36C24219R0134-0003000.docx

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Home Oxygen VISN 2 Downstate Federal contract opportunity
Solicitation number
36C24219R0134
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 2

About this file

This is a solicitation for home oxygen services for multiple VA locations within Veterans Integrated Service Network 2 Downstate. The contractor shall provide all supplies, materials, equipment, and personnel necessary for patients requiring home oxygen services, including registered respiratory therapists to train and educate patients and complete home assessments. Services include coordinating patient care, deliveries, equipment setups, and home inspections. The single-award, firm-fixed-price contract covers a one-year base period and five option periods. The NAICS code is 532283 and the small business size standard is $32.5 million. The solicitation will be issued on or about August 15, 2019 via FBO and requires offerors to register in SAM. The procurement is 100% set aside for small businesses.

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5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) 09-27-2019 None 36C242 Department of Veterans Affairs Network Contracting Office 2 James J. Peters VA Medical Center 130 West Kingsbridge Road Bronx NY 10468-3904 36C242 Department of Veterans Affairs James J. Peters VA Medical Center Network Contracting Office 2 130 West Kingsbridge Road Bronx NY 10468-3904 To all Offerors/Bidders

36C24219R0134 08-13-2019

X x x ** HOUR & DATE for Receipt of Offers is EXTENDED to: October 11, 2019 5:00 pm EST X THIS AMENDMENT TO THE ABOVE REFERENCED SOLICITATION HEREBY EXTENDS THE DATE FOR RECEIPT OF OFFERS TO OCTOBER 11, 2019 5:00 pm EST.

ADDITIONALLY, THIS AMENDMENT TO THE ABOVE REFERENCED SOLICITATION AMENDS SECTION B.2 SCHEDULE OF SUPPLIES/SERVICES TO REFLECT CHANGES IN THE GOVERNMENT'S ESTIMATED QUANTITIES. THE AMENDED SECTION B.2 SCHEDULE OF SUPPLIES/SERVICES

IS ATTACHED HEREUNDER AS ATTACHMENT 1.

CLINs X001, X002, X005, X006 AND X007 HAVE BEEN MODIFIED TO REFLECT THE CHANGE IN THE GOVERNMENT’S REQUIREMENT.

ALL OTHER TERMS AND CONDITIONS REMAIN UNCHANGED AND IN FULL FORCE AND EFFECT.

ALLAN M PRESTON

CONTRACTING OFFICER

Attachment 1 – Amended Section B.2 Schedule of Supplies/Services Amendment 0003, Solicitation 36C24219R0134 Effective Date 09/27/2019

B.2 SCHEDULE OF SUPPLIES/SERVICES

INSTRUCTIONS FOR COMPLETION OF SCHEDULE OF SUPPLIES/SERVICES:

Offerors must complete all portions of the Schedule of Supplies/Services schedule below by entering an all-inclusive unit price for each CLIN or SUB-CLIN, along with the Total 12-Month Cost for each CLIN or SUB-CLIN. This is to be computed by multiplying the estimated quantity by the proposed unit price for CLINs/SUB-CLINs with a unit of EA (Each). CLINs/SUB-CLINs with a unit of MO (Month) must be multiplied by 12 to calculate the Estimated 12-Month Cost. Using CLIN 0001a as an example, multiply 65 by your stated unit cost, then multiply that figure by 12 to calculate the Estimated 12-Month Cost.

Do not leave any CLIN or SUB-CLIN prices blank, partial pricing is not acceptable. If there is no cost for a CLIN, enter $0.00 as the unit cost and the total estimated cost. Proposals that do not include pricing for all CLINs and SUB-CLINs in all performance periods will be considered incomplete and removed from any further consideration.

B.2.1 BASE PERIOD: January 1, 2020 – December 31, 2020

CLIN

SUB-CLIN
PWS Ref.
Description
Est.

Qty

Unit
Unit Cost
Estimated

Total

0001
None

All-inclusive rental price of concentrators and all necessary equipment/supplies, as described in SUB-CLINS 0001a – 0001e.

0001a
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 10 LPM with conserving device as prescribed by VA, cylinder rack, nasal cannula or mask humidifier (when specified), portable oxygen cylinders (gas), and set up in home, instruction, and caregiver education.

Includes backup system consisting of compressed gas source, regulator, and stand.

Concentrator sound level must not exceed 60dB and utilize no more than 600 watts.

MO

0001b
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 10LPM with, conserving device as prescribed by VA, nasal cannula or mask, humidifier (when specified), and set up in home, instruction, and caregiver education Includes backup system consisting of compressed gas source, regulator, and stand. Concentrator sound level must not exceed 60dB and utilize no more than 600 watts.

Includes rental of portable oxygen concentrator with pulse flow (Bolus size up 192ML) and continuous flow (0.5 to 3.0 LPM; 0.5 increments); extended life battery (minimum battery life of 5-hours if device at 2LPM on pulse dose) as well as a back-up battery with same specifications. DC and AC power cords, disposable supplies, carrying case, user manual, set up in home, instruction, and caregiver education. Weight not to exceed 19 lbs. excluding the back-up battery. Sound level not to exceed 43 dB at a setting of 2. Must be airline approved.

MO

0001c
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 5LPM, conserving device as prescribed by VA, cylinder rack, nasal cannula or mask, humidifier (when specified), portable oxygen cylinders (gas) and set up in home, instruction, and caregiver education.

Includes backup system consisting of compressed gas source, regulator, and stand.

