36C24623Q0127 Supply eCMS LIne Item.xlsx

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6835--Medical Air/Gas and Cylinder Rental
Solicitation number
36C24623Q0127
Issued by

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This document contains an action line item information file for a medical air/gas and cylinder rental solicitation issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 6. The solicitation requires the supply of various medical gases including oxygen, carbon dioxide, nitrous oxide, nitrogen, and blood gas mixtures in various cylinder sizes to be delivered from November 2022 through November 2027 across four option periods. Products will be priced and ordered on a monthly rental and unit basis. Response is due by early 2023, with the base period of performance from late 2022 through late 2023 and award of up to four option years to extend requirements through late 2027.

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Action Line Item Information

Action Type NamePrimary IDSecondary IDMod NumberTitleOrder Discount Type NameOrder Discount TypeOrder Discount
CON-MOD36C26319C0128P00003PR Cemetery Maintenance Modification -
Tree RemovalPercent0

KB Version: FY21.07A

Items

Item NumberSLINDescriptionRef CLINCommentInclude Comments in DocumentContract PeriodPop BeginPop EndQuantityUnit of MeasurePackaging MultipleReceipt TypeLine Item IsUnit PriceItem Discount Type NameItem DiscountDate UpdatedAddress1Address2Address3CityStateZipZip4CountryMark ForContact NameContact PhoneContact EmailDelivery DateFOBSpecial InstructionsInclude Instructions/Comments in DocumentPRINCIPAL NAICS CODEPRODUCT/SERVICE CODEUNSPSCSIC CODEMANUFACTURER PART NUMBER (MPN)NATIONAL STOCK NUMBERLOCAL STOCK NUMBERDM DOC IDDELIVERY REF. COUNTERUNIT TEXT/DESCRIPTIONDELIVERY REFERENCEITEM MASTER FILE NUMBEREXPENDABLE/NON-EXPENDABLEQUANTITY REQUESTEDUNIT OF PURCHASE CODEUNIT OF PURCHASE TEXT/DESC.
0001OXYGEN MEDICAL: BUILT-IN REGULATOROXYGEN MEDICAL: BUILT-IN REGULATORBase11/09/2211/08/23720CY03251206835
0002CARBON DIOXIDE: MEDICAL SIZE ECARBON DIOXIDE: MEDICAL SIZE EBase11/09/2211/08/2324CY03251206835
00030.3% METHANE. 0.3% CARBON MONOXIDE. 21% OXYGEN. BALANCE NITROGEN, LUNG DIFFUSION GRADE, SIZE 200, HIGH PRESSURE STEEL CYLINDER CGA5000.3% METHANE. 0.3% CARBON MONOXIDE. 21% OXYGEN. BALANCE NITROGEN, LUNG DIFFUSION GRADE, SIZE 200, HIGH PRESSURE STEEL CYLINDER CGA500Base11/09/2211/08/2324CY03251206835
0004NITROUS OXIDE; MEDICAL SIZE ENITROUS OXIDE; MEDICAL SIZE EBase11/09/2211/08/2324CY03251206835
0005CARBON DIOXIDE; MEDICAL 50 LBSCARBON DIOXIDE; MEDICAL 50 LBSBase11/09/2211/08/2324CY03251206835
0006NITROGEN; MEDICAL SIZE HNITROGEN; MEDICAL SIZE HBase11/09/2211/08/2324CY03251206835
