36C10G20Q0008-0001026.xlsx

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6540--36C10G-20-Q-0008 NX EQ Chairs and Stands: Exam/Treatment: Ophthalmology
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36C10G20Q0008
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36C10G20Q0008 0001 Attachment A Cost Price Schedule-Chairs and Stands.xlsx

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BASE YEAR

CLINReliance Part Number or EqualDescriptionUnit of Measure (UOM)Estimated Base Year Contract QuantityManufacturer Part NumberContractor Part NumberQuantity per UOMDelivery Days **AROProposed Unit Price***3% SLA FEETotal Proposed Price (SLA Fee Included)
CHAIRS AND STANDS: EXAM TREATMENT: OPHTHALMOLOGY
00017000LOphthalmic Chair; standard electrical, includes Model 7000 Fully Powered Ophthalmic Hydraulic Examination Chair/Minor Procedure Table, Charcoal with Low Base and Headrest # 18 Concaved Fully AdjustableEA50$0.00$0.00
00027000LOphthalmic Chair; standard electrical includes Model 7000 Fully Powered Ophthalmic Hydraulic Examination Chair/Minor Procedure Table, Colonial Blue with Low Base Headrest # 18 Concaved Fully AdjustableEA50$0.00$0.00
00037000LOphthalmic Chair; standard electrical, includes Model 7000 Fully Powered Ophthalmic Hydraulic Examination Chair/Minor Procedure Table, Chocolate with Low Base Headrest # 18 Concaved Fully AdjustableEA25$0.00$0.00
00047000LOphthalmic Chair; standard electrical, includes Model 7000 Fully Powered Ophthalmic Hydraulic Examination Chair/Minor Procedure Table, Black with Low Base Headrest # 18 Concaved Fully AdjustableEA25$0.00$0.00
00057900 ICOphthalmic Stand; standard electrical, 7900-IC Ophthalmic Stand (with console), Stand Overhead Light, rechargeable instrument wells, control consoleEA50$0.00$0.00
00067900 IC/WCOphthalmic Stand; standard electrical, 7900-IC Ophthalmic Stand (with console), with Wheelchair modification includes Lower Slit Lamp Arm, Stand Overhead Light, rechargeable instrument wells, control console.EA100$0.00$0.00
00077900 NCOphthalmic Stand; standard electrical, 7900-NC Ophthalmic Stand (without console), Stand Overhead Light.EA20$0.00$0.00
00087900 NC/WCOphthalmic Stand; standard electrical, 7900-NC Ophthalmic Stand (without console) with Wheelchair modification, includes Lower Slit Lamp Arm, Stand Overhead Light.EA40$0.00$0.00
0009940Chair Glide for ADA Compliance, RoundEA75$0.00$0.00
0010942Chair Glide for ADA Compliance, RectangleEA75$0.00$0.00
0011538011Third (3rd) Instrument ArmEA100$0.00$0.00
0012144070Headrest, No. 22 Oversized Concave – fully adjustableEA25$0.00$0.00
TOTAL$0.00$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 YR 1

