Attachment A - Medical Gas requirements for VA Facilities.xlsx

XLSX spreadsheet 1 MB Posted

Attached to
6835--White River Junction VAMC and Associated CBOCs Medical Gases Delivery
Solicitation number
36C24123Q0776
Issued by

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Written by GovTribe AI ·

This document contains an Excel spreadsheet listing medical gas requirements for various VA facilities. It includes line item details for over 60 medical gas products such as oxygen, nitrogen, nitrous oxide and carbon dioxide to be delivered in cylinders and dewars. Pricing is provided for the initial one year period from September 2023 through September 2024 with estimated annual quantities and totals. A second tab contains a template for pricing the following option year from September 2024 through September 2025. The related federal contract opportunity is solicitation number 36C24123Q0776 for the delivery of medical gases to the White River Junction VAMC and associated CBOCs in Vermont. The requirement is for the Department of Veterans Affairs Veterans Health Administration VNS 1.

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Updated PWS with response to questions.docx DOCX document
36C24123Q0776_2 AMENDED.pdf PDF
36C24123Q0776_2.docx DOCX document

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Action Line Item Information

Action Type NamePrimary IDSecondary IDMod NumberTitleOrder Discount Type NameOrder Discount TypeOrder Discount
VHA-SUPPLIES-FSS-ORDER-MODV797P-7323A36C24921N0003P00001Percent0

KB Version: FY21.08A

Year 1 (27 Sep 23 - 26 Sept 24) Item Number Description Ref CLIN Quantity Unit of Measure Packaging Multiple Receipt Type Unit Price Total Price 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 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 UNIT OF PURCHASE TEXT/DESC. NDC FOOD GROUP CODE NIF ITEM NUMBER MINIMUM ORDER QUANTITY MAXIMUM ORDER QUANTITY REQUIRED ORDER MULTIPLE UNIT CONVERSION FACTOR SPECIAL REMARKS CLINICAL DISCIPLINE ITEM PRICE ON BPA BASE OR OPTION PERIOD ITEM CONTROLLED SUBSTANCE BASE LINE ITEM NUMBER ENVIRONMENTAL ATTRIBUTE CODE ESTIMATED QUANTITY ITEM PRICE ON FSS/BOA ITEM PRICE ON FSS ITEM PRICE ON FSS (1-500 UNITS) ITEM PRICE ON FSS (501-1000 UNITS) ITEM PRICE ON FSS (1001-1500 UNITS) ITEM PRICE ON FSS (1500+ UNITS) EVALUATED ITEM PRICE ON FSS GPC ACCEPTED GREEN PRODUCT HAZARDOUS MATERIAL ITEM PART NAME ITEM PART NUMBER tc={C7D4309F-80DF-4295-96C6-A068BB3BC06B}: [Threaded comment]

Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924

Comment:

