36C10G19Q0050-001.xlsx

XLSX spreadsheet 72 KB Posted

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NX EQ Patient Scales (VA-18-00107645) Welch Allyn Scales, Brand Name or Equal
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36C10G19Q0050
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36C10G19Q0050 ATTACHMENT A - COST PRICE SCHEDULE_NX EQ PATIENT SCALES.xlsx

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BASE YEAR

CLINSLINWelch Allyn Scale-Tronix Part NumberPrecision Brand / DescriptionEstimated QuantityUnit of Measure (UOM)Vendor's Proposed ManufacturerVendor's Brand Name or Equal Part NumberDelivery Days **AROProposed Unit Price***3% SLA FEETotal Proposed Price (SLA Fee Included)
00015102Physician’s Stand-On Scale, Low-profile platform with wall-mounted digital readout (configuration choices 0001 AA – AB)5EA
0001AA5102-X-BPhysician’s Stand-On Scale with standard weight (lb/kg) (X) and line cord adapter IEC Plug Type-B (B)1EA
0001AB5102-X-XPhysician’s Stand-On Scale with standard weight (lb/kg) (X) and battery power1EA
00026102Flush-Mounted In-Floor Scale, for wheelchair, chair and stand-on weighing, Level with floor to help reduce fall risk and improve ease of access, Bright, easy-to-read display (configuration choices 0002 AA – AC)5EA
0002AA6102-XXE-BFlush-Mounted In-Floor Scale with standard weight (lb/kg) (X), data port (X) and external readout (E)1EA
0002AB6102-XPF-BFlush-Mounted In-Floor Scale with standard weight (lb/kg) (X), printer (P) and flush-mounted readout (F)1EA
0002AC6102-XXF-BFlush-Mounted In-Floor Scale with standard weight (lb/kg) (X), data port (X) and flush-mounted readout (F)1EA
00036154Flush-Mounted In-Floor Scale, designed to easily weigh patients on stretchers (configuration choices 0003 AA - AB)5EA
0003AA6154-XPF-BFlush-Mounted In-Floor Scale with standard weight (lb/kg) (X), printer (P) and flush-mounted readout (F)1EA
0003AB6154-XXE-BFlush-Mounted In-Floor Scale with standard weight (lb/kg) (X), data port (X) and external readout (E)1EA
00045125Portable Stand-On Scale (configuration choices 0004 AA - AB)10EA
0004AA5125-X-BPortable Stand-On Scale with standard weight (lb/kg) (X) and line cord adapter IEC Plug Type-B (B)1EA
0004AB5125-X-XPortable Stand-On Scale with standard weight (lb/kg) (X) and battery power1EA
00055127Bariatric Portable Stand-On Scale (configuration choices 0005 AA - AB)5EA
0005AA5127-X-BBariatric Portable Stand-On Scale with standard weight (lb/kg) (X) and line cord adapter IEC Plug Type-B (B)1EA
0005AB5127-X-XBariatric Portable Stand-On Scale with standard weight (lb/kg) (X) and battery power1EA
00066702Oversized Wheelchair Scale (configuration choices 0006 AA - AH)175EA
