Copy of ATTACHMENT A - PRICE COST SCHEDULE - NX EQ MEDICAL CARTS STORAGE TRANSPORT - Revised.xlsx

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6515--NX BN0E Medical Carts Storage Transport (VA-23-00060855)
Solicitation number
36C10G24R0002
Issued by

About this file

This document is a Price Cost Schedule for a Federal contract opportunity. It details the Contract Line Item Numbers (CLINs) for various medical carts and accessories from the Capsa brand, including M38e, XP, Trio, and ACMi models. The CLINs specify the product descriptions, quantities, unit prices, and total evaluated prices over a 5-year base and option period. The document is part of Solicitation 36C10G24R0002 for Non-Expendable (NX) EQ Medical Carts: Storage/Transport, issued by the Department of Veterans Affairs (VA). The solicitation is for a brand name or equal contract, with Capsa as the brand name, using a requirements contract structure. Key details include: the scope of medical carts required, salient characteristics, product removal/recall procedures, data rights, and relevant attachments. Proposals are due by August 6, 2024.

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Sheet1

CLINBrand NamePart NumberItem DescriptionUnit of Measure (UOM)Quantity Per UOMEstimated Quantity (Year 1)Estimated Quantity (Year 2)Estimated Quantity (Year 3)Estimated Quantity (Year 4)Estimated Quantity (Year 5)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
0001CAPSA/CotuitVA-M38NSM38e Non-Storage CartEach15050505050$ 3,917.83$ 117.53$ 4,035.36$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ 201,768.00$ - 0$ - 0$ - 0$ - 0$ 201,768.00
CAPSA/CotuitM38XP / M38RX Tier Configuration Sets$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0002CAPSA/CotuitVA-M38XPM38e XP 2 Tier Storage Cart - Select Any One (1) Tier Configuration Set from CLINS 0003 thru 0010Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0003CAPSA/Cotuit9M38-11Wide Bin Draw One Across 13-3/8w x 12-3/8l x 2-5/8 hEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0004CAPSA/Cotuit9M38-22Medium Bin Two Across 6-3/4 w x 12-38 l x 2-5/8 hEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0005CAPSA/Cotuit9M38-33Small Bin Three Across 4-12 w x 12-3/8 l x 2-5/8 hEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0006CAPSA/Cotuit9M38-DDDouble Deep Bins 6-3/4 w x 12-3/8 l x 5-12 hEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0007CAPSA/Cotuit9M38-12Two Bins Across and One Drawer AcrossEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0008CAPSA/Cotuit9M38-13Three Bins Across and One Drawer AcrossEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0009CAPSA/Cotuit9M38-23Three Bins Across and Two Bins AcrossEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0010CAPSA/Cotuit9M38-DDDouble Deep Bins 13-38 w x 12-3/8 l x 5-12 hEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CAPSA/CotuitMaxBin Tier Configurations$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0011CAPSA/CotuitVA-M38RXM38e RX 4 Tier Storage CartEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0012CAPSA/CotuitVA-MaxB1One Tier - Choose Any One (1) Configuration from CLIN 0011Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0013CAPSA/CotuitVA-MaxB2Two Tier - Choose Any Two (2) Configurations from CLIN 0011Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0014CAPSA/CotuitVA-MaxB3Three Tier - Choose Any Three (3) Configurations from CLIN 0011Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0015CAPSA/CotuitVA-MaxB4Four Tier - Choose Any Four (4) Configurations from CLIN 0011Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0016CAPSA/CotuitVA-MaxB5Five Tier - Choose Any Five (5) Configurations from CLIN 0011Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CAPSA/CotuitMaxBin Drawer Kits$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0017CAPSA/CotuitVA-M38TrioM38 Trio MaxBin Cart (Select Any Configuration from CLINS 0018 thru 0022)Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0018CAPSA/Cotuit207161Any One (1) Tier Configuration Set From CLIN 0017 Part NumberEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0019CAPSA/Cotuit207160Any Two (2) Tier Configuration Set From CLIN 0017 Part NumberEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0020CAPSA/Cotuit207159Any Three (3) Tier Configuration Set From CLIN 0017 Part NumberEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0021CAPSA/Cotuit207158Any Four (4) Tier Configuration Set From CLIN 0017 Part NumberEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0022CAPSA/Cotuit207157Any Five (5) Tier Configuration Set From CLIN 0017 Part NumberEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CAPSA/CotuitACMi Bin and Drawer Configurations Select 8 - 10 Tiers$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0023CAPSA/CotuitVA-ACMiNCACMi 10H LTC Cart (Select Any Configuration from CLINS 0024 thru 0033)Each15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0024CAPSA/Cotuit12750AC 2 Tier Cassette / 6 Bins 2.75"h x 5.5"w x 