CLINReliance Part Number or EqualDescriptionUnit of Measure (UOM)Estimated Base Year Contract QuantityManufacturer Part NumberContractor Part NumberQuantity per UOMDelivery Days **AROProposed Unit Price***3% SLA FEETotal Proposed Price (SLA Fee Included)
CHAIRS AND STANDS: EXAM TREATMENT: OPHTHALMOLOGY
00017000LOphthalmic Chair; standard electrical, includes Model 7000 Fully Powered Ophthalmic Hydraulic Examination Chair/Minor Procedure Table, Charcoal with Low Base and Headrest # 18 Concaved Fully AdjustableEA50$0.00$0.00
00027000LOphthalmic Chair; standard electrical includes Model 7000 Fully Powered Ophthalmic Hydraulic Examination Chair/Minor Procedure Table, Colonial Blue with Low Base Headrest # 18 Concaved Fully AdjustableEA50$0.00$0.00
00037000LOphthalmic Chair; standard electrical, includes Model 7000 Fully Powered Ophthalmic Hydraulic Examination Chair/Minor Procedure Table, Chocolate with Low Base Headrest # 18 Concaved Fully AdjustableEA25$0.00$0.00
00047000LOphthalmic Chair; standard electrical, includes Model 7000 Fully Powered Ophthalmic Hydraulic Examination Chair/Minor Procedure Table, Black with Low Base Headrest # 18 Concaved Fully AdjustableEA25$0.00$0.00
00057900 ICOphthalmic Stand; standard electrical, 7900-IC Ophthalmic Stand (with console), Stand Overhead Light, rechargeable instrument wells, control consoleEA50$0.00$0.00
00067900 IC/WCOphthalmic Stand; standard electrical, 7900-IC Ophthalmic Stand (with console), with Wheelchair modification includes Lower Slit Lamp Arm, Stand Overhead Light, rechargeable instrument wells, control console.EA100$0.00$0.00
00077900 NCOphthalmic Stand; standard electrical, 7900-NC Ophthalmic Stand (without console), Stand Overhead Light.EA20$0.00$0.00
00087900 NC/WCOphthalmic Stand; standard electrical, 7900-NC Ophthalmic Stand (without console) with Wheelchair modification, includes Lower Slit Lamp Arm, Stand Overhead Light.EA40$0.00$0.00
0009940Chair Glide for ADA Compliance, RoundEA75$0.00$0.00
0010942Chair Glide for ADA Compliance, RectangleEA75$0.00$0.00
0011538011Third (3rd) Instrument ArmEA100$0.00$0.00
0012144070Headrest, No. 22 Oversized Concave – fully adjustableEA25$0.00$0.00
TOTAL$0.00$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 YR 2

CLINSteris Part Number or EqualDescriptionUnit of Measure (UOM)Estimated Base Year Contract QuantityManufacturer Part NumberContractor Part NumberQuantity per UOMDelivery Days **AROProposed Unit Price***3% SLA FEETotal Proposed Price (SLA Fee Included)
CHAIRS AND STANDS: EXAM TREATMENT: OPHTHALMOLOGY
00017000LOphthalmic Chair; standard electrical, includes Model 7000 Fully Powered Ophthalmic Hydraulic Examination Chair/Minor Procedure Table, Charcoal with Low Base and Headrest # 18 Concaved Fully AdjustableEA50$0.00$0.00
00027000LOphthalmic Chair; standard electrical includes Model 7000 Fully Powered Ophthalmic Hydraulic Examination Chair/Minor Procedure Table, Colonial Blue with Low Base Headrest # 18 Concaved Fully AdjustableEA50$0.00$0.00
00037000LOphthalmic Chair; standard electrical, includes Model 7000 Fully Powered Ophthalmic Hydraulic Examination Chair/Minor Procedure Table, Chocolate with Low Base Headrest # 18 Concaved Fully AdjustableEA25$0.00$0.00
00047000LOphthalmic Chair; standard electrical, includes Model 7000 Fully Powered Ophthalmic Hydraulic Examination Chair/Minor Procedure Table, Black with Low Base Headrest # 18 Concaved Fully AdjustableEA25$0.00$0.00
00057900 ICOphthalmic Stand; standard electrical, 7900-IC Ophthalmic Stand (with console), Stand Overhead Light, rechargeable instrument wells, control consoleEA50$0.00$0.00
00067900 IC/WCOphthalmic Stand; standard electrical, 7900-IC Ophthalmic Stand (with console), with Wheelchair modification includes Lower Slit Lamp Arm, Stand Overhead Light, rechargeable instrument wells, control console.EA100$0.00$0.00
00077900 NCOphthalmic Stand; standard electrical, 7900-NC Ophthalmic Stand (without console), Stand Overhead Light.EA20$0.00$0.00
00087900 NC/WCOphthalmic Stand; standard electrical, 7900-NC Ophthalmic Stand (without console) with Wheelchair modification, includes Lower Slit Lamp Arm, Stand Overhead LightEA40$0.00$0.00
0009940Chair Glide for ADA Compliance, RoundEA75$0.00$0.00
0010942Chair Glide for ADA Compliance, RectangleEA75$0.00$0.00
0011538011Third (3rd) Instrument ArmEA100$0.00$0.00
0012144070Headrest, No. 22 Oversized Concave – fully adjustableEA25$0.00$0.00
TOTAL$0.00$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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