Concentrator sound level must be no more than 40dB, utilize no more than 350 watts, and not exceed 31 pounds.

0001d
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 5LPM, conserving device as prescribed by VA, cylinder rack, nasal cannula or mask, humidifier (when specified), and set up in home, instruction, and caregiver education.

Includes backup system consisting of compressed gas source, regulator, and stand.

Concentrator sound level must be no more than 40dB, utilize no more than 350 watts, and not exceed 31 pounds.

Includes rental of portable oxygen concentrator with pulse flow capacity of 1-5LPM in lieu of portable cylinders. Portable unit to come with extended life battery (minimum battery life of 8-hours if device at 2LPM on pulse dose) as well as a back-up battery with same specifications. DC and AC power cords, disposable supplies, carrying case, user manual, and set up in home, instruction, and caregiver education. Weight not to exceed 6 lbs. including extended life battery. Sound level not to exceed 43 dB at a setting of 2. Must be airline approved.

0001e
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 5LPM, conserving device as prescribed by VA, cylinder rack, nasal cannula or mask, humidifier (when specified), and set up in home, instruction, and caregiver education.

Includes backup system consisting of compressed gas source, regulator, and stand.

Concentrator sound level must be no more than 40dB, utilize no more than 350 watts, and not exceed 31 pounds.

Includes rental of portable oxygen concentrator with pulse flow (Bolus size up to 192ML) and continuous flow (0.5 to 3.0 LPM; 0.5 increments); extended life battery (minimum battery life of 5-hours if device at 2LPM on pulse dose) as well as a back-up battery with same specifications. DC and AC power cords, disposable supplies, carrying case, user manual, set up in home, instruction, and caregiver education. Weight not to exceed 19 lbs. including extended life battery. Sound level not to exceed 43 dB at a setting of 2. Must be airline approved.

5
MO
$________
$________
0002
None

All-inclusive rental price of liquid oxygen system stationary units and all necessary equipment/supplies, as described in SUB-CLINS 0002a – 0002c.

0002a
14.1.3
All-inclusive price including but not limited to rental of liquid oxygen system stationary unit (minimum capacity 110 lbs.) and portable units without conserving device (max portable unit weight 8 lb. full), nasal cannula or mask and humidifier (when specified), and set up in home, instruction, and caregiver education.

MO

0002b
14.1.3
All-inclusive price including but not limited to rental of liquid oxygen system stationary unit (minimum capacity 110 lbs.) and portable units with conserving device (max portable unit weight 4 lb. full), nasal cannula or mask and humidifier (when specified) and set up in home, instruction, and caregiver education.

MO

0002c
14.1.3
All-inclusive price including but not limited to rental of liquid oxygen system stationary unit (minimum capacity 110 lbs.) and portable units with conserving device (max portable unit weight 6 lb. full), nasal cannula or mask and humidifier (when specified) and set up in home, instruction, and caregiver education.

MO

0003
None

All-inclusive rental price of ventilators and all necessary equipment/supplies, as described in SUB-CLINS 0003a – 0003c.

0003a
14.1.4
All-inclusive price including but not limited to rental of Ventilator including a back-up ventilator in patient’s home, back-up battery, all needed supplies, and set up in home, instruction, and caregiver education.

MO

0003b
14.1.5
All-inclusive price including but not limited to rental of Noninvasive Ventilator, all supplies, equipment service and maintenance, set up in patient’s home, instruction, and caregiver education for Night time ventilation only (Patient will be provided one ventilator).

MO

0003c
14.1.5
All-inclusive price including but not limited to rental of Noninvasive Ventilator, all supplies, equipment service and maintenance, set up in patient’s home, instruction, and caregiver education for day and night (Patient will be provided two ventilators).

MO

0004
None

All-inclusive price for emergency replacement of VA-owned and supplied equipment and any necessary supplies, as described in SUB-CLINS 0004a – 0004c.

0004a
14.1.6
All-inclusive price for emergency replacement of VA-owned and supplied heavy-duty compressor and any necessary supplies.

EA

0004b
14.1.6
All-inclusive price for emergency replacement of VA-owned and supplied suction machine and any necessary supplies.

EA

0004c
14.1.6
All-inclusive price for emergency replacement of VA-owned supplied BiPap ST used as non-invasive ventilator and any necessary supplies.

EA

0005
None
14.1.1.5
All-inclusive price including but not limited to rental of portable oxygen concentrator with pulse flow and continuous flow capabilities. Unit to come with extended life battery (minimum battery life of 5-hours if device at 2LPM on pulse dose) as well as a back-up battery with same specifications. DC and AC power cords, disposable supplies, carrying case and user manual. Weight not to exceed 19 lbs. excluding the back-up battery. Sound level not to exceed 43 dB at a setting of 2. Must be airline approved.
0006
None

All-inclusive rental price for portable cylinders and all necessary equipment/supplies, as described in SUB-CLINS 0006a – 0006c.

0006a
14.1.8
Rental of portable “E” cylinder ONLY. Includes aluminum cylinder with regulator, cart or stand and disposable supplies.

EA

0006b
14.1.8
Rental of portable “D” cylinder ONLY. Includes aluminum cylinder with regulator, cart, carrying bag (shoulder or backpack style) and disposable supplies.

EA

$______
$________
0006c
14.1.8
Rental of portable “B” cylinder ONLY. Includes aluminum cylinder with regulator, carrying bag (shoulder or backpack style) and disposable supplies.

