REVISED ATTACHMENT A - PRICE COST SCHEDULE - NX EQ HUMIDIFIERS AIRWAY HEAT MOISTURE EXCHANGE.xlsx

XLSX spreadsheet 16 KB Posted

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6515--NX EQ Humidifiers Airway Heat Moisture Exchange
Solicitation number
36C10G22Q0019
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36C10G22Q0019_1.docx DOCX document
ATTACHMENT E - REPORTING TOOL - NX EQ HUMIDIFIERS AIRWAY HEAT MOISTURE EXCHANGE.xlsx XLSX spreadsheet
ATTACHMENT B - CONTRACT ADMINISTRATION - NX EQ HUMIDIFIERS AIRWAY HEAT MOISTURE EXCHANGE.docx DOCX document
ATTACHMENT C - CONTRACT CLAUSES - NX EQ HUMIDIFIERS AIRWAY HEAT MOISTURE EXCHANGE.docx DOCX document
ATTACHMENT D - SOLICITATION PROVISIONS - NX EQ HUMIDIFIERS AIRWAY HEAT MOISTURE EXCHANGE.docx DOCX document
36C10G22Q0019.docx DOCX document
ATTACHMENT A - PRICE COST SCHEDULE - NX EQ HUMIDIFIERS AIRWAY HEAT MOISTURE EXCHANGE.xlsx XLSX spreadsheet

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Sheet1

CLINPart NumberBrand NameItem DescriptionUnit of Measure (UOM)Quantity Per UOMEstimated Quantity (Base Year)Estimated Quantity (Opt Year 1)Estimated Quantity (Opt Year 2)Estimated Quantity (Opt Year 3)Estimated Quantity (Opt Year 4)Manufacturer NameManufacturer Part NumberItem DescriptionContractor Part Number (if different from OEM)Unit of MeasureQuantity per UOMDelivery Days AROCommercial PriceProposed Unit
Price (Base Year)SLA (3%)Total Price (Unit Price plus SLA)
Base YearProposed Unit
Price (Option Year 1)SLA (3%)Total Price (Unit Price plus SLA)
Option Year 1Proposed Unit
Price (Option Year 2)SLA (3%)Total Price (Unit Price plus SLA)
Option Year 2Proposed Unit
Price (Option Year 3)SLA (3%)Total Price (Unit Price plus SLA)
Option Year 3Proposed Unit
Price (Option Year 4)SLA (3%)Total Price (Unit Price plus SLA)
Option Year 4Total Evaluated Price (with 3% SLA and estimated quantities) - Base YearTotal Evaluated Price (with 3% SLA and estimated quantities) - Opt Year 1Total Evaluated Price (with 3% SLA and estimated quantities) - Opt Year 2Total Evaluated Price (with 3% SLA and estimated quantities) - Opt Year 3Total Evaluated Price (with 3% SLA and estimated quantities) - Opt Year 4Total Evaluated Price
0001MR850-JHUFisher & PaykelHumidifier Heated Anesthesia Invasive/Non-Invasive Mode Temperature Control F/Heated Circuit W/Interface Serial Port/Mounting BracketEach1150150150150150$ 5.00$ 0.15$ 5.15$ 6.00$ 0.18$ 6.18$ 7.00$ 0.21$ 7.21$ 8.00$ 0.24$ 8.24$ 9.00$ 0.27$ 9.27$ 772.50$ 927.00$ 1,081.50$ 1,236.00$ 1,390.50$ 5,407.50
0002PT101USFisher & PaykelAIRVO™ Humidification System for High Flow Oxygen TherapyEach1150150150150150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0003900MR806Fisher & PaykelHeater Wire AdapterEach1150150150150150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0004900HC032Fisher & PaykelHumidifier Mounting TrayEach1150150150150150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0005900MR011Fisher & PaykelWater Bag Pole Straight 50"Each1150150150150150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0006900MR290Fisher & PaykelWater Bag Pole Bent 28"Each1150150150150150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0007900PT421Fisher & PaykelMobile Pole Stand - 1.6m (5'3")Each1150150150150150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0008900PT405Fisher & PaykelPole Mounting TrapEach1150150150150150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0009900PT427Fisher & PaykelOxygen Cylinder HolderEach1150150150150150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0010900PT411Fisher & PaykelUniversal Power Source Mounting KitEach1150150150150150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0011R127P35Fisher & PaykelGas HoseEach1150150150150150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0012R220P87-001Fisher & Paykel0-70/2-26 L/min Flowmeter ModuleEach1150150150150150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0013900MR805Fisher & PaykelAdaptor MR850 Dual HTD RT CCTEach1150150150150150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0014900MR861Fisher & PaykelProbe Temp/Flow Rt Ang 2200mmEach1150150150150150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0015900MR868Fisher & PaykelProbe Temp/Flow Rt Ang 1450mmEach1150150150150150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0016900MR869Fisher & PaykelProbe Temp/Flow Rt Ang 1850mmEach1150150150150150$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ 5,407.50Total Price
`
*VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES*VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES
**ARO = Delivery Days After Receipt of Order**ARO = Delivery Days After Receipt of Order

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