Attachment 9 - Pricing Schedule Template as of amendment 0001.xlsx
XLSX spreadsheet 500 KB Posted
- Solicitation number
- 36C10G20R0016
About this file
This pricing schedule template and solicitation are for the procurement of desktop closed circuit televisions (CCTVs) and video magnification devices for in-home use by veterans. The Department of Veterans Affairs seeks to establish an indefinite delivery, indefinite quantity contract over five years to acquire small, medium, large, and enhanced CCTVs, carrying cases, X/Y tables, and in-home setup/orientation services. Pricing is requested for four contract options. Delivery costs are also required for 11 regions of the continental US, Hawaii, and US territories. Offers must be submitted electronically by September 14, 2020 to be considered for award.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C10G20R0016 0001_1.docx | DOCX document | |
| Attachment 7 - RFP Questions Compiled.xlsx | XLSX spreadsheet | |
| Attachment 8 - Past Performance Questionnaire.docx | DOCX document | |
| Attachment 5 - HIPAA-Business Associate Agreement.docx | DOCX document | |
| Attachment 7 - RFP Questions.xlsx | XLSX spreadsheet | |
| Attachment 2 Contractor Discrepancy Report.pdf | ||
| Attachment 6 - Cross Reference Index.xlsx | XLSX spreadsheet | |
| Attachment 3 QSR Reporting Tool.xlsx | XLSX spreadsheet | |
| Attachment 1 - Invoice Inquiry Tracker.xlsx | XLSX spreadsheet | |
| Attachment 4 - Pay.gov Vendor Submittal Instructions.pdf | ||
| 36C10G20R0016_2.docx | DOCX document | |
| Attachment 9 - Pricing Schedule Template Updated 081419.xlsx | XLSX spreadsheet |
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Text version
Action Line Item Information
| Action Type Name | Primary ID | Secondary ID | Mod Number | Title | Order Discount Type Name | Order Discount Type | Order Discount |
| RFQ | 36C10G18Q9136 | NX EQ Heat Sealers (VA-18-00024939) | Percent | 0 |
KB Version: FY20.01C
Items
| Item Number | SLIN | Description | Ref CLIN | Comment | Include Comments in Document | Contract Period | Pop Begin | Pop End | Quantity | Unit of Measure | Packaging Multiple | Receipt Type | Line Item Is | Unit Price to include SLA Fee | Costs | Item Discount Type Name | Item Discount | Date Updated | Address1 | Address2 | Address3 | City | State | Zip | Zip4 | Country | Mark For | Contact Name | Contact Phone | Contact Email | Delivery Date | FOB | Special Instructions | Include Instructions/Comments in Document | PRINCIPAL NAICS CODE | PRODUCT/SERVICE CODE | UNSPSC | SIC CODE | MANUFACTURER PART NUMBER (MPN) | NATIONAL STOCK NUMBER | LOCAL STOCK NUMBER | DM DOC ID | DELIVERY REF. COUNTER | UNIT TEXT/DESCRIPTION | DELIVERY REFERENCE | ITEM MASTER FILE NUMBER | EXPENDABLE/NON-EXPENDABLE | QUANTITY REQUESTED | UNIT OF PURCHASE CODE |
| 0001 | Deskto Video Magnifier (CCTV) Small Screen size 11"-16.9"). Please see the Minimum Technical Requirements (MTR's) for complete product requirement. To include the carrying case and warranty support. | Base | TBD | TBD | 174 | EA | 334220 | 5820 | |||||||||||||||||||||||||||||||||||||||||
