36C10G20Q0002-001.xlsx

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NX EQ Tympanometers (VA-19-00093479)
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36C10G20Q0002
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36C10G20Q0002 ATTACHMENT A _ PRICE_COST SCHEDULE.xlsx

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36C10G20Q0002-005.xlsx XLSX spreadsheet
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PRICE QUOTE

CLINYEARWelchAllyn Part NumberBrand / 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)Total Proposed Cost (estimated qty multiplied by total proposed unit price)
0001Base YearWelch Allyn MicroTymp 4 Portable Tympanometer System (system includes subCLINs 0001AA-0001AJ)300SE
0001AABase Year93700MicroTymp 4 Handset
0001ABBase Year93710MT4 Charging Cradle
0001ACBase Year93715MT4 Power Supply
0001ADBase Year93720MT4 Ear Tip Starter Set
0001AEBase Year93730,MT4 Probe Tip Cleaning Kit
0001AFBase Year93750MT4 Four-Volume Test Cavity
0001AGBase Year39414MT4/OAE USB Data Cable
0001AHBase Year93771MT4 Printer Cable
0001AJBase Year39410MPT-II Thermal Printer Kit
0002Base YearWelch Allyn TM 286 AutoTymp Tympanometric System (system includes subCLINs 0002AA-0002AL)300SE
0002AABase Year28600TM 286 AutoTymp
0002ABBase Year26100TM Eartips (6 sizes, 2 each)
0002ACBase Year26241TM Test Cavity
0002ADBase Year28203DD45 Audiometry Headset External
0002AEBase Year28206Threshold Audiometry Card
0002AFBase Year28600TM286 Probe Assembly
0002AGBase Year28601 or 729243TM286 Power brick (for devices with serial numbers GS0077116 and earlier) or Power supply AM282, TM 286, 4th Edition (for devices with serial numbers

GS0077117 and later)

0002AHBase Year28603TM286 Directions for Use Manual (printed, English only)
0002AJBase Year28604TM286 Quick Reference Guide
0002AKBase Year28607TM Wall Chart for Tymp tracings
0002ALBase Year52600Thermal Paper 4" wide (3 rolls shipped with system)
1001Option Year 1Welch Allyn MicroTymp 4 Portable Tympanometer System (system includes subCLINs 1001AA-1001AJ)300SE
1001AAOption Year 193700MicroTymp 4 Handset
1001ABOption Year 193710MT4 Charging Cradle
1001ACOption Year 193715MT4 Power Supply
1001ADOption Year 193720MT4 Ear Tip Starter Set
1001AEOption Year 193730,MT4 Probe Tip Cleaning Kit
1001AFOption Year 193750MT4 Four-Volume Test Cavity
1001AGOption Year 139414MT4/OAE USB Data Cable
1001AHOption Year 193771MT4 Printer Cable
1001AJOption Year 139410MPT-II Thermal Printer Kit
1002Option Year 1Welch Allyn TM 286 AutoTymp Tympanometric System (system includes subCLINs 1002AA-1002AK)300SE
1002AAOption Year 128600TM 286 AutoTymp
1002ABOption Year 126100TM Eartips (6 sizes, 2 each)
1002ACOption Year 126241TM Test Cavity
1002ADOption Year 128203DD45 Audiometry Headset External
1002AEOption Year 128206Threshold Audiometry Card
1002AFOption Year 128600TM286 Probe Assembly
1002AGOption Year 128601 or 729243TM286 Power brick (for devices with serial numbers GS0077116 and earlier) or Power supply AM282, TM 286, 4th Edition (for devices with serial numbers

GS0077117 and later)

1002AHOption Year 128603TM286 Directions for Use Manual (printed, English only)
1002AJOption Year 128604TM286 Quick Reference Guide
1002AKOption Year 128607TM Wall Chart for Tymp tracings
1002ALOption Year 152600Thermal Paper 4" wide (3 rolls shipped with system)
2001Option Year 2Welch Allyn MicroTymp 4 Portable Tympanometer System (system includes subCLINs 2001AA-2001AJ)250SE
2001AAOption Year 293700MicroTymp 4 Handset
2001ABOption Year 293710MT4 Charging Cradle
2001ACOption Year 293715MT4 Power Supply
2001ADOption Year 293720MT4 Ear Tip Starter Set
2001AEOption Year 293730,MT4 Probe Tip Cleaning Kit
2001AFOption Year 293750MT4 Four-Volume Test Cavity
2001AGOption Year 239414MT4/OAE USB Data Cable
2001AHOption Year 293771MT4 Printer Cable
2001AJOption Year 239410MPT-II Thermal Printer Kit
2002Option Year 2Welch Allyn TM 286 AutoTymp Tympanometric System (system includes subCLINs 2002AA-2002AK)250SE
2002AAOption Year 228600TM 286 AutoTymp
2002ABOption Year 226100TM Eartips (6 sizes, 2 each)
2002ACOption Year 226241TM Test Cavity
2002ADOption Year 228203DD45 Audiometry Headset External
2002AEOption Year 228206Threshold Audiometry Card
2002AFOption Year 228600TM286 Probe Assembly
2002AGOption Year 228601 or 729243TM286 Power brick (for devices with serial numbers GS0077116 and earlier) or Power supply AM282, TM 286, 4th Edition (for devices with serial numbers

GS0077117 and later)

2002AHOption Year 228603TM286 Directions for Use Manual (printed, English only)
2002AJOption Year 228604TM286 Quick Reference Guide
2002AKOption Year 228607TM Wall Chart for Tymp tracings
2002ALOption Year 252600Thermal Paper 4" wide (3 rolls shipped with system)
THREE YEAR TOTAL COST
*VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES (If the components are sold separately, list their price as well)
**ARO = Delivery Days After Receipt of Order
***SLA = Service Level Agreement
Ensure Columns J & K are formatted only two decimal spaces

File details come from the government source that posted it. Updated .