36C10G18R0195-0003001.xlsx
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- 36C10G18R0195
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36C10G18R0195 0003 ATTACHMENT A PRICE COST SCHEDULE AUDITORY FUNCTION SCREENING DEVICES.xlsx
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| 36C10G18R0195-0003000.docx | DOCX document | |
| 36C10G18R0195-0002000.docx | DOCX document | |
| 36C10G18R0195-0001000.docx | DOCX document | |
| 36C10G18R0195-008.xlsx | XLSX spreadsheet | |
| 36C10G18R0195-006.xlsx | XLSX spreadsheet | |
| 36C10G18R0195-007.docx | DOCX document | |
| 36C10G18R0195-005.docx | DOCX document | |
| 36C10G18R0195-000.docx | DOCX document |
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Sheet1
| CLIN | Part Number | Brand Name/ Manufacturer | Item Description | Unit of Measure (UOM) | Estimated Quantity (Base Year) | Estimated Quantity (Option Year 1) | Estimated Quantity (Option Year 2) | Manufacturer Name | Manufacturer Part Number | Contractor Part Number | Unit of Measure | Quantity Per UOM | Commercial Price | Unit Price | Total Proposed | |
| Price (Base Year) | Total Proposed | |||||||||||||||
| Price (Option Year 1) | Total Proposed | |||||||||||||||
| Price (Option Year 2) | Total Proposed Price (Base + Option Years 1 & 2 | |||||||||||||||
| 0001 | GSI 39 | EA | 25 | 25 | 25 | |||||||||||
| 0001-01 | 8020285 | Grason-Stadler | GSI 39 Auto Tymp V.1:226 Hz Tymp and Ipsi Reflex | EA | 1 | 1 | 1 | |||||||||
| 0001-02 | 8020286 | Grason-Stadler | GSI 39 Auto Tymp V.1:226 + 1k Hz Tymp and Ipsi Reflex | EA | 1 | 1 | 1 | |||||||||
| 0001-03 | 8020287 | Grason-Stadler | GSI 39 Auto Tymp V.2:226 Hz Tymp and Ipsi+Contra Reflex | EA | 1 | 1 | 1 | |||||||||
| 0001-04 | 8020288 | Grason-Stadler | GSI 39 Auto Tymp V.2:226 + 1k Hz Tymp and Ipsi+Contra Reflex | EA | 1 | 1 | 1 | |||||||||
| 0001-05 | 8020289 | Grason-Stadler | GSI 39 Auto Tymp V.3:226 Hz Tymp and Ipsi + Contra Reflex and Audiometry | EA | 1 | 1 | 1 | |||||||||
| 0001-06 | 8020290 | Grason-Stadler | GSI 39 Auto Tymp V.3:226 +1k Hz Tymp and Ipsi+Contra Reflex and Audiometry | EA | 1 | 1 | 1 | |||||||||
| 0001-07 | 8020291 | Grason-Stadler | GSI 39 Auto Tymp V.4:226 Hz Tymp and Ipsi Reflex and Audiometry | EA | 1 | 1 | 1 | |||||||||
| 0001-08 | 8020292 | Grason-Stadler | GSI 39 Auto Tymp V.4:226 +1k Hz Tymp and Ipsi Reflex and Audiometry | EA | 1 | 1 | 1 | |||||||||
| 0001-09 | 8020293 | Grason-Stadler | GSI 39 Auto Tymp V.5:226 Hz Tymp Only | EA | 1 | 1 | 1 | |||||||||
| 0001-10 | 8020294 | Grason-Stadler | GSI 39 Auto Tymp V.5:226 = 1k Hz Tymp Only | EA | 1 | 1 | 1 | |||||||||
| 0002 | GSI 39 Upgrade Options | EA | 25 | 25 | 25 | |||||||||||
| 0002-01 | 8020194 | Grason-Stadler | GSI 39: From 226Hz to 226 Hz+1000 probe | EA | 1 | 1 | 1 | |||||||||
| 0002-02 | 8020195 | Grason-Stadler | GSI 39: 226Hz Version 1 to 226 Hz Version 2 | EA | 1 | 1 | 1 | |||||||||
| 0002-03 | 8020196 | Grason-Stadler | GSI 39: 226Hz Version 1 to 226 Hz Version 3 | EA | 1 | 1 | 1 | |||||||||
| 0002-04 | 8020197 | Grason-Stadler | GSI 39: 226Hz Version 1 to 226 Hz Version 4 | EA | 1 | 1 | 1 | |||||||||
| 0002-05 | 8020198 | Grason-Stadler | GSI 39: 226Hz Version 2 to 226 Hz Version 3 | EA | 1 | 1 | 1 | |||||||||