| 0002 | Desktop Video Magnifier (CCTV) - Medium (Screen size 18"-20"), to include the X/Y Table and warranty support. Please see the Minimum Technical Requirements (MTR's) for complete product requirement. | Base | 2607 | EA | 334220 | 5820 | |||||||||||||||||||||||||||||||||||||||||||
| 0003 | Desktop Video Magnifier (CCTV) - Large (Screen size 22"-27") to include the X/Y Table and warranty support. Please see the Minimum Technical Requirements (MTR's) for complete product requirement. | Base | 695 | EA | 334220 | 5820 | |||||||||||||||||||||||||||||||||||||||||||
| 0004 | Video Magnifier with Enhanced Features-Multi-Distance Viewing (20"- 27") to include warranty support. Please see the Minimum Technical Requirements (MTR's) for complete product requirement. | Base | 1211 | EA | 334220 | 5820 | |||||||||||||||||||||||||||||||||||||||||||
| 0005 | In Home Set-Up/Brief Orientation. Please see the Minimum Technical Requirements (MTR's) for complete product requirement in accordance with paragraphs 3.6.8 and 3.6.9. | Base | 4687 | EA | 334220 | 5820 | |||||||||||||||||||||||||||||||||||||||||||
| 0006 | Carrying Case (See MTRs) | Base | 1000 | EA | 334220 | 5820 | |||||||||||||||||||||||||||||||||||||||||||
| 0007 | X/Y Table (See MTRs) | Base | 1000 | EA | 334220 | 5820 | |||||||||||||||||||||||||||||||||||||||||||
| 0008 | Standard Delivery - Provide a fixed delivery cost for at home Veteran and Medical Center delivery by region. | Base | EA | 334220 | 5820 | ||||||||||||||||||||||||||||||||||||||||||||
| 0008A | Region 1: New England (ME; MA; NH; VT; RI; CT) | Base | 1 | EA | 334220 | 5820 | |||||||||||||||||||||||||||||||||||||||||||
| 0008B | Region 2: Northeast (NY; NJ; PA; DE) | Base | 1 | EA | 334220 | 5820 | |||||||||||||||||||||||||||||||||||||||||||
| 0008C | Region 3: Mid-Atlantic (DC; MD; VA; WV) | Base | 1 | EA | 334220 | 5820 | |||||||||||||||||||||||||||||||||||||||||||
| 0008D | Region 4: Southeast Sunbelt (KY; TN; NC; SC; GA; AL; MS) | Base | 1 | EA | 334220 | 5820 | |||||||||||||||||||||||||||||||||||||||||||
| 0008E | Region 5: Sunshine and Caribbean (FL; Puerto Rico) | Base | 1 | EA | 334220 | 5820 | |||||||||||||||||||||||||||||||||||||||||||
| 0008F | Region 6: Great Lakes (MN; WI; MI; IL; IN; OH) | Base | 1 | EA | 334220 | 5820 | |||||||||||||||||||||||||||||||||||||||||||
| 0008G | Region 7: The Heartland (IA; NE; KS; MO) | Base | 1 | EA | 334220 | 5820 | |||||||||||||||||||||||||||||||||||||||||||
| 0008H | Region 8: Greater Southwest (NM; TX; OK; AR; LA) | Base | 1 | EA | 334220 | 5820 | |||||||||||||||||||||||||||||||||||||||||||
| 0008I | Region 9: Rocky Mountain (MT; ND; SD; WY; UT; CO) | Base | 1 | EA | 334220 | 5820 | |||||||||||||||||||||||||||||||||||||||||||
| 0008J | Region 10: Pacific (CA; NV; AZ; HI) | Base | 1 | EA | 334220 | 5820 | |||||||||||||||||||||||||||||||||||||||||||
| 0008K | Region 11: Northwest (AK; WA; OR; ID) | Base | 1 | EA | 334220 | 5820 |
| 1001 | Deskto Video Magnifier (CCTV) Small Screen size 11"-16.9"). Please see the Minimum Technical Requirements (MTR's) for complete product requirement. To include the carrying case and warranty support. | Option 1 | 174 | EA | 334220 | 5820 |
| 1002 | Desktop Video Magnifier (CCTV) - Medium (Screen size 18"-20"), to include the X/Y Table and warranty support. Please see the Minimum Technical Requirements (MTR's) for complete product requirement. | Option 1 | 2607 | EA | 334220 | 5820 |
