ATTACHMENT A - PRICE COST SCHEDULE - NX EQ AUTOMATED CARDIAC RESUSCITATORS.xlsx
XLSX spreadsheet 25 KB Posted
- Solicitation number
- 36C10X26Q0054
About this file
This is a Price Cost Schedule template for a Request for Quote (RFQ) solicitation (36C10X26Q0054) issued by the Department of Veterans Affairs for Automated Cardiac Resuscitators. The schedule requires vendors to provide pricing for Stryker Lucas 3, v3.1 chest compression devices and associated components across a base year plus four option years. The primary item (CLIN 0001) involves the core automated cardiac resuscitator unit with hard shell case, back plate, patient straps, suction cups, rechargeable battery, and instructions, with an estimated quantity of 65 units per year. Supporting CLINs include rechargeable batteries (20 units annually), desktop chargers (65 units annually), grip tape (20 units annually), disposable suction cup packs (20 units annually), training devices (25 units annually), and various replacement components such as patient straps, stabilization straps, power supplies, carrying cases, back plates, car cables, and charger accessories.
Vendors must complete all yellow-highlighted pricing columns, including proposed unit prices, a 3% Service Level Agreement (SLA) surcharge, and total evaluated prices for each year. The schedule specifies unit of measure as "Each" and includes columns for delivery timeline (ARO—After Receipt of Order), commercial baseline pricing, and year-by-year pricing escalation across the base year and four option years. Offerors proposing equivalent products must identify manufacturer information and part numbers in the designated columns. The total evaluated price calculation incorporates the estimated annual quantities multiplied by unit prices plus the 3% SLA across all contract periods. All pricing fields shown currently display zero values, indicating this is a blank template awaiting vendor completion.
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Sheet1
| CLIN | Part Number | Brand Name | Item Description | Unit of Measure (UOM) | Quantity Per UOM | Estimated Quantity (Base Year) | Estimated Quantity (Year 1) | Estimated Quantity (Year 2) | Estimated Quantity (Year 3) | Estimated Quantity (Year 4) | Manufacturer Name | Manufacturer Part Number | Item Description | Contractor Part Number (if different from OEM) | Unit of Measure | Quantity per UOM | Delivery Days ARO | Commercial Price | Proposed Unit | |||||||||||||||||||
| Price (Base Year) | SLA (3%) | Total Price (Unit Price plus SLA) | ||||||||||||||||||||||||||||||||||||
| Base Year | Proposed Unit | |||||||||||||||||||||||||||||||||||||
| Price (Option Year 1) | SLA (3%) | Total Price (Unit Price plus SLA) | ||||||||||||||||||||||||||||||||||||
| Option Year 1 | Proposed Unit | |||||||||||||||||||||||||||||||||||||
| Price (Option Year 2) | SLA (3%) | Total Price (Unit Price plus SLA) | ||||||||||||||||||||||||||||||||||||
| Option Year 2 | Proposed Unit | |||||||||||||||||||||||||||||||||||||
| Price (Option Year 3) | SLA (3%) | Total Price (Unit Price plus SLA) | ||||||||||||||||||||||||||||||||||||
| Option Year 3 | Proposed Unit | |||||||||||||||||||||||||||||||||||||
| Price (Option Year 4) | SLA (3%) | Total Price (Unit Price plus SLA) | ||||||||||||||||||||||||||||||||||||
| Option Year 4 | Total Evaluated Price (with 3% SLA and estimated quantities) - Base Year | Total Evaluated Price (with 3% SLA and estimated quantities) - Opt Year 1 | Total Evaluated Price (with 3% SLA and estimated quantities) - Opt Year 2 | Total Evaluated Price (with 3% SLA and estimated quantities) - Opt Year 3 | Total Evaluated Price (with 3% SLA and estimated quantities) - Opt Year 4 | Total Evaluated Price | ||||||||||||||||||||||||||||||||
| 0001 | 99576-000063 | Stryker® | Lucas® 3, v3.1 chest compression device includes: | |||||||||||||||||||||||||||||||||||
| • | Automated Cardiac Resuscitator | |||||||||||||||||||||||||||||||||||||
| • | Hard Shell Case | |||||||||||||||||||||||||||||||||||||
| • | Slim Back Plate | |||||||||||||||||||||||||||||||||||||
| • | Two (2) Patient Straps | |||||||||||||||||||||||||||||||||||||
| • | Stabilization Strap | |||||||||||||||||||||||||||||||||||||
| • | Two (2) Suction Cups | |||||||||||||||||||||||||||||||||||||
| • | One (1) Rechargeable Battery | |||||||||||||||||||||||||||||||||||||
| • | Instructions for Use with Each Device | Each | 1 | 65 | 65 | 65 | 65 | 65 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||||
| 0002 | 11576-000080 | Stryker® | Battery - Rechargeable | Each | 1 | 20 | 20 | 20 | 20 | 20 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| 0003 | 11576-000060 | Stryker® | Battery Charger - Desktop | Each | 1 | 65 | 65 | 65 | 65 | 65 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| 0004 | 11576-000090 | Stryker® | Grip Tape (3-pack) for Slim Back Plate | Each | 1 | 20 | 20 | 20 | 20 | 20 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| 0005 | 11576-000047 | Stryker® | Suction Cups - Disposable (12-pack) | Each | 1 | 20 | 20 | 20 | 20 | 20 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| 0006 | 99576-000042 | Stryker® | Training Device | Each | 1 | 25 | 25 | 25 | 25 | 25 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| 0007 | 11576-000050 | Stryker® | LUCAS Patient Straps | Each | 1 | 1 | 1 | 1 | 1 | 1 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| 0008 | 21576-000074 | Stryker® | LUCAS Stabilization Strap | Each | 1 | 1 | 1 | 1 | 1 | 1 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| 0009 | 11576-000051 | Stryker® | LUCAS Patient Straps (3-pack) | Each | 1 | 1 | 1 | 1 | 1 | 1 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| 0010 | 11576-000046 | Stryker® | LUCAS Suction Cup (3-pack) | Each | 1 | 1 | 1 | 1 | 1 | 1 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| 0011 | 21576-000075 | Stryker® | LUCAS Stabilization Strap (4-pack) | Each | 1 | 1 | 1 | 1 | 1 | 1 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| 0012 | 11576-000071 | Stryker® | LUCAS Power Supply | Each | 1 | 1 | 1 | 1 | 1 | 1 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| 0013 | 11576-000094 | Stryker® | LUCAS Hard Shell Carrying Case | Each | 1 | 1 | 1 | 1 | 1 | 1 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| 0014 | 11576-000088 | Stryker® | LUCAS Back Plate – Standard | Each | 1 | 1 | 1 | 1 | 1 | 1 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| 0015 | 11576-000064 | Stryker® | LUCAS Back Plate – Carbon Fiber | Each | 1 | 1 | 1 | 1 | 1 | 1 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| 0016 | 11576-000080 | Stryker® | LUCAS 3.0/3/1 Battery | Each | 1 | 1 | 1 | 1 | 1 | 1 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| 0017 | 11576-000048 | Stryker® | LUCAS Car Cable | Each | 1 | 1 | 1 | 1 | 1 | 1 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| 0018 | 11576-000060 | Stryker® | LUCAS Battery Desktop Charger | Each | 1 | 1 | 1 | 1 | 1 | 1 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| 0019 | 11576-000053 | Stryker® | Back Plate Grip Tape (3-Pack) | Each | 1 | 1 | 1 | 1 | 1 | 1 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | $ - 0 | ||||||||||||
| $ - 0 | Total 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 | |||||||||||||||||||||||||||||||||||||
| 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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