| 0002-06 | 8020199 | Grason-Stadler | GSI 39: 226Hz Version 4 to 226 Hz Version 3 | EA | 1 | 1 | 1 | |||||||||
| 0002-07 | 8020200 | Grason-Stadler | GSI 39: 226Hz Version 5 to 226 Hz Version 1 | EA | 1 | 1 | 1 | |||||||||
| 0002-08 | 8020201 | Grason-Stadler | GSI 39: 226Hz Version 5 to 226 Hz Version 2 | EA | 1 | 1 | 1 | |||||||||
| 0002-09 | 8020202 | Grason-Stadler | GSI 39: 226Hz Version 5 to 226 Hz Version 3 | EA | 1 | 1 | 1 | |||||||||
| 0002-10 | 8020203 | Grason-Stadler | GSI 39: 226Hz Version 5 to 226 Hz Version 4 | EA | 1 | 1 | 1 | |||||||||
| 0003 | GSI AUDIOSTAR PRO | EA | 106 | 106 | 106 | |||||||||||
| 0003-01 | 8108091 | Grason-Stadler | GSI AudioStar Pro Two Channel Clincal Audiometer w/Display DD45, B81, IP30 | EA | 1 | 1 | 1 | |||||||||
| 0003-02 | 8503145 | Grason-Stadler | GSI AudioStar Pro Two Channel Clincal Audiometer w/Display DD45, B81, IP30 & DD450 HF | EA | 1 | 1 | 1 | |||||||||
| 0003-03 | 8503179 | Grason-Stadler | GSI AudioStar Pro Two Channel Clinical Audiometer w/Display DD45, B81, IP30 & DD450 with GSI AMTAS | EA | 1 | 1 | 1 | |||||||||
| 0004 | GSI AUDIOSTAR PRO Options | |||||||||||||||
| 0004-01 | 8102475 | Grason-Stadler | Basic Speaker Kit with cable, 90 dB HL | EA | 53 | 53 | 53 | |||||||||
| 0004-02 | 8013647 | Grason-Stadler | High Performance Speaker Kit with cables, 96 dB HL | EA | 27 | 27 | 27 | |||||||||
| 0004-03 | 8103808 | Grason-Stadler | High Performance Speaker Kit with Booster Amplifier and cables, 100 dB HL - US Power Cord lOOV to 240V | EA | 27 | 27 | 27 | |||||||||
| 0004-04 | 8100465 | Grason-Stadler | Booster, PC or printer per UL/IEC/CSA 60601-1) | EA | 106 | 106 | 106 | |||||||||
| 0004-05 | 8503180 | Grason-Stadler | Touch screen PC for use with GSl-AMTAS | EA | 106 | 106 | 106 | |||||||||
| 0004-06 | 8503192 | Grason-Stadler | GSl-AMTAS Upgrade kit (for existing AudioStar Pro) - see GSl-AMTAS requirements specifications. NOTE: System Serial Number and License Number required for Upgrade | EA | 22 | 22 | 22 | |||||||||
| 0005 | GSI AUDIOSTAR PRO Supplies | |||||||||||||||
| 0005-01 | 81091SS | Grason-Stadler | AMBAND - Calibrated Bone Conduction Headbands {10) | EA | 11 | 11 | 11 | |||||||||
| 0006 | GSI AUDIOSTAR PRO Transducers | |||||||||||||||
| 0006-01 | 8503851 | Grason-Stadler | DD45 Audiometric Headset P3045 (Adult) Replacement Kit | EA | 25 | 25 | 25 | |||||||||
| 0006-02 | 8503852 | Grason-Stadler | DD45 Audiometric Headset P3100 (Pediatric) Replacement Kit | EA | 25 | 25 | 25 | |||||||||
| 0006-03 | 80109SI | Grason-Stadler | Earphone Y-cable (L and R) | EA | 25 | 25 | 25 | |||||||||
| 0006-04 | 8010924 | Grason-Stadler | HB-8 Headband, Adult | EA | 25 | 25 | 25 | |||||||||
| 0006-05 | 8010840 | Grason-Stadler | HB-7 Headband, Child | EA | 25 | 25 | 25 | |||||||||
| 0006-06 | 8010894 | Grason-Stadler | Type 51 Earphone Cushion, Single | EA | 25 | 25 | 25 | |||||||||
| 0006-07 | 8104119 | Grason-Stadler | Bone Vibrator Assembly, B81, 10 ohm | EA | 25 | 25 | 25 | |||||||||
| 0006-08 | 8101884 | Grason-Stadler | IP30 Insert Earphones, 10 ohm | EA | 25 | 25 | 25 | |||||||||
| 0006-09 | 8106236 | Grason-Stadler | DD4SO Headphones for High Frequency Audiometry {8000-20,000 Hz) and GSl-AMTAS | EA | 25 | 25 | 25 | |||||||||
