36C10G19Q0036-0003001.xlsx

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NX EQ Tables, Examination (VA-19-00000298)
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36C10G19Q0036
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36C10G19Q0036 0003 Amendment 03 ATTACHMENT A - PRICE COST SCHEDULE - Exam Tables.xlsx

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Sheet1

CLINPart NumberBrand Name/ ManufacturerItem DescriptionUnit of Measure (UOM)Estimated Quantity (Base Year)Estimated Quantity (Opt Year 1)Estimated Quantity (Opt Year 2)Manufacturer NameManufacturer Part NumberContractor Part NumberUnit of MeasureQuantity per UOMCommercial PriceProposed
Unit Price (Base Year)Proposed
Total Price (Base Year Unit Price X Qty)Proposed
Unit Price (Option Year 1)Proposed Total Price (Option Year 1 Unit Price X Qty)Proposed
Unit Price (Option Year 2)Proposed
Total Price (Option Year 2 Unit Price X Qty)Total Proposed Price ( Base + Option Years 1 & 2)
00014416XHausmannModel 4416 X-L Power-Back Exam TableEA151617
00024416X-LHausmannPower Back Exam Table – Same as 4416 X - Left Handed ConfigurationEA345
00034412HausmannPowermatic® Exam TablesEA151617
00044412-99LHausmannSame as 4412, Left Handed ConfigurationEA567
00054460HausmannPowermatic® Exam Tables Wheelchair accessible, Americans with Disabilities Act (ADA )EA333639
00064465HausmannSame as 4460 Left Handed ConfigurationEA456
000704HausmannTable Safety Strap (4460 and 4465)EA747188
0008015HausmannSafety Rail (2 per table) (4460 and 4465)EA148162176
0009095Hausmann(1) Armboard with (2) brackets (4460 and 4465)EA192021
0010098Hausmann"Pop-Up" Elevating Leg Rest (4460 and 4465)EA181920
0011017HausmannUtility Rails (4460 and 4465)EA374044
0013089HausmannMotorized Power Backrest (4460 and 4465)EA374044
0014091HausmannPelvic Tilt (Controls on both sides) (4460 and 4465)EA374044
0015097HausmannStainless Steel Pan and Cutout (4460 and 4465)EA374044
TOTALS
Quotes must inlcude 3% SLA Fee
Vendors must complete all highlighted cells

ATTACHMENT A

EXAM TABLES - PRICE COST SCHEDULE

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