Attachment 9 - Wheelchairs Pricing Schedule .xlsx
XLSX spreadsheet 525 KB Posted
- Attached to
- 6530--Standard Manual Wheelchair
- Solicitation number
- 36C10G22R0013
About this file
This file provides details on a federal contract opportunity for standard manual wheelchairs issued by the Department of Veterans Affairs Headquarters. The solicitation number is 36C10G22R0013 and seeks pricing information for 6530 standard manual wheelchairs. An Attachment 9 Wheelchairs Pricing Schedule Excel file is included to obtain pricing details for the manual wheelchairs. The combined pre-solicitation was issued for this requirements contract by the VA for standard manual wheelchairs to support veterans. Interested parties should review the pricing schedule to understand the pricing terms required to be considered for this contract award by the VA.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C10G22R0013 0002_1.docx | DOCX document | |
| Attachment 9 - Wheelchairs Pricing Schedule (Amend 0001).xlsx | XLSX spreadsheet | |
| 36C10G22R0013 RFI (Amend 0001).docx | DOCX document | |
| 36C10G22R0013 0001_1.docx | DOCX document | |
| Attachment 8 - Past Performance Questionnaire.pdf | ||
| Attachment 4 - Pay.gov Vendor Submittal Instructions.pdf | ||
| Attachment 3 QSR Reporting Tool.xlsx | XLSX spreadsheet | |
| Attachment 5 - HIPAA-Business Associate Agreement.docx | DOCX document | |
| Attachment 2 Contractor Discrepancy Report.pdf | ||
| Attachment 7 - RFP Questions.xlsx | XLSX spreadsheet | |
| Attachment 1 - Invoice Inquiry Tracker 02.xlsx | XLSX spreadsheet | |
| Attachment 6 - Cross Reference Index.xlsx | XLSX spreadsheet | |
| 36C10G22R0013_2.docx | DOCX document |
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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 | 36C10G21R0013 | 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 | Total Costs with SLA | 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 | Standard Manual Wheelchairs & Accessories | Base | TBD | TBD | EA | 339113 | 6515 | ||||||||||||||||||||||||||||||||||||||||||
| 0001A | Lightweight Wheelchair (K0003) 16x16 | Base | 7561 | EA | 339113 | 6515 | |||||||||||||||||||||||||||||||||||||||||||
| 0001B | Lightweight Wheelchair (K0003) 18x16 | Base | 17641 | EA | 339113 | 6515 | |||||||||||||||||||||||||||||||||||||||||||
| 0001C | Lightweight Wheelchair (K0003) 20x18 | Base | 5419 | EA | 339113 | 6515 | |||||||||||||||||||||||||||||||||||||||||||
| 0001D | Wheelchair Brake Extension (E0961) | Base | 1091 | EA | 339113 | 6515 | |||||||||||||||||||||||||||||||||||||||||||
| 0001E | Wheelchair Elevating Leg Rest(E0990) | Base | 2530 | EA | 339113 | 6515 | |||||||||||||||||||||||||||||||||||||||||||
| 0001F | Crutch and Cane Holder (E2207) | Base | 17 | EA | 339113 | 6515 | |||||||||||||||||||||||||||||||||||||||||||
| 0001G | Cylinder Tank Carrier (E2208) | Base | 677 | EA | 339113 | 6515 | |||||||||||||||||||||||||||||||||||||||||||