| 1003 | Desktop Video Magnifier (CCTV) - Large (Screen size 22"-27") to include the X/Y Table and warranty support. Please see the Minimum Technical Requirements (MTR's) for complete product requirement. | Option 1 | 695 | EA | 334220 | 5820 |
| 1004 | Video Magnifier with Enhanced Features-Multi-Distance Viewing (20"- 27") to include warranty support. Please see the Minimum Technical Requirements (MTR's) for complete product requirement. | Option 1 | 1211 | EA | 334220 | 5820 |
| 1005 | In Home Set-Up/Brief Orientation. Please see the Minimum Technical Requirements (MTR's) for complete product requirement in accordance with paragraphs 3.6.8 and 3.6.9. | Option 1 | 4687 | EA | 334220 | 5820 |
| 1006 | Carrying Case (See MTRs) | Option 1 | 1000 | EA | 334220 | 5820 |
| 1007 | X/Y Table (See MTRs) | Option 1 | 1000 | EA | 334220 | 5820 |
| 1008 | Standard Delivery - Provide a fixed delivery cost for at home Veteran and Medical Center delivery by region. | Option 1 | EA | 334220 | 5820 | |
| 1008A | Region 1: New England (ME; MA; NH; VT; RI; CT) | Option 1 | 1 | EA | 334220 | 5820 |
| 1008B | Region 2: Northeast (NY; NJ; PA; DE) | Option 1 | 1 | EA | 334220 | 5820 |
| 1008C | Region 3: Mid-Atlantic (DC; MD; VA; WV) | Option 1 | 1 | EA | 334220 | 5820 |
| 1008D | Region 4: Southeast Sunbelt (KY; TN; NC; SC; GA; AL; MS) | Option 1 | 1 | EA | 334220 | 5820 |
| 1008E | Region 5: Sunshine and Caribbean (FL; Puerto Rico) | Option 1 | 1 | EA | 334220 | 5820 |
| 1008F | Region 6: Great Lakes (MN; WI; MI; IL; IN; OH) | Option 1 | 1 | EA | 334220 | 5820 |
| 1008G | Region 7: The Heartland (IA; NE; KS; MO) | Option 1 | 1 | EA | 334220 | 5820 |
| 1008H | Region 8: Greater Southwest (NM; TX; OK; AR; LA) | Option 1 | 1 | EA | 334220 | 5820 |
| 1008I | Region 9: Rocky Mountain (MT; ND; SD; WY; UT; CO) | Option 1 | 1 | EA | 334220 | 5820 |
| 1008J | Region 10: Pacific (CA; NV; AZ; HI) | Option 1 | 1 | EA | 334220 | 5820 |
| 1008K | Region 11: Northwest (AK; WA; OR; ID) | Option 1 | 1 | EA | 334220 | 5820 |
| 2001 | Deskto Video Magnifier (CCTV) Small Screen size 11"-16.9"). Please see the Minimum Technical Requirements (MTR's) for complete product requirement. To include the carrying case and warranty support. | Option 2 | 174 | EA | 334220 | 5820 |
| 2002 | Desktop Video Magnifier (CCTV) - Medium (Screen size 18"-20"), to include the X/Y Table and warranty support. Please see the Minimum Technical Requirements (MTR's) for complete product requirement. | Option 2 | 2607 | EA | 334220 | 5820 |
| 2003 | Desktop Video Magnifier (CCTV) - Large (Screen size 22"-27") to include the X/Y Table and warranty support. Please see the Minimum Technical Requirements (MTR's) for complete product requirement. | Option 2 | 695 | EA | 334220 | 5820 |
| 2004 | Video Magnifier with Enhanced Features-Multi-Distance Viewing (20"- 27") to include warranty support. Please see the Minimum Technical Requirements (MTR's) for complete product requirement. | Option 2 | 1211 | EA | 334220 | 5820 |
| 2005 | In Home Set-Up/Brief Orientation. Please see the Minimum Technical Requirements (MTR's) for complete product requirement in accordance with paragraphs 3.6.8 and 3.6.9. | Option 2 | 4687 | EA | 334220 | 5820 |
