Copy of Attachment A _Schedule of Supplies Services_Updated for Modification 5 FINAL.xlsx
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- Solicitation number
- 36C24225R0013
About this file
This document is a Schedule of Supplies/Services Excel spreadsheet for a Home Oxygen Services contract for the Department of Veterans Affairs Healthcare Network Upstate New York (VISN 2). The comprehensive pricing schedule covers a base period from October 1, 2025 to September 30, 2026, with four additional option years extending through March 31, 2031, and includes detailed rental and service specifications for various medical oxygen and respiratory equipment.
The contract encompasses multiple equipment categories with specific monthly and yearly rental requirements, including oxygen concentrators (with various flow rate capacities), ventilators, portable oxygen cylinders, BiPAP systems, heavy duty compressors, and additional respiratory support devices. Key service components include equipment rental, setup, patient home instruction, caregiver education, backup systems, and emergency equipment replacement. The estimated quantities vary by equipment type, with some items like RRT Practitioner Visits projected at 5,633 yearly and portable "E" cylinder rentals at 854 monthly. Each equipment category has precise technical specifications regarding sound levels, power consumption, weight, battery life, and portability requirements.
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Price Shedule Instructions B.4 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 Estimated Total 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).
Do not leave any 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 in all performance periods will be considered incomplete and removed from any further consideration.
ESTIMATED QUANTITIES: All quantities listed herein are estimated annual quantities. The Government is not obligated to purchase any specified amount of services under this contract, but will be obligated to make payment for all services requested and received in the quantities and of the quality requested. The Government does not guarantee or imply that any fixed number of orders/referrals for services will be placed under the resultant contract.
Base Award
| Base Period Period of Performance: October 1, 2025 - September 30, 2026 | |||||||||
| CLIN | SUB-CLIN | PWS REFERENCE | DESCRIPTION | ESTIMATED QUANTITY | UNIT | QUANTITY UNIT | UNIT COST | ESTIMATED TOTAL | YEARLY TOTAL |
| 0001 | None | All-inclusive rental price of concentrators and all necessary equipment/supplies, as described in SUB-CLINS 0001a – 0001e. | EA | ||||||
| 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.
| 124 | EA | MONTHLY | $ - 0 | $ - 0 | |
| 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.
| 3 | EA | MONTHLY | $ - 0 | $ - 0 | |
| 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. | 1228 | EA | MONTHLY | $ - 0 | $ - 0 | |
| 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. | 1300 | EA | MONTHLY | $ - 0 | $ - 0 | |
| 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.
| 10 | EA | MONTHLY | $ - 0 | $ - 0 | |||||
| 0002 | None | All-inclusive rental price of ventilators and all necessary equipment/, as described in SUB-CLINS 0003a – 0003c. | EA | EA | EA | EA | EA | ||
| 0002a | 14.1.6 | All-inclusive price including but not limited to rental of Ventilator including a back-up ventilator in patient’s home, back-up battery, and set up in home, instruction, and caregiver education. | 8 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 0002b | 14.1.6 | All-inclusive price including but not limited to rental of Noninvasive Ventilator, 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). | 5 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 0002c | 14.1.6 | All-inclusive price including but not limited to rental of Noninvasive Ventilator, equipment service and maintenance, set up in patient’s home, instruction, and caregiver education for day and night (Patient will be provided two ventilators). | 20 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 0003 | 2.1 | SET-UP BiPAP ST: The VA will provide the BiPAP ST and related supplies. This is an all-inclusive rate that includes but is not limited to equipment storage, travel, set-up, and patient education. The Contractor will set-up the BiPAP ST at the request of VA. The set-up and education will be provided by a registered respiratory therapist. The contractor will track each of the BiPAP ST that is or has been issued (per list supplied by VA) and ensure any required maintenance is performed in accordance with manufacturer requirements. | 2 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 0004 | 14.1.6.9 | SET-UP HEAVY DUTY COMPRESSORS: The VA will provide the