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36C10G19Q0086 Attachment A Cost Price Schedule.xlsx
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Base Year
| CLIN | Alcon 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) |
| Extracorporeal Perfusion Pumps | | | | | | | | | | | |
| 0001 | Model | CONSTELLATION LXT | EA | 4 | $0.00 | $0.00 |
| 0002 | 8065750888 | Fragmentation Handpiece | EA | 4 | | |
| 0003 | 8065797005 | Constellation SF6 Tank 125GM | EA | 4 | | |
| 0004 | 8065751051 | Zeiss/Moeller Fixed Laser Safety Filter | EA | 4 | | |
| 0005 | 8065797105 | Constellation C3F8 Tank 125GM | EA | 4 | | |
| 0006 | 8065751502 | Leica/Wild Fixed Quad Filter | EA | 4 | | |
| | | | | | $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 |
Option Year 1
| CLIN | Alcon Part Number or Equal | Description | Unit of Measure (UOM) | Estimated Option 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) |
| Extracorporeal Perfusion Pumps | | | | | | | | | | | |
| 0001 | Model | CONSTELLATION LXT | EA | 10 | $0.00 | $0.00 |
| 0002 | 8065750888 | Fragmentation Handpiece | EA | 10 | | |
| 0003 | 8065797005 | Constellation SF6 Tank 125GM | EA | 10 | | |
| 0004 | 8065751051 | Zeiss/Moeller Fixed Laser Safety Filter | EA | 10 | | |
| 0005 | 8065797105 | Constellation C3F8 Tank 125GM | EA | 10 | | |
| 0006 | 8065751502 | Leica/Wild Fixed Quad Filter | EA | 10 | | |
| | | | | | $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 |
Option Year 2
| CLIN | Alcon Part Number or Equal | Description | Unit of Measure (UOM) | Estimated Option 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) |
| Extracorporeal Perfusion Pumps | | | | | | | | | | | |
| 0001 | Model | CONSTELLATION LXT | EA | 5 | $0.00 | $0.00 |
| 0002 | 8065750888 | Fragmentation Handpiece | EA | 5 | | |
| 0003 | 8065797005 | Constellation SF6 Tank 125GM | EA | 5 | | |
| 0004 | 8065751051 | Zeiss/Moeller Fixed Laser Safety Filter | EA | 5 | | |
| 0005 | 8065797105 | Constellation C3F8 Tank 125GM | EA | 5 | | |
| 0006 | 8065751502 | Leica/Wild Fixed Quad Filter | EA | 5 | | |
| | | | | | $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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