0007MEDICAL GAS, BLOOD GAS MI; 4.001% CO2/15.95% O2/BAL NI SIZE 200MEDICAL GAS, BLOOD GAS MI; 4.001% CO2/15.95% O2/BAL NI SIZE 200Base11/09/2211/08/2324CY03251206835
0008MONTHLY RENTAL CYLINDERS-SIZE: A, B, C, D, E; CHARGED MONTHLYMONTHLY RENTAL CYLINDERS-SIZE: A, B, C, D, E; CHARGED MONTHLYBase11/09/2211/08/2396CY03251206835
0009MONTHLY RENTAL CYLINDERS-SIZES OTHER THAN, A, B, C, D, E, CHARGED MONTHLYMONTHLY RENTAL CYLINDERS-SIZES OTHER THAN, A, B, C, D, E, CHARGED MONTHLYBase11/09/2211/08/2396CY03251206835
0010MONTHLY RENTAL-WALK O2 ABOUT, SIZE CYLINDER, CHARGED MONTHLYMONTHLY RENTAL-WALK O2 ABOUT, SIZE CYLINDER, CHARGED MONTHLYBase11/09/2211/08/23864CY03251206835
0011NITROUS OXIDE USP SIZE 56LBSNITROUS OXIDE USP SIZE 56LBSBase11/09/2211/08/2348CY03251206835
0012OXYGEN USP MEDICAL PURE 200 CGA 540OXYGEN USP MEDICAL PURE 200 CGA 540Base11/09/2211/08/23384CY03251206835
0013OXYGEN USP MEDICAL PURE EA CGA 870OXYGEN USP MEDICAL PURE EA CGA 870Base11/09/2211/08/23144CY03251206835
0014OXYGEN USP MEDICAL EA CGA 870 MRIOXYGEN USP MEDICAL EA CGA 870 MRIBase11/09/2211/08/2372CY03251206835
0015EMERGENCY DELIVERYEMERGENCY DELIVERYBase11/09/2211/08/2324EA03251206835
1001OXYGEN MEDICAL: BUILT-IN REGULATOROXYGEN MEDICAL: BUILT-IN REGULATOROption 111/09/2311/08/24720CY03251206835
1002CARBON DIOXIDE: MEDICAL SIZE ECARBON DIOXIDE: MEDICAL SIZE EOption 111/09/2311/08/2424CY03251206835
10030.3% METHANE. 0.3% CARBON MONOXIDE. 21% OXYGEN. BALANCE NITROGEN, LUNG DIFFUSION GRADE, SIZE 200, HIGH PRESSURE STEEL CYLINDER CGA5000.3% METHANE. 0.3% CARBON MONOXIDE. 21% OXYGEN. BALANCE NITROGEN, LUNG DIFFUSION GRADE, SIZE 200, HIGH PRESSURE STEEL CYLINDER CGA500Option 111/09/2311/08/2424CY03251206835
1004NITROUS OXIDE; MEDICAL SIZE ENITROUS OXIDE; MEDICAL SIZE EOption 111/09/2311/08/2424CY03251206835
1005CARBON DIOXIDE; MEDICAL 50 LBSCARBON DIOXIDE; MEDICAL 50 LBSOption 111/09/2311/08/2424CY03251206835
1006NITROGEN; MEDICAL SIZE HNITROGEN; MEDICAL SIZE HOption 111/09/2311/08/2424CY03251206835
1007MEDICAL GAS, BLOOD GAS MI; 4.001% CO2/15.95% O2/BAL NI SIZE 200MEDICAL GAS, BLOOD GAS MI; 4.001% CO2/15.95% O2/BAL NI SIZE 200Option 111/09/2311/08/2424CY03251206835
1008MONTHLY RENTAL CYLINDERS-SIZE: A, B, C, D, E; CHARGED MONTHLYMONTHLY RENTAL CYLINDERS-SIZE: A, B, C, D, E; CHARGED MONTHLYOption 111/09/2311/08/2496CY03251206835
1009MONTHLY RENTAL CYLINDERS-SIZES OTHER THAN, A, B, C, D, E, CHARGED MONTHLYMONTHLY RENTAL CYLINDERS-SIZES OTHER THAN, A, B, C, D, E, CHARGED MONTHLYOption 111/09/2311/08/2496CY03251206835
1010MONTHLY RENTAL-WALK O2 ABOUT, SIZE CYLINDER, CHARGED MONTHLYMONTHLY RENTAL-WALK O2 ABOUT, SIZE CYLINDER, CHARGED MONTHLYOption 111/09/2311/08/24864CY03251206835
1011NITROUS OXIDE USP SIZE 56LBSNITROUS OXIDE USP SIZE 56LBSOption 111/09/2311/08/2448CY03251206835
1012OXYGEN USP MEDICAL PURE 200 CGA 540OXYGEN USP MEDICAL PURE 200 CGA 540Option 111/09/2311/08/24384CY03251206835