compressors and related supplies. This is an all-inclusive rate that includes but is not limited to equipment storage, travel, set-up,and patient education. The Contractor will set-up heavy duty compressors at the request of VA. The set-up and education will be provided by a registered respiratory therapist. The contractor will track each of the compressors that is or has been issued (per list supplied by VA) and ensure any required maintenance is performed in accordance with manufacturer requirements. The estimated quantity is 15 per year. | 15 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 0005 | 14.1.5.4 | SET-UP Heated/Humidified high flow oxygen system: The VA will provide the Heated/Humidified high flow oxygen system and related supplies. This is an all-inclusive rate that includes but is not limited to equipment storage, travel, set-up, and patient education. The Contractor will set-up Heated/Humidified high flow oxygen systems at the request of VA. The set-up and education will be provided by a registered respiratory therapist. The contractor will track each of the Heated/Humidified high flow oxygen systems that is or has been issued (per list supplied by VA) and ensure any required maintenance is performed in accordance with manufacturer requirements. | 2 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 0006 | 14.1.5.6 | SET-UP Mechanical Insufflator-Exsufflator device: The VA will provide the Mechanical Insufflator-Exsufflator device and related supplies. This is an all-inclusive rate that includes but is not limited to equipment storage, travel, set-up, and patient education. The Contractor will set-up Mechanical Insufflator-Exsufflator devices at the request of VA. The set-up and education will be provided by a registered respiratory therapist. The contractor will track each of the Mechanical Insufflator-Exsufflator devices that is or has been issued (per list supplied by VA) and ensure any required maintenance is performed in accordance with manufacturer requirements. | 15 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 0007 | None | All-inclusive price for emergency replacement of VA-owned and supplied equipment, as described in SUB-CLINS 0004a – 0004c. | EA | EA | EA | EA | EA | ||
| 0007a | All-inclusive price for emergency replacement of VA-owned and supplied heavy-duty compressor. | 6 | EA | YEARLY | $ - 0 | $ - 0 | |||
| 0007b | All-inclusive price for emergency replacement of VA-owned and supplied suction machine. | 30 | EA | YEARLY | $ - 0 | $ - 0 | |||
| 0007c | All-inclusive price for emergency replacement of VA-owned supplied BiPap ST used as non-invasive ventilator. | 3 | EA | YEARLY | $ - 0 | $ - 0 | |||
| 0008 | None | 14.1.5 | 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. | 1 | EA | MONTHLY | $ - 0 | $ - 0 | |
| 0008 | 0008a | Rental of additional batteries for portable oxygen concentrator when requested by VA | 40 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 0009 | None | All-inclusive rental price for portable cylinders and all necessary equipment/supplies, as described in SUB-CLINS 0006a – 0006c. | EA | EA | EA | EA | EA | ||
| 0009a | 14.1.8 | Rental of portable “E” cylinder ONLY. Includes aluminum cylinder with regulator, cart or stand and disposable supplies. | 854 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 0009b | 14.1.8 | Rental of portable “D” cylinder ONLY. Includes aluminum cylinder with regulator, cart, carrying bag (shoulder or backpack style) and disposable supplies. | 197 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 0009c | 14.1.8 | Rental of portable “B” cylinder ONLY. Includes aluminum cylinder with regulator, carrying bag (shoulder or backpack style) and disposable supplies. | 314 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 0009d | 14.1.8 | Rental of M90 cylinder ONLY. Includes aluminum cylinder with regulator, cart or stand and disposable supplies | 4 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 0010 | None | 2.1, 14.1.6.1, 14.1.6.7 | RRT Practitioner Visits | 5633 | EA | YEARLY | $ - 0 | $ - 0 | |
| 0011 | None | 14.1.7.2 | Long-Term Travel (Weekly Rate) | 1000 | EA | YEARLY | $ - 0 | $ - 0 | |
| 0012 | None | 3, 13.1 | Evaluation only for conserving device or Portable Oxygen Concentrator | 60 | EA | MONTHLY | $ - 0 | $ - 0 |
Total Estimated Amount For Base Period: $ - 0
Option Year One
| Option Year One of Performance: Oct 1, 2026 - Sept 30, 2027 | |||||||||
| CLIN | SUB-CLIN | PWS REFERENCE | DESCRIPTION | ESTIMATED QUANTITY | UNIT | QUANTITY UNIT | UNIT COST | ESTIMATED TOTAL | YEARLY TOTAL |
| 1001 | None | All-inclusive rental price of concentrators and all necessary equipment/supplies, as described in SUB-CLINS 0001a – 0001e. | EA | ||||||
| 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.