EA

$______
$________
0007
None
2.1

14.1.6.1 14.1.6.7

RRT Practitioner Visits
3300
EA
$______
$________

TOTAL ESTIMATED AMOUT FOR BASE PERIOD: $_____________________________

B.2.2 OPTION PERIOD 1: January 1, 2021 – December 31, 2021

SUB-CLIN
PWS Ref.
Description
Est.

Qty

Unit
Unit Cost
Total
1001
None

All-inclusive rental price of concentrators and all necessary equipment/supplies, as described in SUB-CLINS 1001a – 1001e.

1001a
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 10 LPM with conserving device as prescribed by VA, cylinder rack, nasal cannula or mask humidifier (when specified), portable oxygen cylinders (gas), and set up in home, instruction, and caregiver education.

Includes backup system consisting of compressed gas source, regulator, and stand.

Concentrator sound level must not exceed 60dB and utilize no more than 600 watts.

MO

1001b
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 10LPM with, conserving device as prescribed by VA, nasal cannula or mask, humidifier (when specified), and set up in home, instruction, and caregiver education Includes backup system consisting of compressed gas source, regulator, and stand. Concentrator sound level must not exceed 60dB and utilize no more than 600 watts.

Includes rental of portable oxygen concentrator with pulse flow (Bolus size up 192ML) and continuous flow (0.5 to 3.0 LPM; 0.5 increments); extended life battery (minimum battery life of 5-hours if device at 2LPM on pulse dose) as well as a back-up battery with same specifications. DC and AC power cords, disposable supplies, carrying case, user manual, set up in home, instruction, and caregiver education. Weight not to exceed 19 lbs. excluding the back-up battery. Sound level not to exceed 43 dB at a setting of 2. Must be airline approved.

1001c
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 5LPM, conserving device as prescribed by VA, cylinder rack, nasal cannula or mask, humidifier (when specified), portable oxygen cylinders (gas) and set up in home, instruction, and caregiver education.

Concentrator sound level must be no more than 40dB, utilize no more than 350 watts, and not exceed 31 pounds.

1001d
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 5LPM, conserving device as prescribed by VA, cylinder rack, nasal cannula or mask, humidifier (when specified), and set up in home, instruction, and caregiver education.

Includes backup system consisting of compressed gas source, regulator, and stand.

Concentrator sound level must be no more than 40dB, utilize no more than 350 watts, and not exceed 31 pounds.

Includes rental of portable oxygen concentrator with pulse flow capacity of 1-5LPM in lieu of portable cylinders. Portable unit to come with extended life battery (minimum battery life of 8-hours if device at 2LPM on pulse dose) as well as a back-up battery with same specifications. DC and AC power cords, disposable supplies, carrying case, user manual, and set up in home, instruction, and caregiver education. Weight not to exceed 6 lbs. including extended life battery. Sound level not to exceed 43 dB at a setting of 2. Must be airline approved.

1001e
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 5LPM, conserving device as prescribed by VA, cylinder rack, nasal cannula or mask, humidifier (when specified), and set up in home, instruction, and caregiver education.

Includes backup system consisting of compressed gas source, regulator, and stand.

Concentrator sound level must be no more than 40dB, utilize no more than 350 watts, and not exceed 31 pounds.

Includes rental of portable oxygen concentrator with pulse flow (Bolus size up to 192ML) and continuous flow (0.5 to 3.0 LPM; 0.5 increments); extended life battery (minimum battery life of 5-hours if device at 2LPM on pulse dose) as well as a back-up battery with same specifications. DC and AC power cords, disposable supplies, carrying case, user manual, set up in home, instruction, and caregiver education. Weight not to exceed 19 lbs. including extended life battery. Sound level not to exceed 43 dB at a setting of 2. Must be airline approved.

5
MO
$________
$________
1002
None

All-inclusive rental price of liquid oxygen system stationary units and all necessary equipment/supplies, as described in SUB-CLINS 1002a – 1002c.

1002a
14.1.3
All-inclusive price including but not limited to rental of liquid oxygen system stationary unit (minimum capacity 110 lbs.) and portable units without conserving device (max portable unit weight 8 lb. full), nasal cannula or mask and humidifier (when specified), and set up in home, instruction, and caregiver education.

MO

1002b
14.1.3
All-inclusive price including but not limited to rental of liquid oxygen system stationary unit (minimum capacity 110 lbs.) and portable units with conserving device (max portable unit weight 4 lb. full), nasal cannula or mask and humidifier (when specified) and set up in home, instruction, and caregiver education.

MO

1002c
14.1.3
All-inclusive price including but not limited to rental of liquid oxygen system stationary unit (minimum capacity 110 lbs.) and portable units with conserving device (max portable unit weight 6 lb. full), nasal cannula or mask and humidifier (when specified) and set up in home, instruction, and caregiver education.

MO

1003
None

All-inclusive rental price of ventilators and all necessary equipment/supplies, as described in SUB-CLINS 1003a – 1003c.

1003a
14.1.4
All-inclusive price including but not limited to rental of Ventilator including a back-up ventilator in patient’s home, back-up battery, all needed supplies, and set up in home, instruction, and caregiver education.

MO

1003b
14.1.5
All-inclusive price including but not limited to rental of Noninvasive Ventilator, all supplies, equipment service and maintenance, set up in patient’s home, instruction, and caregiver education for Night time ventilation only (Patient will be provided one ventilator).

MO

1003c
14.1.5
All-inclusive price including but not limited to rental of Noninvasive Ventilator, all supplies, equipment service and maintenance, set up in patient’s home, instruction, and caregiver education for day and night (Patient will be provided two ventilators).