| 0002 | Standard Delivery - Provide a fixed delivery cost for Medical Center delivery by region. The average cost of all regions will be multiplied by the total number of wheelchairs under CLINS 001A, 001B, 001C | Base | 30,621 | EA | |||||||||||||||||||||||||||||||||||||||||||||
| 002A | Regio+C11:C21n 1: New England (ME; MA; NH; VT; RI; CT) | Base | 1 | EA | |||||||||||||||||||||||||||||||||||||||||||||
| 002B | Region 2: Northeast (NY; NJ; PA; DE) | Base | 1 | EA | |||||||||||||||||||||||||||||||||||||||||||||
| 002C | Region 3: Mid-Atlantic (DC; MD; VA; WV) | Base | 1 | EA | |||||||||||||||||||||||||||||||||||||||||||||
| 002D | Region 4: Southeast Sunbelt (KY; TN; NC; SC; GA; AL; MS) | Base | 1 | EA | |||||||||||||||||||||||||||||||||||||||||||||
| 002E | Region 5: Sunshine and Caribbean (FL; Puerto Rico) | Base | 1 | EA | |||||||||||||||||||||||||||||||||||||||||||||
| 002F | Region 6: Great Lakes (MN; WI; MI; IL; IN; OH) | Base | 1 | EA | |||||||||||||||||||||||||||||||||||||||||||||
| 002G | Region 7: The Heartland (IA; NE; KS; MO) | Base | 1 | EA | |||||||||||||||||||||||||||||||||||||||||||||
| 002H | Region 8: Greater Southwest (NM; TX; OK; AR; LA) | Base | 1 | EA | |||||||||||||||||||||||||||||||||||||||||||||
| 002J | Region 9: Rocky Mountain (MT; ND; SD; WY; UT; CO) | Base | 1 | EA | |||||||||||||||||||||||||||||||||||||||||||||
| 002K | Region 10: Pacific (CA; NV; AZ; HI) | Base | 1 | EA | |||||||||||||||||||||||||||||||||||||||||||||
| 002L | Region 11: Northwest (AK; WA; OR; ID) | Base | 1 | EA | |||||||||||||||||||||||||||||||||||||||||||||
| Priced | TOTAL BASE COST | ||||||||||||||||||||||||||||||||||||||||||||||||
| 1001 | Standard Manual Wheelchairs & Accessories | Option 1 | TBD | TBD | EA | 339113 | 6515 | ||||||||||||||||||||||||||||||||||||||||||
| 1001A | Lightweight Wheelchair (K0003) 16x16 | Option 1 | 7561 | EA | 339113 | 6515 | |||||||||||||||||||||||||||||||||||||||||||
| 1001B | Lightweight Wheelchair (K0003) 18x16 | Option 1 | 17641 | EA | 339113 | 6515 | |||||||||||||||||||||||||||||||||||||||||||
| 1001C | Lightweight Wheelchair (K0003) 20x18 | Option 1 | 5419 | EA | 339113 | 6515 | |||||||||||||||||||||||||||||||||||||||||||
| 1001D | Wheelchair Brake Extension (E0961) | Option 1 | 1091 | EA | 339113 | 6515 | |||||||||||||||||||||||||||||||||||||||||||
| 1001E | Wheelchair Elevating Leg Rest(E0990) | Option 1 | 2530 | EA | 339113 | 6515 | |||||||||||||||||||||||||||||||||||||||||||
| 1001F | Crutch and Cane Holder (E2207) | Option 1 | 17 | EA | 339113 | 6515 | |||||||||||||||||||||||||||||||||||||||||||
| 1001G | Cylinder Tank Carrier (E2208) | Option 1 | 677 | EA | 339113 | 6515 | |||||||||||||||||||||||||||||||||||||||||||
| 1002 | Standard Delivery - Provide a fixed delivery cost for Medical Center delivery by region. The average cost of all regions will be multiplied by the total number of wheelchairs under CLINS 1001A, 1001B, 1001C | Option 1 | 30,621 | 339113 | 6515 | ||||||||||||||||||||||||||||||||||||||||||||
| 1002A | Regio+C11:C21n 1: New England (ME; MA; NH; VT; RI; CT) | Option 1 | 1 | EA | 339113 | 6515 | |||||||||||||||||||||||||||||||||||||||||||