| 124 | EA | MONTHLY | $ - 0 | $ - 0 | |
| 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.
| 3 | EA | MONTHLY | $ - 0 | $ - 0 | |
| 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. |
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. | 1228 | EA | MONTHLY | $ - 0 | $ - 0 | |
| 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. | 1300 | EA | MONTHLY | $ - 0 | $ - 0 | |
| 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.
| 10 | EA | MONTHLY | $ - 0 | $ - 0 | |||||
| 1002 | None | All-inclusive rental price of ventilators and all necessary equipment/supplies, as described in SUB-CLINS 0003a – 0003c. | EA | EA | EA | EA | EA | ||
| 1002a | 14.1.6 | 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. | 8 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 1002b | 14.1.6 | 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). | 5 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 1002c | 14.1.6 | 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). | 20 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 1003 | 2.1 | SET-UP BiPAP ST: The VA will provide the BiPAP ST and related supplies. This is an all-inclusive rate that includes but is not limited to equipment storage, travel, set-up, and patient education. The Contractor will set-up the BiPAP ST at the request of VA. The set-up and education will be provided by a registered respiratory therapist. The contractor will track each of the BiPAP ST that is or has been issued (per list supplied by VA) and ensure any required maintenance is performed in accordance with manufacturer requirements. | 2 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 1004 | 14.1.6.9 | SET-UP HEAVY DUTY COMPRESSORS: The VA will provide the compressors and related supplies. This is an all-inclusive rate that includes but is not limited to equipment storage, travel, set-up,and patient education. The Contractor will set-up heavy duty compressors at the request of VA. The set-up and education will be provided by a registered respiratory therapist. The contractor will track each of the compressors that is or has been issued (per list supplied by VA) and ensure any required maintenance is performed in accordance with manufacturer requirements. The estimated quantity is 15 per year. | 15 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 1005 | 14.1.5.4 | SET-UP Heated/Humidified high flow oxygen system: The VA will provide the Heated/Humidified high flow oxygen system and related supplies. This is an all-inclusive rate that includes but is not limited to equipment storage, travel, set-up, and patient education. The Contractor will set-up Heated/Humidified high flow oxygen systems at the request of VA. The set-up and education will be provided by a registered respiratory therapist. The contractor will track each of the Heated/Humidified high flow oxygen systems that is or has been issued (per list supplied by VA) and ensure any required maintenance is performed in accordance with manufacturer requirements. | 2 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 1006 | 14.1.5.6 | SET-UP Mechanical Insufflator-Exsufflator device: The VA will provide the Mechanical Insufflator-Exsufflator device and related supplies. This is an all-inclusive rate that includes but is not limited to equipment storage, travel, set-up, and patient education. The Contractor will set-up Mechanical Insufflator-Exsufflator devices at the request of VA. The set-up and education will be provided by a registered respiratory therapist. The contractor will track each of the Mechanical Insufflator-Exsufflator devices that is or has been issued (per list supplied by VA) and ensure any required maintenance is performed in accordance with manufacturer requirements. | 15 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 1007 | None | All-inclusive price for emergency replacement of VA-owned and supplied equipment, as described in SUB-CLINS 0004a – 0004c. | EA | EA | EA | EA | EA | ||