1013OXYGEN USP MEDICAL PURE EA CGA 870OXYGEN USP MEDICAL PURE EA CGA 870Option 111/09/2311/08/24144CY03251206835
1014OXYGEN USP MEDICAL EA CGA 870 MRIOXYGEN USP MEDICAL EA CGA 870 MRIOption 111/09/2311/08/2472CY03251206835
2001OXYGEN MEDICAL: BUILT-IN REGULATOROXYGEN MEDICAL: BUILT-IN REGULATOROption 211/09/2411/08/25720CY03251206835
2002CARBON DIOXIDE: MEDICAL SIZE ECARBON DIOXIDE: MEDICAL SIZE EOption 211/09/2411/08/2524CY03251206835
20030.3% METHANE. 0.3% CARBON MONOXIDE. 21% OXYGEN. BALANCE NITROGEN, LUNG DIFFUSION GRADE, SIZE 200, HIGH PRESSURE STEEL CYLINDER CGA5000.3% METHANE. 0.3% CARBON MONOXIDE. 21% OXYGEN. BALANCE NITROGEN, LUNG DIFFUSION GRADE, SIZE 200, HIGH PRESSURE STEEL CYLINDER CGA500Option 211/09/2411/08/2524CY03251206835
2004NITROUS OXIDE; MEDICAL SIZE ENITROUS OXIDE; MEDICAL SIZE EOption 211/09/2411/08/2524CY03251206835
2005CARBON DIOXIDE; MEDICAL 50 LBSCARBON DIOXIDE; MEDICAL 50 LBSOption 211/09/2411/08/2524CY03251206835
2006NITROGEN; MEDICAL SIZE HNITROGEN; MEDICAL SIZE HOption 211/09/2411/08/2524CY03251206835
2007MEDICAL GAS, BLOOD GAS MI; 4.001% CO2/15.95% O2/BAL NI SIZE 200MEDICAL GAS, BLOOD GAS MI; 4.001% CO2/15.95% O2/BAL NI SIZE 200Option 211/09/2411/08/2524CY03251206835
2008MONTHLY RENTAL CYLINDERS-SIZE: A, B, C, D, E; CHARGED MONTHLYMONTHLY RENTAL CYLINDERS-SIZE: A, B, C, D, E; CHARGED MONTHLYOption 211/09/2411/08/2596CY03251206835
2009MONTHLY RENTAL CYLINDERS-SIZES OTHER THAN, A, B, C, D, E, CHARGED MONTHLYMONTHLY RENTAL CYLINDERS-SIZES OTHER THAN, A, B, C, D, E, CHARGED MONTHLYOption 211/09/2411/08/2596CY03251206835
2010MONTHLY RENTAL-WALK O2 ABOUT, SIZE CYLINDER, CHARGED MONTHLYMONTHLY RENTAL-WALK O2 ABOUT, SIZE CYLINDER, CHARGED MONTHLYOption 211/09/2411/08/25864CY03251206835
2011NITROUS OXIDE USP SIZE 56LBSNITROUS OXIDE USP SIZE 56LBSOption 211/09/2411/08/2548CY03251206835
2012OXYGEN USP MEDICAL PURE 200 CGA 540OXYGEN USP MEDICAL PURE 200 CGA 540Option 211/09/2411/08/25384CY03251206835
2013OXYGEN USP MEDICAL PURE EA CGA 870OXYGEN USP MEDICAL PURE EA CGA 870Option 211/09/2411/08/25144CY03251206835
2014OXYGEN USP MEDICAL EA CGA 870 MRIOXYGEN USP MEDICAL EA CGA 870 MRIOption 211/09/2411/08/2572CY03251206835
3001OXYGEN MEDICAL: BUILT-IN REGULATOROXYGEN MEDICAL: BUILT-IN REGULATOROption 311/09/2511/08/26720CY03251206835
3002CARBON DIOXIDE: MEDICAL SIZE ECARBON DIOXIDE: MEDICAL SIZE EOption 311/09/2511/08/2624CY03251206835
30030.3% METHANE. 0.3% CARBON MONOXIDE. 21% OXYGEN. BALANCE NITROGEN, LUNG DIFFUSION GRADE, SIZE 200, HIGH PRESSURE STEEL CYLINDER CGA5000.3% METHANE. 0.3% CARBON MONOXIDE. 21% OXYGEN. BALANCE NITROGEN, LUNG DIFFUSION GRADE, SIZE 200, HIGH PRESSURE STEEL CYLINDER CGA500Option 311/09/2511/08/2624CY03251206835
3004NITROUS OXIDE; MEDICAL SIZE ENITROUS OXIDE; MEDICAL SIZE EOption 311/09/2511/08/2624CY03251206835