| 1002B | Region 2: Northeast (NY; NJ; PA; DE) | Option 1 | 1 | EA | 339113 | 6515 | |||||||||||||||||||||||||||||||||||||||||||
| 1002C | Region 3: Mid-Atlantic (DC; MD; VA; WV) | Option 1 | 1 | EA | 339113 | 6515 | |||||||||||||||||||||||||||||||||||||||||||
| 1002D | Region 4: Southeast Sunbelt (KY; TN; NC; SC; GA; AL; MS) | Option 1 | 1 | EA | 339113 | 6515 | |||||||||||||||||||||||||||||||||||||||||||
| 1002E | Region 5: Sunshine and Caribbean (FL; Puerto Rico) | Option 1 | 1 | EA | 339113 | 6515 | |||||||||||||||||||||||||||||||||||||||||||
| 1002F | Region 6: Great Lakes (MN; WI; MI; IL; IN; OH) | Option 1 | 1 | EA | 339113 | 6515 | |||||||||||||||||||||||||||||||||||||||||||
| 1002F | Region 7: The Heartland (IA; NE; KS; MO) | Option 1 | 1 | EA | 339113 | 6515 | |||||||||||||||||||||||||||||||||||||||||||
| 1002H | Region 8: Greater Southwest (NM; TX; OK; AR; LA) | Option 1 | 1 | EA | 339113 | 6515 | |||||||||||||||||||||||||||||||||||||||||||
| 1002J | Region 9: Rocky Mountain (MT; ND; SD; WY; UT; CO) | Option 1 | 1 | EA | 339113 | 6515 | |||||||||||||||||||||||||||||||||||||||||||
| 1002K | Region 10: Pacific (CA; NV; AZ; HI) | Option 1 | 1 | EA | 339113 | 6515 | |||||||||||||||||||||||||||||||||||||||||||
| 1002L | Region 11: Northwest (AK; WA; OR; ID) | Option 1 | 1 | EA | 339113 | 6515 | |||||||||||||||||||||||||||||||||||||||||||
| Priced | TOTAL OPT YR 1 COST |
| 2001 | Standard Manual Wheelchairs & Accessories | Option 2 | TBD | TBD | EA | 339113 | 6515 | ||||
| 2001A | Lightweight Wheelchair (K0003) 16x16 | Option 2 | 8022 | EA | 339113 | 6515 | |||||
| 2001B | Lightweight Wheelchair (K0003) 18x16 | Option 2 | 18715 | EA | 339113 | 6515 | |||||
| 2001C | Lightweight Wheelchair (K0003) 20x18 | Option 2 | 5749 | EA | 339113 | 6515 | |||||
| 2001D | Wheelchair Brake Extension (E0961) | Option 2 | 1158 | EA | 339113 | 6515 | |||||
| 2001E | Wheelchair Elevating Leg Rest(E0990) | Option 2 | 2684 | EA | 339113 | 6515 | |||||
| 2001F | Crutch and Cane Holder (E2207) | Option 2 | 19 | EA | 339113 | 6515 | |||||
| 2001G | Cylinder Tank Carrier (E2208) | Option 2 | 44 | EA | 339113 | 6515 | |||||
| 2002 | Standard Delivery - Provide a fixed delivery cost for Medical Center delivery by region. The average cost of all regions will be multiplied by the total number of wheelchairs under CLINS 2001A, 2001B, 2001C | Option 2 | 32,486 | EA | |||||||
| 2002A | Regio+C11:C21n 1: New England (ME; MA; NH; VT; RI; CT) | Option 2 | 1 | EA | |||||||
| 2002B | Region 2: Northeast (NY; NJ; PA; DE) | Option 2 | 1 | EA | |||||||
| 2002C | Region 3: Mid-Atlantic (DC; MD; VA; WV) | Option 2 | 1 | EA | |||||||
| 2002D | Region 4: Southeast Sunbelt (KY; TN; NC; SC; GA; AL; MS) | Option 2 | 1 | EA | |||||||
| 2002E | Region 5: Sunshine and Caribbean (FL; Puerto Rico) | Option 2 | 1 | EA | |||||||
| 2002F | Region 6: Great Lakes (MN; WI; MI; IL; IN; OH) | Option 2 | 1 | EA | |||||||
| 2002G | Region 7: The Heartland (IA; NE; KS; MO) | Option 2 | 1 | EA | |||||||