0006AA6702-XX-BOversized Wheelchair Scale with standard weight (lb/kg) (X), data port (X) and line cord IEC Plug Type-B (B)1EA
0006AB6702-XX-XOversized Wheelchair Scale with standard weight (lb/kg) (X), data port (X) and battery power1EA
0006AC6702W-XP-BOversized Wheelchair Scale with standard weight (lb/kg) (X), printer (P) and line cord IEC Plug Type-B (B)1EA
0006AD6702W-XX-BOversized Wheelchair Scale with standard weight (lb/kg) (X), data port (X) and line cord IEC Plug Type-B (B)1EA
0006AE6702W-XX-XOversized Wheelchair Scale with standard weight (lb/kg) (X), data port (X) and battery power1EA
0006AF6702SP-XP-BOversized Wheelchair Scales with standard weight (lb/kg) (X), printer (P) and line cord IEC Plug Type-B (B)1EA
0006AG6702SP-XX-BOversized Wheelchair Scales with standard weight (lb/kg) (X), data port (X) and line cord IEC Plug Type-B (B)1EA
0006AH6702SP-XX-XOversized Wheelchair Scales with standard weight (lb/kg) (X), data port (X) and battery power1EA
00076202Stow-A-Weigh Wheelchair Scale (configuration choices 0007 AA - AF)15EA
0007AA6202-XP-BStow-A-Weigh Wheelchair Scale with standard weight (lb/kg) (X), printer (P) and line cord adapter IEC Plug Type-B (B)1EA
0007AB6202-XX-BStow-A-Weigh Wheelchair Scale with standard weight (lb/kg) (X), data port (X) and line cord adapter IEC Plug Type-B (B)1EA
0007AC6202-XX-XStow-A-Weigh Wheelchair Scale with standard weight (lb/kg) (X), data port (X) and battery power1EA
0007AD6202D-XP-BStow-A-Weigh Stretcher Scale with standard weight (lb/kg) (X), printer (P) and line cord adapter IEC Plug Type-B (B)1EA
0007AE6202D-XX-BStow-A-Weigh Stretcher Scale with standard weight (lb/kg) (X), data port (X) and line cord adapter IEC Plug Type-B (B)1EA
0007AF6202D-XX-XStow-A-Weigh Stretcher Scale with standard weight (lb/kg) (X), data port (X) and battery power1EA
00085202-XStow-A-Weigh Stand-On Scale with standard weight (lb/kg) (X)15EA
00095002-XX-XMobile stand-on scale with standard weight (lb/kg) (X), data port (X) and battery power (X)400EA
00105702-XX-XMobile bariatric stand-on scale with standard weight (lb/kg) (X), data port (X) and battery power20EA
00115122-X-XLow-Profile Stand-On Scale with standard weight (lb/kg) (X) and battery power5EA
00126002-XX-XWheelchair Scale with standard weight (lb/kg) (X), data port (X) and battery power (X)200EA
TOTAL
NOTE: Estimated quantities are provided at the CLIN level for Total Proposed pricing; evaluation of price will be at the CLIN level. At the SLIN level, pricing for a quantity of 1 EA is requested to obtain pricing for each specification option, but will not be evaluated.
*VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES
**ARO = Delivery Days After Receipt of Order
***SLA = Service Level Agreement
Ensure Columns J & K are formatted only two decimal spaces