item part number = distributor. Insert OEM part number of there isn't a distributor.ITEM TYPEITEMS PER UNIT OF SALE (UOS)LATEX FREEITEM MODEL NUMBEROEM CAGE CODEOEM COUNTRY OF ORIGINOEM DUNS NUMBEROEM NAMESALE START DATESALE END DATEITEM SALE PRICESALIENT CHARACTERISTICREFERENCED CONTRACT NUMBERREFERENCED CONTRACT LINE NUMBERREFERENCED CONTRACT SUB LINE NUMBERDRAWING NUMBERSPECIFICATION NUMBERSERIAL NUMBERMANUFACTURER NAMEYEAR OF MANUFACTUREPROGRAM CODEVENDOR PART NUMBERTSP AUTHENTICATION CODETRANSPORTATION PRIORITY NUMBER
1Delivery Charges9ea01E01-21
2Energy Charge168ea01E01-21
3Fuel Surcharge9ea01E01-21
4Hazmat Charges24ea01E01-21
5Product Surcharge3ea01E06-21
6Freight2ea01E06-21
7ACETYLENE IND B CGA 5201ea01E06-21
8ACETYLENE IND MC CGA 2002ea01E06-21
9AIR USP 200 CGA 3462ea01E01-21
10AIR USP 300 CGA 3461ea01E01-21
11CARBON DIOXIDE USP 50 POUND CGA 32016ea01E01-21
12CARBON DIOXIDE USP E CGA 940105ea01E01-21
13NITROGEN GMP DEWAR REFILL 5 LT20ea01E06-21
14NITROGEN GMP DEWAR REFILL 15 LT27ea01E06-21
15NITROGEN GMP DEWAR REFILL 20 LT12ea01E06-21
16NITROGEN NF LIQ 160LT 22PSI10ea01E06-21
17NITROGEN MEDICAL NF 200 CGA 58011ea
18NITROGEN NF LIQ 230LT 22PSI1ea
19NITROGEN MEDICAL NF 300 CGA 5802ea
20NITROUS OXIDE USP SIZE 56LBS1ea
21NITROUS OXIDE USP EA CGA 9102ea
22OXYGEN INDUSTRIAL 20 CGA 5402ea
23OXYGEN USP MEDICAL PURE 200 CGA 5402ea
24OXYGEN USP MEDICAL PURE 300 CGA 54017ea
25OXYGEN USP MEDICAL PURE E CGA 870142ea
26OXYGEN USP MEDICAL PURE EA CGA 87011ea
27OXYGEN USP MEDICAL PURE EA CGA WOB420ea
28PROPANE INDUSTRIAL 33 CGA 510 FORKLIFT14ea
29CT 10 % OX/NI 33A1ea
30CT 3 % CD/NI 2001ea
31LD 0.3 % ME/0.3 % CM/21 % OX/NI 2002ea
32CYL ACETYLENE IND B CGA 520335ea
33CYL ACETYLENE IND MC CGA 2001241ea
34CYL AIR USP 200 CGA 346350ea
35CYL AIR USP 300 CGA 34615ea
36CYL ARGON INDUSTRIAL 300 CGA 580335ea
37CYL ARGON INDUSTRIAL 80 CGA 580335ea
38INM 25% CD/AR 300335ea
39CYL CARBON DIOXIDE USP 50 POUND CGA 3203940ea
40CYL CARBON DIOXIDE USP E CGA 94017755ea
41CYL HELIUM INDUSTRIAL 200 CGA 580335ea
42CYL NITROGEN INDUSTRIAL 300335ea
43CYL NITROGEN INDUSTRIAL 40 CGA 580335ea
44CYL NITROGEN MEDICAL NF 200 CGA 5802345ea
45CYL NITROGEN MEDICAL NF 300 CGA 5802010ea
46CYL NITROGEN MEDICAL NF 80 CGA 580335ea
47CYL NITROUS OXIDE USP SIZE 56LBS2010ea
48CYL NITROUS OXIDE USP E CGA 910670ea
49CYL NITROUS OXIDE USP EA CGA 9103350ea
50CYL OXYGEN INDUSTRIAL 20 CGA 540906ea
51CYL OXYGEN INDUSTRIAL 40 CGA 540335ea
52CYL OXYGEN USP MEDICAL PURE 200 CGA 5404020ea
53CYL OXYGEN USP MEDICAL PURE 300 CGA 5403015ea
54CYL OXYGEN USP MEDICAL PURE E CGA 87024325ea
55CYL OXYGEN USP MEDICAL PURE EA CGA 87011819ea
56CYL OXYGEN USP MEDICAL PURE EA CGA WOB51255ea
57CYL PROPANE INDUSTRIAL 33 CGA 5101792ea
58CYL CT 10 % OX/NI 33A331ea
59CYL CT 3 % CD/NI 20052ea
60CYL CB 4 % CD/16 % OX/NI E335ea
61CYL LD 0.3 % ME/0.3 % CM/21 % OX/NI 200CYL LD 0.3 % ME/0.3 % CM/21 % OX/NI 2001005ea188.43
Grand Total:

Year 2 (27 Sep 24 - 26 Sept 25) Item Number Description Ref CLIN Quantity Unit of Measure Packaging Multiple Receipt Type Unit Price Total Price 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 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 UNIT OF PURCHASE TEXT/DESC. NDC FOOD GROUP CODE NIF ITEM NUMBER MINIMUM ORDER QUANTITY MAXIMUM ORDER QUANTITY REQUIRED ORDER MULTIPLE UNIT CONVERSION FACTOR SPECIAL REMARKS CLINICAL DISCIPLINE ITEM PRICE ON BPA BASE OR OPTION PERIOD ITEM CONTROLLED SUBSTANCE BASE LINE ITEM NUMBER ENVIRONMENTAL ATTRIBUTE CODE ESTIMATED QUANTITY ITEM PRICE ON FSS/BOA ITEM PRICE ON FSS ITEM PRICE ON FSS (1-500 UNITS) ITEM PRICE ON FSS (501-1000 UNITS) ITEM PRICE ON FSS (1001-1500 UNITS) ITEM PRICE ON FSS (1500+ UNITS) EVALUATED ITEM PRICE ON FSS GPC ACCEPTED GREEN PRODUCT HAZARDOUS MATERIAL ITEM PART NAME ITEM PART NUMBER tc={7F813520-5719-4D0E-BF80-7C6927F8572E}: [Threaded comment]

Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924

Comment:

item part number = distributor. Insert OEM part number of there isn't a distributor.ITEM TYPEITEMS PER UNIT OF SALE (UOS)LATEX FREEITEM MODEL NUMBEROEM CAGE CODEOEM COUNTRY OF ORIGINOEM DUNS NUMBEROEM NAMESALE START DATESALE END DATEITEM SALE PRICESALIENT CHARACTERISTICREFERENCED CONTRACT NUMBERREFERENCED CONTRACT LINE NUMBERREFERENCED CONTRACT SUB LINE NUMBERDRAWING NUMBERSPECIFICATION NUMBERSERIAL NUMBERMANUFACTURER NAMEYEAR OF MANUFACTUREPROGRAM CODEVENDOR PART NUMBERTSP AUTHENTICATION CODETRANSPORTATION PRIORITY NUMBER
1Delivery Charges9ea01E01-21
2Energy Charge168ea01E01-21
3Fuel Surcharge9ea01E01-21
4Hazmat Charges24ea01E01-21
5Product Surcharge3ea01E06-21
6Freight2ea01E06-21
7ACETYLENE IND B CGA 5201ea01E06-21
8ACETYLENE IND MC CGA 2002ea01E06-21
9AIR USP 200 CGA 3462ea01E01-21
10AIR USP 300 CGA 3461ea01E01-21
11CARBON DIOXIDE USP 50 POUND CGA 32016ea01E01-21
12CARBON DIOXIDE USP E CGA 940105ea01E01-21
13NITROGEN GMP DEWAR REFILL 5 LT20ea01E06-21
14NITROGEN GMP DEWAR REFILL 15 LT27ea01E06-21
15NITROGEN GMP DEWAR REFILL 20 LT12ea01E06-21
16NITROGEN NF LIQ 160LT 22PSI10ea01E06-21
17NITROGEN MEDICAL NF 200 CGA 58011ea
18NITROGEN NF LIQ 230LT 22PSI1ea
19NITROGEN MEDICAL NF 300 CGA 5802ea
20NITROUS OXIDE USP SIZE 56LBS1ea
21NITROUS OXIDE USP EA CGA 9102ea
22OXYGEN INDUSTRIAL 20 CGA 5402ea
23OXYGEN USP MEDICAL PURE 200 CGA 5402ea
24OXYGEN USP MEDICAL PURE 300 CGA 54017ea
25OXYGEN USP MEDICAL PURE E CGA 870142ea
26OXYGEN USP MEDICAL PURE EA CGA 87011ea
27OXYGEN USP MEDICAL PURE EA CGA WOB420ea
28PROPANE INDUSTRIAL 33 CGA 510 FORKLIFT14ea
29CT 10 % OX/NI 33A1ea
30CT 3 % CD/NI 2001ea
31LD 0.3 % ME/0.3 % CM/21 % OX/NI 2002ea
32CYL ACETYLENE IND B CGA 520335ea
33CYL ACETYLENE IND MC CGA 2001241ea
34CYL AIR USP 200 CGA 346350ea
35CYL AIR USP 300 CGA 34615ea
36CYL ARGON INDUSTRIAL 300 CGA 580335ea
37CYL ARGON INDUSTRIAL 80 CGA 580335ea
38INM 25% CD/AR 300335ea
39CYL CARBON DIOXIDE USP 50 POUND CGA 3203940ea
40CYL CARBON DIOXIDE USP E CGA 94017755ea
41CYL HELIUM INDUSTRIAL 200 CGA 580335ea
42CYL NITROGEN INDUSTRIAL 300335ea
43CYL NITROGEN INDUSTRIAL 40 CGA 580335ea
44CYL NITROGEN MEDICAL NF 200 CGA 5802345ea
45CYL NITROGEN MEDICAL NF 300 CGA 5802010ea
46CYL NITROGEN MEDICAL NF 80 CGA 580335ea
47CYL NITROUS OXIDE USP SIZE 56LBS2010ea
48CYL NITROUS OXIDE USP E CGA 910670ea
49CYL NITROUS OXIDE USP EA CGA 9103350ea
50CYL OXYGEN INDUSTRIAL 20 CGA 540906ea
51CYL OXYGEN INDUSTRIAL 40 CGA 540335ea
52CYL OXYGEN USP MEDICAL PURE 200 CGA 5404020ea
53CYL OXYGEN USP MEDICAL PURE 300 CGA 5403015ea
54CYL OXYGEN USP MEDICAL PURE E CGA 87024325ea
55CYL OXYGEN USP MEDICAL PURE EA CGA 87011819ea
56CYL OXYGEN USP MEDICAL PURE EA CGA WOB51255ea
57CYL PROPANE INDUSTRIAL 33 CGA 5101792ea
58CYL CT 10 % OX/NI 33A331ea
59CYL CT 3 % CD/NI 20052ea
60CYL CB 4 % CD/16 % OX/NI E335ea
61CYL LD 0.3 % ME/0.3 % CM/21 % OX/NI 200CYL LD 0.3 % ME/0.3 % CM/21 % OX/NI 2001005ea188.43
Grand Total:

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