| 2002H | Region 8: Greater Southwest (NM; TX; OK; AR; LA) | Option 2 | 1 | EA | |||||||
| 2002J | Region 9: Rocky Mountain (MT; ND; SD; WY; UT; CO) | Option 2 | 1 | EA | |||||||
| 2002K | Region 10: Pacific (CA; NV; AZ; HI) | Option 2 | 1 | EA | |||||||
| 2002L | Region 11: Northwest (AK; WA; OR; ID) | Option 2 | 1 | EA | |||||||
| Priced | TOTAL OPT YR 2COST |
| 3001 | Standard Manual Wheelchairs & Accessories | Option 2 | TBD | TBD | EA | 339113 | 6515 | ||||
| 3001A | Lightweight Wheelchair (K0003) 16x16 | Option 3 | 8022 | EA | 339113 | 6515 | |||||
| 3001B | Lightweight Wheelchair (K0003) 18x16 | Option 3 | 18715 | EA | 339113 | 6515 | |||||
| 3001C | Lightweight Wheelchair (K0003) 20x18 | Option 3 | 5749 | EA | 339113 | 6515 | |||||
| 3001D | Wheelchair Brake Extension (E0961) | Option 3 | 1158 | EA | 339113 | 6515 | |||||
| 3001E | Wheelchair Elevating Leg Rest(E0990) | Option 3 | 2684 | EA | 339113 | 6515 | |||||
| 3001F | Crutch and Cane Holder (E2207) | Option 3 | 19 | EA | 339113 | 6515 | |||||
| 3001G | Cylinder Tank Carrier (E2208) | Option 3 | 44 | EA | 339113 | 6515 | |||||
| 3002 | Standard Delivery - Provide a fixed delivery cost for Medical Center delivery by region. The average cost of all regions will be multiplied by the total number of wheelchairs under CLINS 3001A, 3001B, 3001C | Option 2 | 30,621 | EA | |||||||
| 3002A | Regio+C11:C21n 1: New England (ME; MA; NH; VT; RI; CT) | Option 2 | 1 | EA | |||||||
| 3002B | Region 2: Northeast (NY; NJ; PA; DE) | Option 3 | 1 | EA | |||||||
| 3002C | Region 3: Mid-Atlantic (DC; MD; VA; WV) | Option 3 | 1 | EA | |||||||
| 3002D | Region 4: Southeast Sunbelt (KY; TN; NC; SC; GA; AL; MS) | Option 3 | 1 | EA | |||||||
| 3002E | Region 5: Sunshine and Caribbean (FL; Puerto Rico) | Option 3 | 1 | EA | |||||||
| 3002F | Region 6: Great Lakes (MN; WI; MI; IL; IN; OH) | Option 3 | 1 | EA | |||||||
| 3002G | Region 7: The Heartland (IA; NE; KS; MO) | Option 3 | 1 | EA | |||||||
| 3002H | Region 8: Greater Southwest (NM; TX; OK; AR; LA) | Option 3 | 1 | EA | |||||||
| 3002J | Region 9: Rocky Mountain (MT; ND; SD; WY; UT; CO) | Option 3 | 1 | EA | |||||||
| 3002K | Region 10: Pacific (CA; NV; AZ; HI) | Option 3 | 1 | EA | |||||||
| 3002L | Region 11: Northwest (AK; WA; OR; ID) | Option 3 | 1 | EA | |||||||
| Priced | TOTAL OPT YR 3 COST | ||||||||||
| 4001 | Standard Manual Wheelchairs & Accessories | Option 4 | TBD | TBD | EA | 339113 | 6515 | ||||
| 4001A | Lightweight Wheelchair (K0003) 16x16 | Option 4 | 8511 | EA | 339113 | 6515 | |||||
| 4001B | Lightweight Wheelchair (K0003) 18x16 | Option 4 | 19854 | EA | 339113 | 6515 | |||||
| 4001C | Lightweight Wheelchair (K0003) 20x18 | Option 4 | 6099 | EA | 339113 | 6515 | |||||
| 4001D | Wheelchair Brake Extension (E0961) | Option 4 | 1229 | EA | 339113 | 6515 | |||||
| 4001E | Wheelchair Elevating Leg Rest(E0990) | Option 4 | 2848 | EA | 339113 | 6515 | |||||
| 4001F | Crutch and Cane Holder (E2207) | Option 4 | 21 | EA | 339113 | 6515 | |||||