12.5"dEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0025CAPSA/Cotuit12751AC 2 Tier Cassette / 4 Bins 2.75"h x 8"w x 12.5"dEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0026CAPSA/Cotuit12752AC 3 Tier Cassette / 6 Bins 2.75"h x 8"w x 12.5"dEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0027CAPSA/Cotuit12753AC 3 Tier Cassette / 9 Bins 2.75"h x 5.5"w x 12.5"dEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0028CAPSA/CotuitACi3-MD1 - Tier 3" Main DrawerEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0029CAPSA/CotuitACi6-MD1 - Tier 6" Main DrawerEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0030CAPSA/CotuitACi9-MD1 - Tier 9" Main DrawerEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0031CAPSA/CotuitACi3-Utl1 - Tier 3" Side DrawerEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0032CAPSA/CotuitAci-6Utl1 - Tier 6" Side DrawerEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0033CAPSA/CotuitAci-9Utl1 - Tier 9" Side DrawerEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CAPSA/CotuitM38e & Trio Accessories$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0034CAPSA/Cotuit4171671Worksurface LightEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0035CAPSA/Cotuit1781813LCD Mount and Cup HolderEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0036CAPSA/Cotuit1786593Plastic Waste BinEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0037CAPSA/Cotuit4170398Cavi Wipe Mount and HolderEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0038CAPSA/CotuitFG9M38AAWire BasketEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0039CAPSA/Cotuit1782681Sharps MountEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0040CAPSA/Cotuit1782695Accessory Bin PlateEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0041CAPSA/CotuitFG9M38IVIV PoleEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0042CAPSA/Cotuit1975189Barcode Scanner MountEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CAPSAACMi Accessories$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0043CAPSAUG-AVWS-12400-CMWriting Surface UpgradeEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0044CAPSAUG-AXARMCOL-ACiUpgrade AXM ColumnEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0045CAPSA12983Universal LCD Access MountEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0046CAPSA12770Drawer Divider KitEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0047CAPSAP7048-1Sharp Container and MountEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0048CAPSAP70498Glove ContainerEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0049CAPSA12761IV PoleEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0050CAPSA12101Plastic Waste BinEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0051CAPSA12528AC Top MatEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0052CAPSA12742Keyless Narc LidEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0053CAPSA12763Worksurface LightEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0054CAPSA13052Barcode Scanner MountEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CAPSAWarranties and Installation$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0055CAPSAPARTLAB45YRWITHSTOR4th and 5th Year Extended WarrantyEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0056CAPSAFG9M38ONOn Site Installation / Integration / TestingEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
CAPSATechnologies$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0057CAPSAVA-Techbndl1Dell 7080MFF or HP Approved EquivalentEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0058CAPSAVA-Techbndl2Tangent 24" AIO Computer, VA Approved Scanner, Washable Keyboard, Washable Mouse, PIV Card ReaderEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0059CAPSAVA-Techbndl3Dell 7080MFF or HP Approved Equivalent, I7 Processor 16 GB Memory, 512 GB Self Encrypting Solid State Drive Intel WiFi FIPSEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0060CAPSAVA-PrivscOptional Integrated Privacy Screen for 24" LCDEach15050505050$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ 201,768.00Total Price
*VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES" NOTE: The Offeror shall ensure that the actual values in the spreadsheet cells are no more than two (2) decimal places even if values in the spreadsheet cells are formatted to display two (2) decimal places. (i.e., =ROUND((T2*1.05),2) for all option periods to calculate for escalation)*VENDOR IS TO COMPLETE ALL "YELLOW" HIGHLIGHTED SPACES
**ARO = Delivery Days After Receipt of Order**ARO = Delivery Days After Receipt of Order
Offerors proposing equivalent product must enter Name of Manufacturer for its proposed solution, Description of Part Number(s), etc. starting at Column L. If offeror’s proposed solution does not require a particular CLIN, vendor shall indicate such by writing N/A, None, or Zero (0). Also, the items priced in Pricing volume must correspond with the items proposed in offeror’s Technical volume as the brand name or equivalent solution.

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