MO

1004
None

All-inclusive price for emergency replacement of VA-owned and supplied equipment and any necessary supplies, as described in SUB-CLINS 1004a – 1004c.

1004a
14.1.6
All-inclusive price for emergency replacement of VA-owned and supplied heavy-duty compressor and any necessary supplies.

EA

1004b
14.1.6
All-inclusive price for emergency replacement of VA-owned and supplied suction machine and any necessary supplies.

EA

1004c
14.1.6
All-inclusive price for emergency replacement of VA-owned supplied BiPap ST used as non-invasive ventilator and any necessary supplies.

EA

1005
None
14.1.1.5
All-inclusive price including but not limited to rental of portable oxygen concentrator with pulse flow and continuous flow capabilities. Unit to come with extended life battery (minimum battery life of 5-hours if device at 2LPM on pulse dose) as well as a back-up battery with same specifications. DC and AC power cords, disposable supplies, carrying case and user manual. Weight not to exceed 19 lbs. excluding the back-up battery. Sound level not to exceed 43 dB at a setting of 2. Must be airline approved.
1006
None

All-inclusive rental price for portable cylinders and all necessary equipment/supplies, as described in SUB-CLINS 1006a – 1006c.

1006a
14.1.8
Rental of portable “E” cylinder ONLY. Includes aluminum cylinder with regulator, cart or stand and disposable supplies.
1006b
14.1.8
Rental of portable “D” cylinder ONLY. Includes aluminum cylinder with regulator, cart, carrying bag (shoulder or backpack style) and disposable supplies.

EA

$______
$________
1006c
14.1.8
Rental of portable “B” cylinder ONLY. Includes aluminum cylinder with regulator, carrying bag (shoulder or backpack style) and disposable supplies.

EA

$______
$________
1007
None
2.1

14.1.6.1 14.1.6.7

RRT Practitioner Visits
3300
EA
$______
$________

TOTAL ESTIMATED AMOUT FOR OPTION PERIOD 1: $_____________________________

B.2.3 OPTION PERIOD 2: January 1, 2022 – December 31, 2022

SUB-CLIN
PWS Ref.
Description
Est.

Qty

Unit
Unit Cost
Total
2001
None

All-inclusive rental price of concentrators and all necessary equipment/supplies, as described in SUB-CLINS 2001a – 2001e.

2001a
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 10 LPM with conserving device as prescribed by VA, cylinder rack, nasal cannula or mask humidifier (when specified), portable oxygen cylinders (gas), and set up in home, instruction, and caregiver education.

Includes backup system consisting of compressed gas source, regulator, and stand.

Concentrator sound level must not exceed 60dB and utilize no more than 600 watts.

MO

2001b
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 10LPM with, conserving device as prescribed by VA, nasal cannula or mask, humidifier (when specified), and set up in home, instruction, and caregiver education Includes backup system consisting of compressed gas source, regulator, and stand. Concentrator sound level must not exceed 60dB and utilize no more than 600 watts.

Includes rental of portable oxygen concentrator with pulse flow (Bolus size up 192ML) and continuous flow (0.5 to 3.0 LPM; 0.5 increments); extended life battery (minimum battery life of 5-hours if device at 2LPM on pulse dose) as well as a back-up battery with same specifications. DC and AC power cords, disposable supplies, carrying case, user manual, set up in home, instruction, and caregiver education. Weight not to exceed 19 lbs. excluding the back-up battery. Sound level not to exceed 43 dB at a setting of 2. Must be airline approved.

2001c
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 5LPM, conserving device as prescribed by VA, cylinder rack, nasal cannula or mask, humidifier (when specified), portable oxygen cylinders (gas) and set up in home, instruction, and caregiver education.

Concentrator sound level must be no more than 40dB, utilize no more than 350 watts, and not exceed 31 pounds.

2001d
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 5LPM, conserving device as prescribed by VA, cylinder rack, nasal cannula or mask, humidifier (when specified), and set up in home, instruction, and caregiver education.

Includes backup system consisting of compressed gas source, regulator, and stand.

Concentrator sound level must be no more than 40dB, utilize no more than 350 watts, and not exceed 31 pounds.

Includes rental of portable oxygen concentrator with pulse flow capacity of 1-5LPM in lieu of portable cylinders. Portable unit to come with extended life battery (minimum battery life of 8-hours if device at 2LPM on pulse dose) as well as a back-up battery with same specifications. DC and AC power cords, disposable supplies, carrying case, user manual, and set up in home, instruction, and caregiver education. Weight not to exceed 6 lbs. including extended life battery. Sound level not to exceed 43 dB at a setting of 2. Must be airline approved.

2001e
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 5LPM, conserving device as prescribed by VA, cylinder rack, nasal cannula or mask, humidifier (when specified), and set up in home, instruction, and caregiver education.

Includes backup system consisting of compressed gas source, regulator, and stand.

Concentrator sound level must be no more than 40dB, utilize no more than 350 watts, and not exceed 31 pounds.

Includes rental of portable oxygen concentrator with pulse flow (Bolus size up to 192ML) and continuous flow (0.5 to 3.0 LPM; 0.5 increments); extended life battery (minimum battery life of 5-hours if device at 2LPM on pulse dose) as well as a back-up battery with same specifications. DC and AC power cords, disposable supplies, carrying case, user manual, set up in home, instruction, and caregiver education. Weight not to exceed 19 lbs. including extended life battery. Sound level not to exceed 43 dB at a setting of 2. Must be airline approved.

