36C10G18Q0121-001.xlsx

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NX EQ HEARING AID TESTERS, AUDIOSCAN BRAND NAME OR EQUAL
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36C10G18Q0121
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36C10G18Q0121 Attachment A CostPrice Schedule.xlsx

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BASE YEAR

CLIN Audioscan Part Number or Equal Description Unit of Measure (UOM) Estimated Base Year Contract Quantity Manufacturer Part Number Contractor Part Number Quantity per UOM Delivery Days **ARO Proposed Unit Price ***3% SLA FEE Total Proposed Price (SLA Fee Included)

0001AxiomAxiomEA3$0.00$0.00
0002RM500SLRM500SLEA2
0003Verifit 2Verifit 2EA92
0004VA-201Noah optionEA50
0005VA-131Microphone extension Cable option - 3' (1m)EA10
0006VA-140Test box extension cableEA10
0007RE367-36Probe tube accessoryPG895
TOTAL PROPOSED COST$0.00
*VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES ON ALL THREE TABS
**ARO = Delivery Days After Receipt of Order
***SLA = Service Level Agreement
*VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES ON ALL THREE TABS
**ARO = Delivery Days After Receipt of Order
***SLA = Service Level Agreement

OPTION YR 1

CLIN Audioscan Part Number or Equal Description Unit of Measure (UOM) Estimated Option Year 1 Contract Quantity Manufacturer Part Number Contractor Part Number Quantity per UOM Delivery Days **ARO Proposed Unit Price ***3% SLA FEE Total Proposed Price (SLA Fee Included)

0001AxiomAxiomEA3$0.00$0.00
0002RM500SLRM500SLEA2
0003Verifit 2Verifit 2EA92
0004VA-201Noah optionEA50
0005VA-131Microphone extension Cable option - 3' (1m)EA10
0006VA-140Test box extension cableEA10
0007RE367-36Probe tube accessoryPG895
TOTAL PROPOSED COST$0.00
*VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES ON ALL THREE TABS
**ARO = Delivery Days After Receipt of Order
***SLA = Service Level Agreement
*VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES ON ALL THREE TABS
**ARO = Delivery Days After Receipt of Order
***SLA = Service Level Agreement

OPTION YR 2

CLIN Audioscan Part Number or Equal Description Unit of Measure (UOM) Estimated Option Year 2 Contract Quantity Manufacturer Part Number Contractor Part Number Quantity per UOM Delivery Days **ARO Proposed Unit Price ***3% SLA FEE Total Proposed Price (SLA Fee Included)

0001AxiomAxiomEA3$0.00$0.00
0002RM500SLRM500SLEA2
0003Verifit 2Verifit 2EA92
0004VA-201Noah optionEA50
0005VA-131Microphone extension Cable option - 3' (1m)EA10
0006VA-140Test box extension cableEA10
0007RE367-36Probe tube accessoryPG895
TOTAL PROPOSED COST$0.00
*VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES ON ALL THREE TABS
**ARO = Delivery Days After Receipt of Order
***SLA = Service Level Agreement

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