| 1007a | All-inclusive price for emergency replacement of VA-owned and supplied heavy-duty compressor. | 6 | EA | YEARLY | $ - 0 | $ - 0 | |||
| 1007b | All-inclusive price for emergency replacement of VA-owned and supplied suction machine. | 30 | EA | YEARLY | $ - 0 | $ - 0 | |||
| 1007c | All-inclusive price for emergency replacement of VA-owned supplied BiPap ST used as non-invasive ventilator. | 3 | EA | YEARLY | $ - 0 | $ - 0 | |||
| 1008 | None | 14.1.5 | 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. | 1 | EA | MONTHLY | $ - 0 | $ - 0 | |
| 1008 | 1008a | Rental of additional batteries for portable oxygen concentrator when requested by VA | 40 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 1009 | None | All-inclusive rental price for portable cylinders and all necessary equipment/supplies, as described in SUB-CLINS 0006a – 0006c. | EA | EA | EA | EA | EA | ||
| 1009a | 14.1.8 | Rental of portable “E” cylinder ONLY. Includes aluminum cylinder with regulator, cart or stand and disposable supplies. | 854 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 1009b | 14.1.8 | Rental of portable “D” cylinder ONLY. Includes aluminum cylinder with regulator, cart, carrying bag (shoulder or backpack style) and disposable supplies. | 197 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 1009c | 14.1.8 | Rental of portable “B” cylinder ONLY. Includes aluminum cylinder with regulator, carrying bag (shoulder or backpack style) and disposable supplies. | 314 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 1009d | 14.1.8 | Rental of M90 cylinder ONLY. Includes aluminum cylinder with regulator, cart or stand and disposable supplies | 4 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 1010 | None | 2.1, 14.1.6.1, 14.1.6.7 | RRT Practitioner Visits | 5633 | EA | YEARLY | $ - 0 | $ - 0 | |
| 1011 | None | 14.1.7.2 | Long-Term Travel (Weekly Rate) | 1000 | EA | YEARLY | $ - 0 | $ - 0 | |
| 0012 | None | 3, 13.1 | Evaluation only for conserving device or Portable Oxygen Concentrator | 60 | EA | MONTHLY | $ - 0 | $ - 0 |
Total Estimated Amount For Option Year One: $ - 0
Option Year Two
| Option Year Two Period of Performance: Oct 1, 2027 - Sept 30, 2028 | |||||||||
| CLIN | SUB-CLIN | PWS REFERENCE | DESCRIPTION | ESTIMATED QUANTITY | UNIT | QUANTITY UNIT | UNIT COST | ESTIMATED TOTAL | YEARLY TOTAT |
| 2001 | None | All-inclusive rental price of concentrators and all necessary equipment/supplies, as described in SUB-CLINS 0001a – 0001e. | |||||||
| 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.
| 124 | EA | MONTHLY | $ - 0 | $ - 0 | |
| 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.
| 3 | EA | MONTHLY | $ - 0 | $ - 0 | |
| 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. |
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. | 1228 | EA | MONTHLY | $ - 0 | $ - 0 | |
| 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. | 1300 | EA | MONTHLY | $ - 0 | $ - 0 | |
| 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.