5
MO
$________
$________
2002
None

All-inclusive rental price of liquid oxygen system stationary units and all necessary equipment/supplies, as described in SUB-CLINS 2002a – 2002c.

2002a
14.1.3
All-inclusive price including but not limited to rental of liquid oxygen system stationary unit (minimum capacity 110 lbs. ) and portable units without conserving device (max portable unit weight 8 lb. full), nasal cannula or mask and humidifier (when specified), and set up in home, instruction, and caregiver education.

MO

2002b
14.1.3
All-inclusive price including but not limited to rental of liquid oxygen system stationary unit (minimum capacity 110 lbs.) and portable units with conserving device (max portable unit weight 4 lb. full), nasal cannula or mask and humidifier (when specified) and set up in home, instruction, and caregiver education.

MO

2002c
14.1.3
All-inclusive price including but not limited to rental of liquid oxygen system stationary unit (minimum capacity 110 lbs.) and portable units with conserving device (max portable unit weight 6 lb. full), nasal cannula or mask and humidifier (when specified) and set up in home, instruction, and caregiver education.

MO

2003
None

All-inclusive rental price of ventilators and all necessary equipment/supplies, as described in SUB-CLINS 2003a – 2003c.

2003a
14.1.4
All-inclusive price including but not limited to rental of Ventilator including a back-up ventilator in patient’s home, back-up battery, all needed supplies, and set up in home, instruction, and caregiver education.

MO

2003b
14.1.5
All-inclusive price including but not limited to rental of Noninvasive Ventilator, all supplies, equipment service and maintenance, set up in patient’s home, instruction, and caregiver education for Night time ventilation only (Patient will be provided one ventilator).

MO

2003c
14.1.5
All-inclusive price including but not limited to rental of Noninvasive Ventilator, all supplies, equipment service and maintenance, set up in patient’s home, instruction, and caregiver education for day and night (Patient will be provided two ventilators).

MO

2004
None

All-inclusive price for emergency replacement of VA-owned and supplied equipment and any necessary supplies, as described in SUB-CLINS 2004a – 2004c.

2004a
14.1.6
All-inclusive price for emergency replacement of VA-owned and supplied heavy-duty compressor and any necessary supplies.

EA

2004b
14.1.6
All-inclusive price for emergency replacement of VA-owned and supplied suction machine and any necessary supplies.

EA

2004c
14.1.6
All-inclusive price for emergency replacement of VA-owned supplied BiPap ST used as non-invasive ventilator and any necessary supplies.

EA

2005
None
14.1.1.5
All-inclusive price including but not limited to rental of portable oxygen concentrator with pulse flow and continuous flow capabilities. Unit to come with extended life battery (minimum battery life of 5-hours if device at 2LPM on pulse dose) as well as a back-up battery with same specifications. DC and AC power cords, disposable supplies, carrying case and user manual. Weight not to exceed 19 lbs. excluding the back-up battery. Sound level not to exceed 43 dB at a setting of 2. Must be airline approved.
2006
None

All-inclusive rental price for portable cylinders and all necessary equipment/supplies, as described in SUB-CLINS 2006a – 2006c.

2006a
14.1.8
Rental of portable “E” cylinder ONLY. Includes aluminum cylinder with regulator, cart or stand and disposable supplies.
2006b
14.1.8
Rental of portable “D” cylinder ONLY. Includes aluminum cylinder with regulator, cart, carrying bag (shoulder or backpack style) and disposable supplies.

EA

$______
$________
2006c
14.1.8
Rental of portable “B” cylinder ONLY. Includes aluminum cylinder with regulator, carrying bag (shoulder or backpack style) and disposable supplies.

EA

$______
$________
2007
None
2.1

14.1.6.1 14.1.6.7

RRT Practitioner Visits
3300
EA
$______
$________

TOTAL ESTIMATED AMOUT FOR OPTION PERIOD 2: $_____________________________

B.2.4 OPTION PERIOD 3: January 1, 2023 – December 31, 2023

SUB-CLIN
PWS Ref.
Description
Est.

Qty

Unit
Unit Cost
Total
3001
None

All-inclusive rental price of concentrators and all necessary equipment/supplies, as described in SUB-CLINS 3001a – 3001e.

3001a
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 10 LPM with conserving device as prescribed by VA, cylinder rack, nasal cannula or mask humidifier (when specified), portable oxygen cylinders (gas), and set up in home, instruction, and caregiver education.

Includes backup system consisting of compressed gas source, regulator, and stand.

Concentrator sound level must not exceed 60dB and utilize no more than 600 watts.

MO

3001b
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 10LPM with, conserving device as prescribed by VA, nasal cannula or mask, humidifier (when specified), and set up in home, instruction, and caregiver education Includes backup system consisting of compressed gas source, regulator, and stand. Concentrator sound level must not exceed 60dB and utilize no more than 600 watts.

Includes rental of portable oxygen concentrator with pulse flow (Bolus size up 192ML) and continuous flow (0.5 to 3.0 LPM; 0.5 increments); extended life battery (minimum battery life of 5-hours if device at 2LPM on pulse dose) as well as a back-up battery with same specifications. DC and AC power cords, disposable supplies, carrying case, user manual, set up in home, instruction, and caregiver education. Weight not to exceed 19 lbs. excluding the back-up battery. Sound level not to exceed 43 dB at a setting of 2. Must be airline approved.

3001c
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 5LPM, conserving device as prescribed by VA, cylinder rack, nasal cannula or mask, humidifier (when specified), portable oxygen cylinders (gas) and set up in home, instruction, and caregiver education.