| 0007 | GSI AUDIOSTAR PRO CD's and Accessories | |||||||||||||||
| 0007-01 | 81011S6 | Grason-Stadler | AudioStar Pro Software and Manuals, CD Bundle | EA | 106 | 106 | 106 | |||||||||
| 0007-02 | 8100979 | Grason-Stadler | Calibration App with Service Manual, English | EA | 106 | 106 | 106 | |||||||||
| 0007-03 | 81018S3 | Grason-Stadler | Talk Back Mic w/o bracket | EA | 106 | 106 | 106 | |||||||||
| 0007-04 | 8004361 | Grason-Stadler | Basic speaker cable for GSI AudioStar Pro | EA | 106 | 106 | 106 | |||||||||
| 0008 | GSI AUDERA | EA | 25 | 25 | 25 | |||||||||||
| 0008-01 | 8020266 | Grason-Stadler | GSI Audera ASSR System | EA | 1 | 1 | 1 | |||||||||
| 0008-02 | 8020267 | Grason-Stadler | GSI Audera ASSR System | EA | 1 | 1 | 1 | |||||||||
| 0008-03 | 8020263 | Grason-Stadler | GSI Audera AEP/CAEP/ASSR System | EA | 1 | 1 | 1 | |||||||||
| 0009 | GSI CORTI | EA | 25 | 25 | 25 | |||||||||||
| 0009-01 | 8104314 | Grason-Stadler | GSI Corti DPOAE Screening Unit | EA | 1 | 1 | 1 | |||||||||
| 0009-02 | 8104315 | Grason-Stadler | GSI Corti TEOAE Screening Unit | EA | 1 | 1 | 1 | |||||||||
| 0009-03 | 8104316 | Grason-Stadler | GSI Corti DPOAE + TEOAE Screening Unit | EA | 1 | 1 | 1 | |||||||||
| 0009-04 | 8104317 | Grason-Stadler | GSI Corti DPOAE Diagnostic Unit | EA | 1 | 1 | 1 | |||||||||
| 0009-05 | 8104318 | Grason-Stadler | GSI Corti TEOAE Diagnostic Unit | EA | 1 | 1 | 1 | |||||||||
| 0009-06 | 8104319 | Grason-Stadler | GSI Corti DPOAE + TEOAE Diagnostic Unit | EA | 1 | 1 | 1 | |||||||||
| 0010 | GSI TYMPSTAR PRO | |||||||||||||||
| 0010-01 | 8108266 | Grason-Stadler | GSI TympStar Pro Clinical Tympanometer - Comprehensive Middle Ear Analyzer | EA | 75 | 75 | 75 | |||||||||
| 0011 | GSI TYMPSTAR PRO Options | |||||||||||||||
| 0011-01 | 8502002 | Grason-Stadler | TympStar Pro Printer MPT-111 Thermal {3in/ 80mm paper) | EA | 25 | 25 | 25 | |||||||||
| 0011-02 | 8109043 | Grason-Stadler | HP Office Jet Printer {6230 or Equivalent) | EA | 25 | 25 | 25 | |||||||||
| 0011-03 | 8108894 | Grason-Stadler | Metal Test Cavities | EA | 25 | 25 | 25 | |||||||||
| 0011-04 | 8100465 | Grason-Stadler | Isolation Transformer (120V) | EA | 25 | 25 | 25 | |||||||||
| 0012 | GSI TYMPSTAR PRO Supplies | |||||||||||||||
| 0012-01 | 8109405 | Grason-Stadler | Probe Tip Replacement Kit (3) | EA | 8 | 8 | 8 | |||||||||
| 0012-02 | 8108944 | Grason-Stadler | Probe Floss Cleaning Kit | EA | 8 | 8 | 8 | |||||||||
| 0013 | GSI TYMPSTAR PRO CD's and Accessories | |||||||||||||||
| 0013-01 | 8101156 | Grason-Stadler | TympStar Pro Software and Manuals, CD Bundle | EA | 75 | 75 | 75 | |||||||||
| 0013-02 | 8100979 | Grason-Stadler | Calibration App with Service Manual, English | EA | 75 | 75 | 75 | |||||||||
| TOTALS |
| *VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES |
| ROUND ALL FIGURES TO TWO (2) DECIMALS PLACES ONLY |
| VENDORS ARE TO INCOPORATE 3% SLA FEE IN ALL PRICES |
DO NOT ADD INSTALLATION FEES TO THE UNIT PRICE - VISNS WILL PAY FOR INSTALLATION SEPARATELY
&"Arial,Regular"&14ATTACHMENT A
AUDITORY FUNCTION SCREENING DEVICES - PRICE COST SCHEDULE
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