| 10 | EA | MONTHLY | $ - 0 | $ - 0 | |||||
| 2002 | None | All-inclusive rental price of ventilators and all necessary equipment/supplies, as described in SUB-CLINS 0003a – 0003c. | EA | EA | |||||
| 2002a | 14.1.6 | 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. | 8 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 2002b | 14.1.6 | 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). | 5 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 2002c | 14.1.6 | 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). | 20 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 2003 | 2.1 | SET-UP BiPAP ST: The VA will provide the BiPAP ST and related supplies. This is an all-inclusive rate that includes but is not limited to equipment storage, travel, set-up, and patient education. The Contractor will set-up the BiPAP ST at the request of VA. The set-up and education will be provided by a registered respiratory therapist. The contractor will track each of the BiPAP ST that is or has been issued (per list supplied by VA) and ensure any required maintenance is performed in accordance with manufacturer requirements. | 2 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 2004 | 14.1.6.9 | SET-UP HEAVY DUTY COMPRESSORS: The VA will provide the compressors and related supplies. This is an all-inclusive rate that includes but is not limited to equipment storage, travel, set-up,and patient education. The Contractor will set-up heavy duty compressors at the request of VA. The set-up and education will be provided by a registered respiratory therapist. The contractor will track each of the compressors that is or has been issued (per list supplied by VA) and ensure any required maintenance is performed in accordance with manufacturer requirements. The estimated quantity is 15 per year. | 15 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 2005 | 14.1.5.4 | SET-UP Heated/Humidified high flow oxygen system: The VA will provide the Heated/Humidified high flow oxygen system and related supplies. This is an all-inclusive rate that includes but is not limited to equipment storage, travel, set-up, and patient education. The Contractor will set-up Heated/Humidified high flow oxygen systems at the request of VA. The set-up and education will be provided by a registered respiratory therapist. The contractor will track each of the Heated/Humidified high flow oxygen systems that is or has been issued (per list supplied by VA) and ensure any required maintenance is performed in accordance with manufacturer requirements. | 2 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 2006 | 14.1.5.6 | SET-UP Mechanical Insufflator-Exsufflator device: The VA will provide the Mechanical Insufflator-Exsufflator device and related supplies. This is an all-inclusive rate that includes but is not limited to equipment storage, travel, set-up, and patient education. The Contractor will set-up Mechanical Insufflator-Exsufflator devices at the request of VA. The set-up and education will be provided by a registered respiratory therapist. The contractor will track each of the Mechanical Insufflator-Exsufflator devices that is or has been issued (per list supplied by VA) and ensure any required maintenance is performed in accordance with manufacturer requirements. | 15 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 2007 | None | All-inclusive price for emergency replacement of VA-owned and supplied equipment, as described in SUB-CLINS 0004a – 0004c. | EA | EA | |||||
| 2007a | All-inclusive price for emergency replacement of VA-owned and supplied heavy-duty compressor. | 6 | EA | YEARLY | $ - 0 | $ - 0 | |||
| 2007b | All-inclusive price for emergency replacement of VA-owned and supplied suction machine. | 30 | EA | YEARLY | $ - 0 | $ - 0 | |||
| 2007c | All-inclusive price for emergency replacement of VA-owned supplied BiPap ST used as non-invasive ventilator. | 3 | EA | YEARLY | $ - 0 | $ - 0 | |||
| 2008 | None | 14.1.5 | 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. | 1 | EA | MONTHLY | $ - 0 | $ - 0 | |
| 2008 | 2008a | Rental of additional batteries for portable oxygen concentrator when requested by VA | 40 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 2009 | None | All-inclusive rental price for portable cylinders and all necessary equipment/supplies, as described in SUB-CLINS 0006a – 0006c. | EA | EA | |||||
| 2009a | 14.1.8 | Rental of portable “E” cylinder ONLY. Includes aluminum cylinder with regulator, cart or stand and disposable supplies. | 854 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 2009b | 14.1.8 | Rental of portable “D” cylinder ONLY. Includes aluminum cylinder with regulator, cart, carrying bag (shoulder or backpack style) and disposable supplies. | 197 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 2009c | 14.1.8 | Rental of portable “B” cylinder ONLY. Includes aluminum cylinder with regulator, carrying bag (shoulder or backpack style) and disposable supplies. | 314 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 2009d | 14.1.8 | Rental of M90 cylinder ONLY. Includes aluminum cylinder with regulator, cart or stand and disposable supplies | 4 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 2010 | None | 2.1, 14.1.6.1, 14.1.6.7 | RRT Practitioner Visits | 5633 | EA | YEARLY | $ - 0 | $ - 0 | |
| 2011 | None | 14.1.7.2 | Long-Term Travel (Weekly Rate) | 1000 | EA | YEARLY | $ - 0 | $ - 0 | |
| 0012 | None | 3, 13.1 | Evaluation only for conserving device or Portable Oxygen Concentrator | 60 | EA | MONTHLY | $ - 0 | $ - 0 | |
| Total Estimated Amount For Option Year Three: | $ - 0 |
Option Year Three
| Option Year Three Period of Performance: Oct 1, 2028 - Sept 30, 2029 | |||||||||
| CLIN | SUB-CLIN | PWS REFERENCE | DESCRIPTION | ESTIMATED QUANTITY | UNIT | QUANTITY UNIT | UNIT COST | ESTIMATED TOTAL | YEARLY TOTAL |
| 3001 | None | All-inclusive rental price of concentrators and all necessary equipment/supplies, as described in SUB-CLINS 0001a – 0001e. | |||||||
| 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.