| 4001G | Cylinder Tank Carrier (E2208) | Option 4 | 46 | EA | 339113 | 6515 | |||||
| 4002 | Standard Delivery - Provide a fixed delivery cost for Medical Center delivery by region. The average cost of all regions will be multiplied by the total number of wheelchairs under CLINS 4001A, 4001B, 4001C | Option 4 | 34,464 | EA | |||||||
| 4002A | Regio+C11:C21n 1: New England (ME; MA; NH; VT; RI; CT) | Option 4 | 1 | EA | |||||||
| 4002B | Region 2: Northeast (NY; NJ; PA; DE) | Option 4 | 1 | EA | |||||||
| 4002C | Region 3: Mid-Atlantic (DC; MD; VA; WV) | Option 4 | 1 | EA | |||||||
| 4002D | Region 4: Southeast Sunbelt (KY; TN; NC; SC; GA; AL; MS) | Option 4 | 1 | EA | |||||||
| 4002E | Region 5: Sunshine and Caribbean (FL; Puerto Rico) | Option 4 | 1 | EA | |||||||
| 4002F | Region 6: Great Lakes (MN; WI; MI; IL; IN; OH) | Option 4 | 1 | EA | |||||||
| 4002G | Region 7: The Heartland (IA; NE; KS; MO) | Option 4 | 1 | EA | |||||||
| 4002H | Region 8: Greater Southwest (NM; TX; OK; AR; LA) | Option 4 | 1 | EA | |||||||
| 4002J | Region 9: Rocky Mountain (MT; ND; SD; WY; UT; CO) | Option 4 | 1 | EA | |||||||
| 4002K | Region 10: Pacific (CA; NV; AZ; HI) | Option 4 | 1 | EA | |||||||
| 4002L | Region 11: Northwest (AK; WA; OR; ID) | Option 4 | 1 | EA | |||||||
| Priced | TOTAL OPT YR 4 COST |
GRAND TOTAL
RefData
| Discount Type | YN | Options | Receipt Type | Line Item is | FOB | State Code | State Description |
| Percent | Yes | Base | Quantity | Priced | (none) | AK | Alaska |
| Amount | No | Option 1 | Amount | NSP | Origin | AL | Alabama |
| Option 2 | N/C | Destination | AR | Arkansas | |||
| Option 3 | AS | American Samoa | |||||
| Option 4 | AZ | Arizona | |||||
| Option 5 | CA | California | |||||
| Option 6 | CO | Colorado | |||||
| Option 7 | CT | Connecticut | |||||
| Option 8 | DC | District of Columbia | |||||
| Option 9 | DE | Delaware | |||||
| Option 10 | FL | Florida | |||||
| FM | Federal States of Micronesia | ||||||
| GA | Georgia | ||||||
| GU | Guam | ||||||
| HI | Hawaii | ||||||
| IA | Iowa | ||||||
| ID | Idaho | ||||||
| IL | Illinois | ||||||
| IN | Indiana | ||||||
| KS | Kansas | ||||||
| KY | Kentucky | ||||||
| LA | Louisiana | ||||||
| MA | Massachusetts | ||||||
| MD | Maryland | ||||||
| ME | Maine | ||||||
| MH | Marshall Islands | ||||||
| MI | Michigan | ||||||
| MN | Minnesota | ||||||
| MO | Missouri | ||||||
| MP | Northern Mariana Islands | ||||||
| MS | Mississippi | ||||||
| MT | Montana | ||||||
| NC | North Carolina | ||||||
| ND | North Dakota | ||||||
| NE | Nebraska | ||||||
| NH | New Hampshire | ||||||
| NJ | New Jersy | ||||||
| NM | New Mexico | ||||||
| NV | Nevada | ||||||
| NY | New York | ||||||
| OH | Ohio | ||||||
| OK | Oklahoma | ||||||
| OR | Oregon | ||||||
| PA | Pennsylvania | ||||||
| PR | Puerto Rico | ||||||
| PW | Palau | ||||||
| RI | Rhode Island | ||||||
| SC | South Carolina | ||||||
| SD | South Dakota | ||||||
| TN | Tennessee | ||||||
| TX | Texas |
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