Amended V2 ATTACHMENT A - PRICE COST SCHEDULE - NX EQ Ophthalmic Perimeters.xlsx

XLSX spreadsheet 27 KB Posted

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NX EQ Ophthalmic Perimeters
Solicitation number
36C10G25R0035
Issued by

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The file is a Price Cost Schedule for the solicitation 36C10G25R0035, titled "NX EQ Ophthalmic Perimeters" issued by the Department of Veterans Affairs (VA). The document is a detailed pricing template for Zeiss Humphrey Field Analyzers and associated services, with line items covering equipment, installation, and various service agreement levels. The procurement seeks to acquire ophthalmic perimeters for VA Medical Centers, with estimated quantities spanning a base year and four optional extension years.

The pricing schedule includes six Contract Line Item Numbers (CLINs) covering the Humphrey Field Analyzer (Model MFA3 860), installation services, and three tiers of service agreements (Prevent, Advanced, and Complete), as well as initial training. The estimated quantities range from 10-60 units per CLIN across the base and option years, with the primary focus on the field analyzer equipment. The template requires vendors to complete yellow-highlighted spaces with proposed unit prices, service level agreement (SLA) adjustments, and delivery timelines, indicating a structured approach to competitive pricing and service offering.

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File Type Posted
Amended ATTACHMENT A_PRICE_COST_SCHEDULE_NX_EQ_OphthalmicPerimeters Amended.xlsx XLSX spreadsheet
ATTACHMENT E_REPORTING TOOL NX EQ Ophthalmic Perimeters.xlsx XLSX spreadsheet
ATTACHMENT F_PAST PERFORMANCE QUESTIONNAIRE NX EQ Ophthalmic Perimeters.pdf PDF
ATTACHMENT A_ PRICE COST SCHEDULE NX EQ Ophthalmic Perimeters.xlsx XLSX spreadsheet
ATTACHMENT C_CONTRACT CLAUSES NX EQ Ophthalmic Perimeters.pdf PDF
ATTACHMENT D_SOLICITATION PROVISIONS NX EQ Ophthalmic Perimeters.pdf PDF
COMBINED SYNOPSIS 36C10G25R0035_ NX EQ Ophthalmic Perimeters.pdf PDF
ATTACHMENT B _CONTRACT ADMINISTRATION_ NX EQ Ophthalmic Perimeters.pdf PDF
ATTACHMENT G_PAST PERFORMANCE REFERENCE NX EQ Ophthalmic Perimeters.pdf PDF

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CLINBrand NamePart NumberItem 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 Part NumberManufacturer NameItem 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
0001ZeissMFA3 860Humphrey Field Analyzer 3Each16025352550$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0002ZeissInstallationInstallationEach16025352550$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0003ZeissOPTIME PreventService Agreement PreventEach11047410$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0004ZeissOPTIME AdvancedService Agreement AdvancedEach120910915$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0005ZeissOPTIME CompleteService Agreement CompleteEach13012181225$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
0006ZeissTrainingInitial TrainingEach16025352550$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0
$ - 0$ - 0$ - 0$ - 0$ - 0$ - 0Total 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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