Concentrator sound level must be no more than 40dB, utilize no more than 350 watts, and not exceed 31 pounds.

3001d
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 5LPM, conserving device as prescribed by VA, cylinder rack, nasal cannula or mask, humidifier (when specified), and set up in home, instruction, and caregiver education.

Includes backup system consisting of compressed gas source, regulator, and stand.

Concentrator sound level must be no more than 40dB, utilize no more than 350 watts, and not exceed 31 pounds.

Includes rental of portable oxygen concentrator with pulse flow capacity of 1-5LPM in lieu of portable cylinders. Portable unit to come with extended life battery (minimum battery life of 8-hours if device at 2LPM on pulse dose) as well as a back-up battery with same specifications. DC and AC power cords, disposable supplies, carrying case, user manual, and set up in home, instruction, and caregiver education. Weight not to exceed 6 lbs. including extended life battery. Sound level not to exceed 43 dB at a setting of 2. Must be airline approved.

3001e
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 5LPM, conserving device as prescribed by VA, cylinder rack, nasal cannula or mask, humidifier (when specified), and set up in home, instruction, and caregiver education.

Includes backup system consisting of compressed gas source, regulator, and stand.

Concentrator sound level must be no more than 40dB, utilize no more than 350 watts, and not exceed 31 pounds.

Includes rental of portable oxygen concentrator with pulse flow (Bolus size up to 192ML) and continuous flow (0.5 to 3.0 LPM; 0.5 increments); extended life battery (minimum battery life of 5-hours if device at 2LPM on pulse dose) as well as a back-up battery with same specifications. DC and AC power cords, disposable supplies, carrying case, user manual, set up in home, instruction, and caregiver education. Weight not to exceed 19 lbs. including extended life battery. Sound level not to exceed 43 dB at a setting of 2. Must be airline approved.

5
MO
$________
$________
3002
None

All-inclusive rental price of liquid oxygen system stationary units and all necessary equipment/supplies, as described in SUB-CLINS 3002a – 3002c.

3002a
14.1.3
All-inclusive price including but not limited to rental of liquid oxygen system stationary unit (minimum capacity 110 lbs. ) and portable units without conserving device (max portable unit weight 8 lb. full), nasal cannula or mask and humidifier (when specified), and set up in home, instruction, and caregiver education.

MO

3002b
14.1.3
All-inclusive price including but not limited to rental of liquid oxygen system stationary unit (minimum capacity 110 lbs.) and portable units with conserving device (max portable unit weight 4 lb. full), nasal cannula or mask and humidifier (when specified) and set up in home, instruction, and caregiver education.

MO

3002c
14.1.3
All-inclusive price including but not limited to rental of liquid oxygen system stationary unit (minimum capacity 110 lbs.) and portable units with conserving device (max portable unit weight 6 lb. full), nasal cannula or mask and humidifier (when specified) and set up in home, instruction, and caregiver education.

MO

3003
None

All-inclusive rental price of ventilators and all necessary equipment/supplies, as described in SUB-CLINS 3003a – 3003c.

3003a
14.1.4
All-inclusive price including but not limited to rental of Ventilator including a back-up ventilator in patient’s home, back-up battery, all needed supplies, and set up in home, instruction, and caregiver education.

MO

3003b
14.1.5
All-inclusive price including but not limited to rental of Noninvasive Ventilator, all supplies, equipment service and maintenance, set up in patient’s home, instruction, and caregiver education for Night time ventilation only (Patient will be provided one ventilator).

MO

3003c
14.1.5
All-inclusive price including but not limited to rental of Noninvasive Ventilator, all supplies, equipment service and maintenance, set up in patient’s home, instruction, and caregiver education for day and night (Patient will be provided two ventilators).

MO

3004
None

All-inclusive price for emergency replacement of VA-owned and supplied equipment and any necessary supplies, as described in SUB-CLINS 3004a – 3004c.

3004a
14.1.6
All-inclusive price for emergency replacement of VA-owned and supplied heavy-duty compressor and any necessary supplies.

EA

3004b
14.1.6
All-inclusive price for emergency replacement of VA-owned and supplied suction machine and any necessary supplies.

EA

3004c
14.1.6
All-inclusive price for emergency replacement of VA-owned supplied BiPap ST used as non-invasive ventilator and any necessary supplies.

EA

3005
None
14.1.1.5
All-inclusive price including but not limited to rental of portable oxygen concentrator with pulse flow and continuous flow capabilities. Unit to come with extended life battery (minimum battery life of 5-hours if device at 2LPM on pulse dose) as well as a back-up battery with same specifications. DC and AC power cords, disposable supplies, carrying case and user manual. Weight not to exceed 19 lbs. excluding the back-up battery. Sound level not to exceed 43 dB at a setting of 2. Must be airline approved.
3006
None

All-inclusive rental price for portable cylinders and all necessary equipment/supplies, as described in SUB-CLINS 3006a – 3006c.

3006a
14.1.8
Rental of portable “E” cylinder ONLY. Includes aluminum cylinder with regulator, cart or stand and disposable supplies.
3006b
14.1.8
Rental of portable “D” cylinder ONLY. Includes aluminum cylinder with regulator, cart, carrying bag (shoulder or backpack style) and disposable supplies.

EA

$______
$________
3006c
14.1.8
Rental of portable “B” cylinder ONLY. Includes aluminum cylinder with regulator, carrying bag (shoulder or backpack style) and disposable supplies.