OPTION YEAR 1

CLINSLINWelch Allyn Scale-Tronix Part NumberPrecision Brand / DescriptionEstimated QuantityUnit of Measure (UOM)Vendor's Proposed ManufacturerVendor's Brand Name or Equal Part NumberDelivery Days **AROProposed Unit Price***3% SLA FEETotal Proposed Price (SLA Fee Included)
10015102Physician’s Stand-On Scale, Low-profile platform with wall-mounted digital readout (configuration choices 1001 AA – AB)5EA
1001AA5102-X-BPhysician’s Stand-On Scale with standard weight (lb/kg) (X) and line cord adapter IEC Plug Type-B (B)1EA
1001AB5102-X-XPhysician’s Stand-On Scale with standard weight (lb/kg) (X) and battery power1EA
10026102Flush-Mounted In-Floor Scale, for wheelchair, chair and stand-on weighing, Level with floor to help reduce fall risk and improve ease of access, Bright, easy-to-read display (configuration choices 1002 AA – AC)5EA
1002AA6102-XXE-BFlush-Mounted In-Floor Scale with standard weight (lb/kg) (X), data port (X) and external readout (E)1EA
1002AB6102-XPF-BFlush-Mounted In-Floor Scale with standard weight (lb/kg) (X), printer (P) and flush-mounted readout (F)1EA
1002AC6102-XXF-BFlush-Mounted In-Floor Scale with standard weight (lb/kg) (X), data port (X) and flush-mounted readout (F)1EA
10036154Flush-Mounted In-Floor Scale, designed to easily weigh patients on stretchers (configuration choices 1003 AA - AB)5EA
1003AA6154-XPF-BFlush-Mounted In-Floor Scale with standard weight (lb/kg) (X), printer (P) and flush-mounted readout (F)1EA
1003AB6154-XXE-BFlush-Mounted In-Floor Scale with standard weight (lb/kg) (X), data port (X) and external readout (E)1EA
10045125Portable Stand-On Scale (configuration choices 1004 AA - AB)10EA
1004AA5125-X-BPortable Stand-On Scale with standard weight (lb/kg) (X) and line cord adapter IEC Plug Type-B (B)1EA
1004AB5125-X-XPortable Stand-On Scale with standard weight (lb/kg) (X) and battery power1EA
10055127Bariatric Portable Stand-On Scale (configuration choices 1005 AA - AB)5EA
1005AA5127-X-BBariatric Portable Stand-On Scale with standard weight (lb/kg) (X) and line cord adapter IEC Plug Type-B (B)1EA
1005AB5127-X-XBariatric Portable Stand-On Scale with standard weight (lb/kg) (X) and battery power1EA
10066702Oversized Wheelchair Scale (configuration choices 1006 AA - AH)175EA
1006AA6702-XX-BOversized Wheelchair Scale with standard weight (lb/kg) (X), data port (X) and line cord IEC Plug Type-B (B)1EA
1006AB6702-XX-XOversized Wheelchair Scale with standard weight (lb/kg) (X), data port (X) and battery power1EA
1006AC6702W-XP-BOversized Wheelchair Scale with standard weight (lb/kg) (X), printer (P) and line cord IEC Plug Type-B (B)1EA
1006AD6702W-XX-BOversized Wheelchair Scale with standard weight (lb/kg) (X), data port (X) and line cord IEC Plug Type-B (B)1EA
1006AE6702W-XX-XOversized Wheelchair Scale with standard weight (lb/kg) (X), data port (X) and battery power1EA
1006AF6702SP-XP-BOversized Wheelchair Scales with standard weight (lb/kg) (X), printer (P) and line cord IEC Plug Type-B (B)1EA
1006AG6702SP-XX-BOversized Wheelchair Scales with standard weight (lb/kg) (X), data port (X) and line cord IEC Plug Type-B (B)1EA
1006AH6702SP-XX-XOversized Wheelchair Scales with standard weight (lb/kg) (X), data port (X) and battery power1EA
10076202Stow-A-Weigh Wheelchair Scale (configuration choices 1007 AA - AF)15EA
1007AA6202-XP-BStow-A-Weigh Wheelchair Scale with standard weight (lb/kg) (X), printer (P) and line cord adapter IEC Plug Type-B (B)1EA
1007AB6202-XX-BStow-A-Weigh Wheelchair Scale with standard weight (lb/kg) (X), data port (X) and line cord adapter IEC Plug Type-B (B)1EA
1007AC6202-XX-XStow-A-Weigh Wheelchair Scale with standard weight (lb/kg) (X), data port (X) and battery power1EA
1007AD6202D-XP-BStow-A-Weigh Stretcher Scale with standard weight (lb/kg) (X), printer (P) and line cord adapter IEC Plug Type-B (B)1EA
1007AE6202D-XX-BStow-A-Weigh Stretcher Scale with standard weight (lb/kg) (X), data port (X) and line cord adapter IEC Plug Type-B (B)1EA
1007AF6202D-XX-XStow-A-Weigh Stretcher Scale with standard weight (lb/kg) (X), data port (X) and battery power1EA
10085202-XStow-A-Weigh Stand-On Scale with standard weight (lb/kg) (X)15EA
10095002-XX-XMobile stand-on scale with standard weight (lb/kg) (X), data port (X) and battery power (X)400EA
10105702-XX-XMobile bariatric stand-on scale with standard weight (lb/kg) (X), data port (X) and battery power20EA
10115122-X-XLow-Profile Stand-On Scale with standard weight (lb/kg) (X) and battery power5EA
10126002-XX-XWheelchair Scale with standard weight (lb/kg) (X), data port (X) and battery power (X)200EA
TOTAL
NOTE: Estimated quantities are provided at the CLIN level for Total Proposed pricing; evaluation of price will be at the CLIN level. At the SLIN level, pricing for a quantity of 1 EA is requested to obtain pricing for each specification option, but will not be evaluated.
*VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES
**ARO = Delivery Days After Receipt of Order
***SLA = Service Level Agreement
Ensure Columns J & K are formatted only two decimal spaces

