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PRICE/COST SCHEDULE
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 0001 |
| Surgical Lighting System / Head Lights |
| 24.00 |
| ea |
| __________________ |
| __________________ |
| 28.00 |
| ea |
| __________________ |
| __________________ |
| 22.00 |
| ea |
| __________________ |
| __________________ |
| 0004 |
| Anesthesia Gas Service Booms |
| 9.00 |
| ea |
| __________________ |
| __________________ |
| 0005 |
| Equipment Service Booms |
| 9.00 |
| ea |
| __________________ |
| __________________ |
| 0006 |
| Perfusion Service Booms |
| 5.00 |
| ea |
| __________________ |
| __________________ |
| 0007 |
| Lead Shield (Boom mounted) |
| 4.00 |
| ea |
| __________________ |
| __________________ |
| 4.00 |
| ea |
| __________________ |
| __________________ |
| 4.00 |
| ea |
| __________________ |
| __________________ |
| 0010 |
| 26” HD Monitor Boom |
| 4.00 |
| ea |
| __________________ |
| __________________ |
| 9.00 |
| ea |
| __________________ |
| __________________ |
| 0012 |
| In-Service Clinical Staff Training |
| 5.00 |
| dy |
| __________________ |
| __________________ |
| 1.00 |
| dy |
| __________________ |
| __________________ |
| 0014 |
| Additional Shelves on gas service booms and equipment booms (Option - refer to product description for minimum requirement of each shelf. Line item added for contractor to provide additional number of shelves.) |
Contract Period: Option 1 POP Begin:
POP End:
| 1.00 |
| ea |
| __________________ |
| __________________ |
| 0015 |
| Increased load capacity for equipment booms (Option - minimum requirement is 475 lbs. Line item added for contractor to provide additional weight capacity.) |
Contract Period: Option 1 POP Begin:
POP End:
| 1.00 |
| ea |
| __________________ |
| __________________ |
| 0016 |
| Gas Outlets (option) |
Price per each outlet. Quantity unknown until installation.
| 1.00 |
| ea |
| __________________ |
| ___________________ |
| GRAND TOTAL |
| __________________ |
DELIVERY SCHEDULE:
| ITEM NUMBER |
| QUANTITY |
| DELIVERY DATE |
| 0002 |
| SHIP TO: |
| Louis Stokes Cleveland VA Medical Center |
10701 East Boulevard Cleveland, OH 44106
US
| 0003 |
| SHIP TO: |
| Louis Stokes Cleveland VA Medical Center |
10701 East Boulevard Cleveland, OH 44106
US
| 0004 |
| SHIP TO: |
| Louis Stokes Cleveland VA Medical Center |
10701 East Boulevard Cleveland, OH 44106
US
| 0005 |
| SHIP TO: |
| Louis Stokes Cleveland VA Medical Center |
10701 East Boulevard Cleveland, OH 44106
US
| 0006 |
| SHIP TO: |
| Louis Stokes Cleveland VA Medical Center |
10701 East Boulevard Cleveland, OH 44106
US
| 0007 |
| SHIP TO: |
| Louis Stokes Cleveland VA Medical Center |
10701 East Boulevard Cleveland, OH 44106
US
| 0008 |
| SHIP TO: |
| Louis Stokes Cleveland VA Medical Center |
10701 East Boulevard Cleveland, OH 44106
US
| 0009 |
| SHIP TO: |
| Louis Stokes Cleveland VA Medical Center |
10701 East Boulevard Cleveland, OH 44106
US
| 0010 |
| SHIP TO: |
| Louis Stokes Cleveland VA Medical Center |
10701 East Boulevard Cleveland, OH 44106
US
| 0011 |
| SHIP TO: |
| Louis Stokes Cleveland VA Medical Center |
10701 East Boulevard Cleveland, OH 44106
US
| 0012 |
| SHIP TO: |
| Louis Stokes Cleveland VA Medical Center |
10701 East Boulevard Cleveland, OH 44106
US
| 0013 |
| SHIP TO: |
| Louis Stokes Cleveland VA Medical Center |
10701 East Boulevard Cleveland, OH 44106
US
| 0014 |
| SHIP TO: |
| Louis Stokes Cleveland VA Medical Center |
10701 East Boulevard Cleveland, OH 44106
US
