
2014. Monthly rental of liquid Helios Conservers
300 EACH
2015. Monthly rental of liquid Helios reservoirs
300 EACH
2016. 5-7Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly
40,000 EACH
2017. 14-25Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly
30,000 EACH
2018. 50Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly
30,000 EACH
2019. Monthly rental of ventilator upon request of prescription
5 EACH
2020. Ventilator Maintenance 24 per patient EACH
2021. Ventilator Tubing 192 EACH
2022. Bacterial/humidifier
192 EACH
2023. Closed System Suction
Adapter with a MeterDose Inhaler (MDI) port
1080 EACH
2024. Yankeur Tip Suction 72 EACH
2025. Resuscitation Bag w/ Mask
20 EACH
2026. One Suction Pump w/
Non-Sterile Gloves, Basin, Normal Saline Solution
8 EACH
2027. Trach Care Kit w/Gauze 1080 EACH
2028. Velcro Tracheotomy Tube
1080 EACH
2029. Contractor Owned Concentrator
2030. Respiratory Therapist Visit 200 HOURLY
2031. Oxymizer Nasal Cannula pendant/mustache
500 EACH
2032. Deliveries of VA Owned Equipment
650 EACH
Option Year-2 Total $ __________________
Item
OPTION YEAR-3
01/04/2025 Thru 01/03/2026
Estimated Yearly
Quantity
(NTE)
Unit of Issue
Unit Price Total Price
3001. Cylinders - Monthly rental of
3002. Cylinders – Monthly rental
Includes initial setup, 3003. Monthly refills for “H”
3004. Monthly refills for “E”
3005. “H” Regulator, 3006. “E” Regulator, 3007. Monthly rental of
3008. Liquid oxygen Portable system
3009. Liquid Oxygen Reservoir
3010. Liquid Oxygen monthly
3011. Monthly rental of Oxygen
3012. Portable Oxygen Concentrator
Stationary Oxygen Concentrator
3013. Refills for Oxylite type portable oxygen system (M-6 or M-9 tanks)
220 EACH
3014. Monthly rental of liquid Helios Conservers
300 EACH
3015. Monthly rental of liquid Helios reservoirs
300 EACH
3016. 5-7Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly
40,000 EACH
3017. 14-25Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly
30,000 EACH
3018. 50Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly
30,000 EACH
3019. Monthly rental of ventilator upon request of prescription
5 EACH
3020. Ventilator Maintenance 24 per patient EACH
3021. Ventilator Tubing 192 EACH
3022. Bacterial/humidifier
192 EACH
3023. Closed System Suction
Adapter with a MeterDose Inhaler (MDI) port
1080 EACH
3024. Yankeur Tip Suction 72 EACH
3025. Resuscitation Bag w/ Mask
20 EACH
3026. One Suction Pump w/
Non-Sterile Gloves, Basin, Normal Saline Solution
8 EACH
3027. Trach Care Kit w/Gauze 1080 EACH
3028. Velcro Tracheotomy Tube
1080 EACH
3029. Contractor Owned Concentrator
220 EACH $________
3030. Respiratory Therapist Visit 200 HOURLY
3030. Respiratory Therapist Visit 200 HOURLY
3031. Oxymizer Nasal Cannula pendant/mustache
500 EACH
3032. Deliveries of VA Owned Equipment
650 EACH $________
Option Year-3 Total $ __________________
OPTION YEAR-4
01/04/2026 Thru 01/03/2027
Estimated Yearly
Quantity
(NTE)
Unit of Issue
Unit
4001. Cylinders - Monthly rental of
4002. Cylinders – Monthly rental
Includes initial setup, 4003. Monthly refills for “H”
4004. Monthly refills for “E”
4005. “H” Regulator, 4006. “E” Regulator, 4007. Monthly rental of
4008. Liquid oxygen Portable system
4009. Liquid Oxygen Reservoir
4010. Liquid Oxygen monthly
4011. Monthly rental of Oxygen
4012. Portable Oxygen Concentrator
Stationary Oxygen Concentrator
4013. Refills for Oxylite type portable oxygen system (M-6 or M-9 tanks)
220 EACH
4014. Monthly rental of liquid Helios Conservers
300 EACH
4015. Monthly rental of liquid Helios reservoirs
300 EACH
4016. 5-7Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly
40,000 EACH
4017. 14-25Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly
30,000 EACH
4018. 50Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly
30,000 EACH
4019. Monthly rental of ventilator upon request of prescription
5 EACH
4020. Ventilator Maintenance 24 per patient EACH
4021. Ventilator Tubing 192 EACH
4022. Bacterial/humidifier
192 EACH
4023. Closed System Suction
Adapter with a Meter Dose Inhaler (MDI) port
1080 EACH
4024. Yankeur Tip Suction 72 EACH
4025. Resuscitation Bag w/ Mask
20 EACH
4026. One Suction Pump w/
Non-Sterile Gloves, Basin, Normal Saline Solution
8 EACH
4027. Trach Care Kit w/Gauze 1080 EACH
4028. Velcro Tracheotomy Tube
1080 EACH
4029. Contractor Owned Concentrator
4030. Respiratory Therapist Visit 200 HOURLY
4031. Oxymizer Nasal Cannula pendant/mustache
500 HOURLY
4031. Deliveries of VA Owned Equipment
650 EACH
Option Year-4 Total $ __________________
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