OPTION YEAR 2

CLINSLINWelch Allyn Scale-Tronix Part NumberPrecision Brand / DescriptionEstimated QuantityUnit of Measure (UOM)Vendor's Proposed ManufacturerVendor's Brand Name or Equal Part NumberDelivery Days **AROProposed Unit Price***3% SLA FEETotal Proposed Price (SLA Fee Included)
20015102Physician’s Stand-On Scale, Low-profile platform with wall-mounted digital readout (configuration choices 2001 AA – AB)5EA
2001AA5102-X-BPhysician’s Stand-On Scale with standard weight (lb/kg) (X) and line cord adapter IEC Plug Type-B (B)1EA
2001AB5102-X-XPhysician’s Stand-On Scale with standard weight (lb/kg) (X) and battery power1EA
20026102Flush-Mounted In-Floor Scale, for wheelchair, chair and stand-on weighing, Level with floor to help reduce fall risk and improve ease of access, Bright, easy-to-read display (configuration choices 2002 AA – AC)5EA
2002AA6102-XXE-BFlush-Mounted In-Floor Scale with standard weight (lb/kg) (X), data port (X) and external readout (E)1EA
2002AB6102-XPF-BFlush-Mounted In-Floor Scale with standard weight (lb/kg) (X), printer (P) and flush-mounted readout (F)1EA
2002AC6102-XXF-BFlush-Mounted In-Floor Scale with standard weight (lb/kg) (X), data port (X) and flush-mounted readout (F)1EA
20036154Flush-Mounted In-Floor Scale, designed to easily weigh patients on stretchers (configuration choices 2003 AA - AB)5EA
2003AA6154-XPF-BFlush-Mounted In-Floor Scale with standard weight (lb/kg) (X), printer (P) and flush-mounted readout (F)1EA
2003AB6154-XXE-BFlush-Mounted In-Floor Scale with standard weight (lb/kg) (X), data port (X) and external readout (E)1EA
20045125Portable Stand-On Scale (configuration choices 2004 AA - AB)10EA
2004AA5125-X-BPortable Stand-On Scale with standard weight (lb/kg) (X) and line cord adapter IEC Plug Type-B (B)1EA
2004AB5125-X-XPortable Stand-On Scale with standard weight (lb/kg) (X) and battery power1EA
20055127Bariatric Portable Stand-On Scale (configuration choices 2005 AA - AB)5EA
2005AA5127-X-BBariatric Portable Stand-On Scale with standard weight (lb/kg) (X) and line cord adapter IEC Plug Type-B (B)1EA
2005AB5127-X-XBariatric Portable Stand-On Scale with standard weight (lb/kg) (X) and battery power1EA
20066702Oversized Wheelchair Scale (configuration choices 2006 AA - AH)175EA
2006AA6702-XX-BOversized Wheelchair Scale with standard weight (lb/kg) (X), data port (X) and line cord IEC Plug Type-B (B)1EA
2006AB6702-XX-XOversized Wheelchair Scale with standard weight (lb/kg) (X), data port (X) and battery power1EA
2006AC6702W-XP-BOversized Wheelchair Scale with standard weight (lb/kg) (X), printer (P) and line cord IEC Plug Type-B (B)1EA
2006AD6702W-XX-BOversized Wheelchair Scale with standard weight (lb/kg) (X), data port (X) and line cord IEC Plug Type-B (B)1EA
2006AE6702W-XX-XOversized Wheelchair Scale with standard weight (lb/kg) (X), data port (X) and battery power1EA
2006AF6702SP-XP-BOversized Wheelchair Scales with standard weight (lb/kg) (X), printer (P) and line cord IEC Plug Type-B (B)1EA
2006AG6702SP-XX-BOversized Wheelchair Scales with standard weight (lb/kg) (X), data port (X) and line cord IEC Plug Type-B (B)1EA
2006AH6702SP-XX-XOversized Wheelchair Scales with standard weight (lb/kg) (X), data port (X) and battery power1EA
20076202Stow-A-Weigh Wheelchair Scale (configuration choices 2007 AA - AF)15EA
2007AA6202-XP-BStow-A-Weigh Wheelchair Scale with standard weight (lb/kg) (X), printer (P) and line cord adapter IEC Plug Type-B (B)1EA
2007AB6202-XX-BStow-A-Weigh Wheelchair Scale with standard weight (lb/kg) (X), data port (X) and line cord adapter IEC Plug Type-B (B)1EA
2007AC6202-XX-XStow-A-Weigh Wheelchair Scale with standard weight (lb/kg) (X), data port (X) and battery power1EA
2007AD6202D-XP-BStow-A-Weigh Stretcher Scale with standard weight (lb/kg) (X), printer (P) and line cord adapter IEC Plug Type-B (B)1EA
2007AE6202D-XX-BStow-A-Weigh Stretcher Scale with standard weight (lb/kg) (X), data port (X) and line cord adapter IEC Plug Type-B (B)1EA
2007AF6202D-XX-XStow-A-Weigh Stretcher Scale with standard weight (lb/kg) (X), data port (X) and battery power1EA
20085202-XStow-A-Weigh Stand-On Scale with standard weight (lb/kg) (X)15EA
20095002-XX-XMobile stand-on scale with standard weight (lb/kg) (X), data port (X) and battery power (X)400EA
20105702-XX-XMobile bariatric stand-on scale with standard weight (lb/kg) (X), data port (X) and battery power20EA
20115122-X-XLow-Profile Stand-On Scale with standard weight (lb/kg) (X) and battery power5EA
20126002-XX-XWheelchair Scale with standard weight (lb/kg) (X), data port (X) and battery power (X)200EA
TOTAL
NOTE: Estimated quantities are provided at the CLIN level for Total Proposed pricing; evaluation of price will be at the CLIN level. At the SLIN level, pricing for a quantity of 1 EA is requested to obtain pricing for each specification option, but will not be evaluated.
*VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES
**ARO = Delivery Days After Receipt of Order
***SLA = Service Level Agreement
Ensure Columns J & K are formatted only two decimal spaces

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