EA

$______
$________
3007
None
2.1

14.1.6.1 14.1.6.7

RRT Practitioner Visits
3300
EA
$______
$________

TOTAL ESTIMATED AMOUT FOR OPTION PERIOD 3: $_____________________________

B.2.5 OPTION PERIOD 4: January 1, 2024 – December 31, 2024

SUB-CLIN
PWS Ref.
Description
Est.

Qty

Unit
Unit Cost
Total
4001
None

All-inclusive rental price of concentrators and all necessary equipment/supplies, as described in SUB-CLINS 4001a – 4001e.

4001a
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 10 LPM with conserving device as prescribed by VA, cylinder rack, nasal cannula or mask humidifier (when specified), portable oxygen cylinders (gas), and set up in home, instruction, and caregiver education.

Includes backup system consisting of compressed gas source, regulator, and stand.

Concentrator sound level must not exceed 60dB and utilize no more than 600 watts.

MO

4001b
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 10LPM with, conserving device as prescribed by VA, nasal cannula or mask, humidifier (when specified), and set up in home, instruction, and caregiver education Includes backup system consisting of compressed gas source, regulator, and stand. Concentrator sound level must not exceed 60dB and utilize no more than 600 watts.

Includes rental of portable oxygen concentrator with pulse flow (Bolus size up 192ML) and continuous flow (0.5 to 3.0 LPM; 0.5 increments); extended life battery (minimum battery life of 5-hours if device at 2LPM on pulse dose) as well as a back-up battery with same specifications. DC and AC power cords, disposable supplies, carrying case, user manual, set up in home, instruction, and caregiver education. Weight not to exceed 19 lbs. excluding the back-up battery. Sound level not to exceed 43 dB at a setting of 2. Must be airline approved.

4001c
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 5LPM, conserving device as prescribed by VA, cylinder rack, nasal cannula or mask, humidifier (when specified), portable oxygen cylinders (gas) and set up in home, instruction, and caregiver education.

Concentrator sound level must be no more than 40dB, utilize no more than 350 watts, and not exceed 31 pounds.

4001d
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 5LPM, conserving device as prescribed by VA, cylinder rack, nasal cannula or mask, humidifier (when specified), and set up in home, instruction, and caregiver education.

Includes backup system consisting of compressed gas source, regulator, and stand.

Concentrator sound level must be no more than 40dB, utilize no more than 350 watts, and not exceed 31 pounds.

Includes rental of portable oxygen concentrator with pulse flow capacity of 1-5LPM in lieu of portable cylinders. Portable unit to come with extended life battery (minimum battery life of 8-hours if device at 2LPM on pulse dose) as well as a back-up battery with same specifications. DC and AC power cords, disposable supplies, carrying case, user manual, and set up in home, instruction, and caregiver education. Weight not to exceed 6 lbs. including extended life battery. Sound level not to exceed 43 dB at a setting of 2. Must be airline approved.

4001e
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 5LPM, conserving device as prescribed by VA, cylinder rack, nasal cannula or mask, humidifier (when specified), and set up in home, instruction, and caregiver education.

Includes backup system consisting of compressed gas source, regulator, and stand.

Concentrator sound level must be no more than 40dB, utilize no more than 350 watts, and not exceed 31 pounds.

Includes rental of portable oxygen concentrator with pulse flow (Bolus size up to 192ML) and continuous flow (0.5 to 3.0 LPM; 0.5 increments); extended life battery (minimum battery life of 5-hours if device at 2LPM on pulse dose) as well as a back-up battery with same specifications. DC and AC power cords, disposable supplies, carrying case, user manual, set up in home, instruction, and caregiver education. Weight not to exceed 19 lbs. including extended life battery. Sound level not to exceed 43 dB at a setting of 2. Must be airline approved.

5
MO
$________
$________
4002
None

All-inclusive rental price of liquid oxygen system stationary units and all necessary equipment/supplies, as described in SUB-CLINS 4002a – 4002c.

4002a
14.1.3
All-inclusive price including but not limited to rental of liquid oxygen system stationary unit (minimum capacity 110 lbs. ) and portable units without conserving device (max portable unit weight 8 lb. full), nasal cannula or mask and humidifier (when specified), and set up in home, instruction, and caregiver education.

MO

4002b
14.1.3
All-inclusive price including but not limited to rental of liquid oxygen system stationary unit (minimum capacity 110 lbs.) and portable units with conserving device (max portable unit weight 4 lb. full), nasal cannula or mask and humidifier (when specified) and set up in home, instruction, and caregiver education.

MO

4002c
14.1.3
All-inclusive price including but not limited to rental of liquid oxygen system stationary unit (minimum capacity 110 lbs.) and portable units with conserving device (max portable unit weight 6 lb. full), nasal cannula or mask and humidifier (when specified) and set up in home, instruction, and caregiver education.

MO

4003
None

All-inclusive rental price of ventilators and all necessary equipment/supplies, as described in SUB-CLINS 4003a – 4003c.

4003a
14.1.4
All-inclusive price including but not limited to rental of Ventilator including a back-up ventilator in patient’s home, back-up battery, all needed supplies, and set up in home, instruction, and caregiver education.

MO

4003b
14.1.5
All-inclusive price including but not limited to rental of Noninvasive Ventilator, all supplies, equipment service and maintenance, set up in patient’s home, instruction, and caregiver education for Night time ventilation only (Patient will be provided one ventilator).