| 2006 | Carrying Case (See MTRs) | Option 2 | 1000 | EA | 334220 | 5820 |
| 2007 | X/Y Table (See MTRs) | Option 2 | 1000 | EA | 334220 | 5820 |
| 2008 | Standard Delivery - Provide a fixed delivery cost for at home Veteran and Medical Center delivery by region. | Option 2 | EA | 334220 | 5820 | |
| 2008A | Region 1: New England (ME; MA; NH; VT; RI; CT) | Option 2 | 1 | EA | 334220 | 5820 |
| 2008B | Region 2: Northeast (NY; NJ; PA; DE) | Option 2 | 1 | EA | 334220 | 5820 |
| 2008C | Region 3: Mid-Atlantic (DC; MD; VA; WV) | Option 2 | 1 | EA | 334220 | 5820 |
| 2008D | Region 4: Southeast Sunbelt (KY; TN; NC; SC; GA; AL; MS) | Option 2 | 1 | EA | 334220 | 5820 |
| 2008E | Region 5: Sunshine and Caribbean (FL; Puerto Rico) | Option 2 | 1 | EA | 334220 | 5820 |
| 2008F | Region 6: Great Lakes (MN; WI; MI; IL; IN; OH) | Option 2 | 1 | EA | 334220 | 5820 |
| 2008G | Region 7: The Heartland (IA; NE; KS; MO) | Option 2 | 1 | EA | 334220 | 5820 |
| 2008H | Region 8: Greater Southwest (NM; TX; OK; AR; LA) | Option 2 | 1 | EA | 334220 | 5820 |
| 2008I | Region 9: Rocky Mountain (MT; ND; SD; WY; UT; CO) | Option 2 | 1 | EA | 334220 | 5820 |
| 2008J | Region 10: Pacific (CA; NV; AZ; HI) | Option 2 | 1 | EA | 334220 | 5820 |
| 2008K | Region 11: Northwest (AK; WA; OR; ID) | Option 2 | 1 | EA | 334220 | 5820 |
| 3001 | Deskto Video Magnifier (CCTV) Small Screen size 11"-16.9"). Please see the Minimum Technical Requirements (MTR's) for complete product requirement. To include the carrying case and warranty support. | Option 3 | 174 | EA | 334220 | 5820 |
| 3002 | Desktop Video Magnifier (CCTV) - Medium (Screen size 18"-20"), to include the X/Y Table and warranty support. Please see the Minimum Technical Requirements (MTR's) for complete product requirement. | Option 3 | 2607 | EA | 334220 | 5820 |
| 3003 | Desktop Video Magnifier (CCTV) - Large (Screen size 22"-27") to include the X/Y Table and warranty support. Please see the Minimum Technical Requirements (MTR's) for complete product requirement. | Option 3 | 695 | EA | 334220 | 5820 |
| 3004 | Video Magnifier with Enhanced Features-Multi-Distance Viewing (20"- 27") to include warranty support. Please see the Minimum Technical Requirements (MTR's) for complete product requirement. | Option 3 | 1211 | EA | 334220 | 5820 |
| 3005 | In Home Set-Up/Brief Orientation. Please see the Minimum Technical Requirements (MTR's) for complete product requirement in accordance with paragraphs 3.6.8 and 3.6.9. | Option 3 | 4687 | EA | 334220 | 5820 |
| 3006 | Carrying Case (See MTRs) | Option 3 | 1000 | EA | 334220 | 5820 |
| 3007 | X/Y Table (See MTRs) | Option 3 | 1000 | EA | 334220 | 5820 |
| 3008 | Standard Delivery - Provide a fixed delivery cost for at home Veteran and Medical Center delivery by region. | Option 3 | EA | 334220 | 5820 | |
| 3008A | Region 1: New England (ME; MA; NH; VT; RI; CT) | Option 3 | 1 | EA | ||
| 3008B | Region 2: Northeast (NY; NJ; PA; DE) | Option 3 | 1 | EA | 334220 | 5820 |
| 3008C | Region 3: Mid-Atlantic (DC; MD; VA; WV) | Option 3 | 1 | EA | 334220 | 5820 |
| 3008D | Region 4: Southeast Sunbelt (KY; TN; NC; SC; GA; AL; MS) | Option 3 | 1 | EA | 334220 | 5820 |
| 3008E | Region 5: Sunshine and Caribbean (FL; Puerto Rico) | Option 3 | 1 | EA | 334220 | 5820 |