| 124 | EA | MONTHLY | $ - 0 | $ - 0 | |
| 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.
| 3 | EA | MONTHLY | $ - 0 | $ - 0 | |
| 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. |
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. | 1228 | EA | MONTHLY | $ - 0 | $ - 0 | |
| 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. | 1300 | EA | MONTHLY | $ - 0 | $ - 0 | |
| 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.
| 10 | EA | MONTHLY | $ - 0 | $ - 0 | |||||
| 3002 | None | All-inclusive rental price of ventilators and all necessary equipment/supplies, as described in SUB-CLINS 0003a – 0003c. | EA | EA | $- | $- | $- | ||
| 3002a | 14.1.6 | 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. | 8 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 3002b | 14.1.6 | 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). | 5 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 3002c | 14.1.6 | 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). | 20 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 3003 | 2.1 | SET-UP BiPAP ST: The VA will provide the BiPAP ST and related supplies. This is an all-inclusive rate that includes but is not limited to equipment storage, travel, set-up, and patient education. The Contractor will set-up the BiPAP ST at the request of VA. The set-up and education will be provided by a registered respiratory therapist. The contractor will track each of the BiPAP ST that is or has been issued (per list supplied by VA) and ensure any required maintenance is performed in accordance with manufacturer requirements. | 2 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 3004 | 14.1.6.9 | SET-UP HEAVY DUTY COMPRESSORS: The VA will provide the compressors and related supplies. This is an all-inclusive rate that includes but is not limited to equipment storage, travel, set-up,and patient education. The Contractor will set-up heavy duty compressors at the request of VA. The set-up and education will be provided by a registered respiratory therapist. The contractor will track each of the compressors that is or has been issued (per list supplied by VA) and ensure any required maintenance is performed in accordance with manufacturer requirements. The estimated quantity is 15 per year. | 15 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 3005 | 14.1.5.4 | SET-UP Heated/Humidified high flow oxygen system: The VA will provide the Heated/Humidified high flow oxygen system and related supplies. This is an all-inclusive rate that includes but is not limited to equipment storage, travel, set-up, and patient education. The Contractor will set-up Heated/Humidified high flow oxygen systems at the request of VA. The set-up and education will be provided by a registered respiratory therapist. The contractor will track each of the Heated/Humidified high flow oxygen systems that is or has been issued (per list supplied by VA) and ensure any required maintenance is performed in accordance with manufacturer requirements. | 2 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 3006 | 14.1.5.6 | SET-UP Mechanical Insufflator-Exsufflator device: The VA will provide the Mechanical Insufflator-Exsufflator device and related supplies. This is an all-inclusive rate that includes but is not limited to equipment storage, travel, set-up, and patient education. The Contractor will set-up Mechanical Insufflator-Exsufflator devices at the request of VA. The set-up and education will be provided by a registered respiratory therapist. The contractor will track each of the Mechanical Insufflator-Exsufflator devices that is or has been issued (per list supplied by VA) and ensure any required maintenance is performed in accordance with manufacturer requirements. | 15 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 3007 | None | All-inclusive price for emergency replacement of VA-owned and supplied equipment, as described in SUB-CLINS 0004a – 0004c. | EA | EA | $- | $- | $- | ||
| 3007a | All-inclusive price for emergency replacement of VA-owned and supplied heavy-duty compressor. | 6 | EA | YEARLY | $ - 0 | $ - 0 | |||