MO

4003c
14.1.5
All-inclusive price including but not limited to rental of Noninvasive Ventilator, all supplies, equipment service and maintenance, set up in patient’s home, instruction, and caregiver education for day and night (Patient will be provided two ventilators).

MO

4004
None

All-inclusive price for emergency replacement of VA-owned and supplied equipment and any necessary supplies, as described in SUB-CLINS 4004a – 4004c.

4004a
14.1.6
All-inclusive price for emergency replacement of VA-owned and supplied heavy-duty compressor and any necessary supplies.

EA

4004b
14.1.6
All-inclusive price for emergency replacement of VA-owned and supplied suction machine and any necessary supplies.

EA

4004c
14.1.6
All-inclusive price for emergency replacement of VA-owned supplied BiPap ST used as non-invasive ventilator and any necessary supplies.

EA

4005
None
14.1.1.5
All-inclusive price including but not limited to rental of portable oxygen concentrator with pulse flow and continuous flow capabilities. Unit to come with extended life battery (minimum battery life of 5-hours if device at 2LPM on pulse dose) as well as a back-up battery with same specifications. DC and AC power cords, disposable supplies, carrying case and user manual. Weight not to exceed 19 lbs. excluding the back-up battery. Sound level not to exceed 43 dB at a setting of 2. Must be airline approved.
4006
None

All-inclusive rental price for portable cylinders and all necessary equipment/supplies, as described in SUB-CLINS 4006a – 4006c.

4006a
14.1.8
Rental of portable “E” cylinder ONLY. Includes aluminum cylinder with regulator, cart or stand and disposable supplies.
4006b
14.1.8
Rental of portable “D” cylinder ONLY. Includes aluminum cylinder with regulator, cart, carrying bag (shoulder or backpack style) and disposable supplies.

EA

$______
$________
4006c
14.1.8
Rental of portable “B” cylinder ONLY. Includes aluminum cylinder with regulator, carrying bag (shoulder or backpack style) and disposable supplies.

EA

$______
$________
4007
None
2.1

14.1.6.1 14.1.6.7

RRT Practitioner Visits
3300
EA
$______
$________

TOTAL ESTIMATED AMOUT FOR OPTION PERIOD 4: $_____________________________

B.2.6 OPTION PERIOD 5: January 1, 2025 – June 30, 2025 (NOTE: Six (6) months)

SUB-CLIN
PWS Ref.
Description
Est.

Qty

Unit
Unit Cost
Total
5001
None

All-inclusive rental price of concentrators and all necessary equipment/supplies, as described in SUB-CLINS 5001a – 5001e.

5001a
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 10 LPM with conserving device as prescribed by VA, cylinder rack, nasal cannula or mask humidifier (when specified), portable oxygen cylinders (gas), and set up in home, instruction, and caregiver education.

Includes backup system consisting of compressed gas source, regulator, and stand.

Concentrator sound level must not exceed 60dB and utilize no more than 600 watts.

MO

5001b
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 10LPM with, conserving device as prescribed by VA, nasal cannula or mask, humidifier (when specified), and set up in home, instruction, and caregiver education Includes backup system consisting of compressed gas source, regulator, and stand. Concentrator sound level must not exceed 60dB and utilize no more than 600 watts.

Includes rental of portable oxygen concentrator with pulse flow (Bolus size up 192ML) and continuous flow (0.5 to 3.0 LPM; 0.5 increments); extended life battery (minimum battery life of 5-hours if device at 2LPM on pulse dose) as well as a back-up battery with same specifications. DC and AC power cords, disposable supplies, carrying case, user manual, set up in home, instruction, and caregiver education. Weight not to exceed 19 lbs. excluding the back-up battery. Sound level not to exceed 43 dB at a setting of 2. Must be airline approved.

5001c
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 5LPM, conserving device as prescribed by VA, cylinder rack, nasal cannula or mask, humidifier (when specified), portable oxygen cylinders (gas) and set up in home, instruction, and caregiver education.

Concentrator sound level must be no more than 40dB, utilize no more than 350 watts, and not exceed 31 pounds.

5001d
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 5LPM, conserving device as prescribed by VA, cylinder rack, nasal cannula or mask, humidifier (when specified), and set up in home, instruction, and caregiver education.

Includes backup system consisting of compressed gas source, regulator, and stand.

Concentrator sound level must be no more than 40dB, utilize no more than 350 watts, and not exceed 31 pounds.

Includes rental of portable oxygen concentrator with pulse flow capacity of 1-5LPM in lieu of portable cylinders. Portable unit to come with extended life battery (minimum battery life of 8-hours if device at 2LPM on pulse dose) as well as a back-up battery with same specifications. DC and AC power cords, disposable supplies, carrying case, user manual, and set up in home, instruction, and caregiver education. Weight not to exceed 6 lbs. including extended life battery. Sound level not to exceed 43 dB at a setting of 2. Must be airline approved.

5001e
14.1.1.5
All-inclusive price including but not limited to rental of concentrator with flow rate capacity up to 5LPM, conserving device as prescribed by VA, cylinder rack, nasal cannula or mask, humidifier (when specified), and set up in home, instruction, and caregiver education.

Includes backup system consisting of compressed gas source, regulator, and stand.

Concentrator sound level must be no more than 40dB, utilize no more than 350 watts, and not exceed 31 pounds.

Includes rental of portable oxygen concentrator with pulse flow (Bolus size up to 192ML) and continuous flow (0.5 to 3.0 LPM; 0.5 increments); extended life battery (minimum battery life of 5-hours if device at 2LPM on pulse dose) as well as a back-up battery with same specifications.

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