| 3008F | Region 6: Great Lakes (MN; WI; MI; IL; IN; OH) | Option 3 | 1 | EA | 334220 | 5820 |
| 3008G | Region 7: The Heartland (IA; NE; KS; MO) | Option 3 | 1 | EA | 334220 | 5820 |
| 3008H | Region 8: Greater Southwest (NM; TX; OK; AR; LA) | Option 3 | 1 | EA | 334220 | 5820 |
| 3008I | Region 9: Rocky Mountain (MT; ND; SD; WY; UT; CO) | Option 3 | 1 | EA | 334220 | 5820 |
| 3008J | Region 10: Pacific (CA; NV; AZ; HI) | Option 3 | 1 | EA | 334220 | 5820 |
| 3008K | Region 11: Northwest (AK; WA; OR; ID) | Option 3 | 1 | EA | 334220 | 5820 |
| 4001 | Deskto Video Magnifier (CCTV) Small Screen size 11"-16.9"). Please see the Minimum Technical Requirements (MTR's) for complete product requirement. To include the carrying case and warranty support. | Option 4 | 174 | EA | 334220 | 5820 | |
| 4002 | Desktop Video Magnifier (CCTV) - Medium (Screen size 18"-20"), to include the X/Y Table and warranty support. Please see the Minimum Technical Requirements (MTR's) for complete product requirement. | Option 4 | 2607 | EA | 334220 | 5820 | |
| 4003 | Desktop Video Magnifier (CCTV) - Large (Screen size 22"-27") to include the X/Y Table and warranty support. Please see the Minimum Technical Requirements (MTR's) for complete product requirement. | Option 4 | 695 | EA | 334220 | 5820 | |
| 4004 | Video Magnifier with Enhanced Features-Multi-Distance Viewing (20"- 27") to include warranty support. Please see the Minimum Technical Requirements (MTR's) for complete product requirement. | Option 4 | 1211 | EA | 334220 | 5820 | |
| 4005 | In Home Set-Up/Brief Orientation. Please see the Minimum Technical Requirements (MTR's) for complete product requirement in accordance with paragraphs 3.6.8 and 3.6.9. | Option 4 | 4687 | EA | 334220 | 5820 | |
| 4006 | Carrying Case (See MTRs) | Option 4 | 1000 | EA | 334220 | 5820 | |
| 4007 | X/Y Table (See MTRs) | Option 4 | 1000 | EA | 334220 | 5820 | |
| 4008 | Standard Delivery - Provide a fixed delivery cost for at home Veteran and Medical Center delivery by region. | Option 4 | EA | 334220 | 5820 | ||
| 4008A | Region 1: New England (ME; MA; NH; VT; RI; CT) | Option 4 | 1 | EA | 334220 | 5820 | |
| 4008B | Region 2: Northeast (NY; NJ; PA; DE) | Option 4 | 1 | EA | 334220 | 5820 | |
| 4008C | Region 3: Mid-Atlantic (DC; MD; VA; WV) | Option 4 | 1 | EA | 334220 | 5820 | |
| 4008D | Region 4: Southeast Sunbelt (KY; TN; NC; SC; GA; AL; MS) | Option 4 | 1 | EA | 334220 | 5820 | |
| 4008E | Region 5: Sunshine and Caribbean (FL; Puerto Rico) | Option 4 | 1 | EA | 334220 | 5820 | |
| 4008F | Region 6: Great Lakes (MN; WI; MI; IL; IN; OH) | Option 4 | 1 | EA | 334220 | 5820 | |
| 4008G | Region 7: The Heartland (IA; NE; KS; MO) | Option 4 | 1 | EA | 334220 | 5820 | |
| 4008H | Region 8: Greater Southwest (NM; TX; OK; AR; LA) | Option 4 | 1 | EA | 334220 | 5820 | |
| 4008I | Region 9: Rocky Mountain (MT; ND; SD; WY; UT; CO) | Option 4 | 1 | EA | 334220 | 5820 | |
| 4008J | Region 10: Pacific (CA; NV; AZ; HI) | Option 4 | 1 | EA | 334220 | 5820 | |
| 4008K | Region 11: Northwest (AK; WA; OR; ID) | Option 4 | 1 | EA | 334220 | 5820 | |
| 334220 | 5820 | ||||||
| _______________ |
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