| 3007b | All-inclusive price for emergency replacement of VA-owned and supplied suction machine. | 30 | EA | YEARLY | $ - 0 | $ - 0 | |||
| 3007c | All-inclusive price for emergency replacement of VA-owned supplied BiPap ST used as non-invasive ventilator. | 3 | EA | YEARLY | $ - 0 | $ - 0 | |||
| 3008 | None | 14.1.5 | 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. | 1 | EA | MONTHLY | $ - 0 | $ - 0 | |
| 3008 | 3008a | Rental of additional batteries for portable oxygen concentrator when requested by VA | 40 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 3009 | None | All-inclusive rental price for portable cylinders and all necessary equipment/supplies, as described in SUB-CLINS 0006a – 0006c. | EA | EA | $- | $- | $- | ||
| 3009a | 14.1.8 | Rental of portable “E” cylinder ONLY. Includes aluminum cylinder with regulator, cart or stand and disposable supplies. | 854 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 3009b | 14.1.8 | Rental of portable “D” cylinder ONLY. Includes aluminum cylinder with regulator, cart, carrying bag (shoulder or backpack style) and disposable supplies. | 197 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 3009c | 14.1.8 | Rental of portable “B” cylinder ONLY. Includes aluminum cylinder with regulator, carrying bag (shoulder or backpack style) and disposable supplies. | 314 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 3009d | 14.1.8 | Rental of M90 cylinder ONLY. Includes aluminum cylinder with regulator, cart or stand and disposable supplies | 4 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 3010 | None | 2.1, 14.1.6.1, 14.1.6.7 | RRT Practitioner Visits | 5633 | EA | YEARLY | $ - 0 | $ - 0 | |
| 3011 | None | 14.1.7.2 | Long-Term Travel (Weekly Rate) | 1000 | EA | YEARLY | $ - 0 | $ - 0 | |
| 0012 | None | 3, 13.1 | Evaluation only for conserving device or Portable Oxygen Concentrator | 60 | EA | MONTHLY | $ - 0 | $ - 0 |
Total Estimated Amount For Option Year Three: $ - 0
Option Year Four
| Option Year Four Period of Performance: Oct 1, 2029 - Sept 30, 2030 | |||||||||
| CLIN | SUB-CLIN | PWS REFERENCE | DESCRIPTION | ESTIMATED QUANTITY | UNIT | UNIT QUANTITY | UNIT COST | ESTIMATED TOTAL | YEARLY TOTAL |
| 4001 | None | All-inclusive rental price of concentrators and all necessary equipment/supplies, as described in SUB-CLINS 0001a – 0001e. | |||||||
| 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.
| 124 | EA | MONTHLY | $ - 0 | $ - 0 | |
| 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.
| 3 | EA | MONTHLY | $ - 0 | $ - 0 | |
| 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. |
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. | 1228 | EA | MONTHLY | $ - 0 | $ - 0 | |
| 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. | 1300 | EA | MONTHLY | $ - 0 | $ - 0 | |
| 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.
| 10 | EA | MONTHLY | $ - 0 | $ - 0 | |||||
| 4002 | None | All-inclusive rental price of ventilators and all necessary equipment/supplies, as described in SUB-CLINS 0003a – 0003c. | EA | $- | $- | $- | |||
| 4002a | 14.1.6 | 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. | 8 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 4002b | 14.1.6 | 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). | 5 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 4002c | 14.1.6 | 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). | 20 | EA | MONTHLY | $ - 0 | $ - 0 | ||
| 4003 | 2.1 | SET-UP BiPAP ST: The VA will provide the BiPAP ST and related supplies. This is an all-inclusive rate that includes but is not limited to equipment storage, travel, set-up, and patient education. The Contractor will set-up the BiPAP ST at the request of VA. The set-up and education will be provided by a registered respiratory therapist. The contractor will track each of the BiPAP ST that is or has been issued (per list supplied by VA) and ensure any required maintenance is performed in accordance with manufacturer requirements. | 2 | EA | MONTHLY | $ - 0 | $ - 0 |
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