3005CARBON DIOXIDE; MEDICAL 50 LBSCARBON DIOXIDE; MEDICAL 50 LBSOption 311/09/2511/08/2624CY03251206835
3006NITROGEN; MEDICAL SIZE HNITROGEN; MEDICAL SIZE HOption 311/09/2511/08/2624CY03251206835
3007MEDICAL GAS, BLOOD GAS MI; 4.001% CO2/15.95% O2/BAL NI SIZE 200MEDICAL GAS, BLOOD GAS MI; 4.001% CO2/15.95% O2/BAL NI SIZE 200Option 311/09/2511/08/2624CY03251206835
3008MONTHLY RENTAL CYLINDERS-SIZE: A, B, C, D, E; CHARGED MONTHLYMONTHLY RENTAL CYLINDERS-SIZE: A, B, C, D, E; CHARGED MONTHLYOption 311/09/2511/08/2696CY03251206835
3009MONTHLY RENTAL CYLINDERS-SIZES OTHER THAN, A, B, C, D, E, CHARGED MONTHLYMONTHLY RENTAL CYLINDERS-SIZES OTHER THAN, A, B, C, D, E, CHARGED MONTHLYOption 311/09/2511/08/2696CY03251206835
3010MONTHLY RENTAL-WALK O2 ABOUT, SIZE CYLINDER, CHARGED MONTHLYMONTHLY RENTAL-WALK O2 ABOUT, SIZE CYLINDER, CHARGED MONTHLYOption 311/09/2511/08/26864CY03251206835
3011NITROUS OXIDE USP SIZE 56LBSNITROUS OXIDE USP SIZE 56LBSOption 311/09/2511/08/2648CY03251206835
3012OXYGEN USP MEDICAL PURE 200 CGA 540OXYGEN USP MEDICAL PURE 200 CGA 540Option 311/09/2511/08/26384CY03251206835
3013OXYGEN USP MEDICAL PURE EA CGA 870OXYGEN USP MEDICAL PURE EA CGA 870Option 311/09/2511/08/26144CY03251206835
3014OXYGEN USP MEDICAL EA CGA 870 MRIOXYGEN USP MEDICAL EA CGA 870 MRIOption 311/09/2511/08/2672CY03251206835
4001OXYGEN MEDICAL: BUILT-IN REGULATOROXYGEN MEDICAL: BUILT-IN REGULATOROption 411/09/2611/08/27720CY03251206835
4002CARBON DIOXIDE: MEDICAL SIZE ECARBON DIOXIDE: MEDICAL SIZE EOption 411/09/2611/08/2724CY03251206835
40030.3% METHANE. 0.3% CARBON MONOXIDE. 21% OXYGEN. BALANCE NITROGEN, LUNG DIFFUSION GRADE, SIZE 200, HIGH PRESSURE STEEL CYLINDER CGA5000.3% METHANE. 0.3% CARBON MONOXIDE. 21% OXYGEN. BALANCE NITROGEN, LUNG DIFFUSION GRADE, SIZE 200, HIGH PRESSURE STEEL CYLINDER CGA500Option 411/09/2611/08/2724CY03251206835
4004NITROUS OXIDE; MEDICAL SIZE ENITROUS OXIDE; MEDICAL SIZE EOption 411/09/2611/08/2724CY03251206835
4005CARBON DIOXIDE; MEDICAL 50 LBSCARBON DIOXIDE; MEDICAL 50 LBSOption 411/09/2611/08/2724CY03251206835
4006NITROGEN; MEDICAL SIZE HNITROGEN; MEDICAL SIZE HOption 411/09/2611/08/2724CY03251206835
4007MEDICAL GAS, BLOOD GAS MI; 4.001% CO2/15.95% O2/BAL NI SIZE 200MEDICAL GAS, BLOOD GAS MI; 4.001% CO2/15.95% O2/BAL NI SIZE 200Option 411/09/2611/08/2724CY03251206835
4008MONTHLY RENTAL CYLINDERS-SIZE: A, B, C, D, E; CHARGED MONTHLYMONTHLY RENTAL CYLINDERS-SIZE: A, B, C, D, E; CHARGED MONTHLYOption 411/09/2611/08/2796CY03251206835
4009MONTHLY RENTAL CYLINDERS-SIZES OTHER THAN, A, B, C, D, E, CHARGED MONTHLYMONTHLY RENTAL CYLINDERS-SIZES OTHER THAN, A, B, C, D, E, CHARGED MONTHLYOption 411/09/2611/08/2796CY03251206835
4010MONTHLY RENTAL-WALK O2 ABOUT, SIZE CYLINDER, CHARGED MONTHLYMONTHLY RENTAL-WALK O2 ABOUT, SIZE CYLINDER, CHARGED MONTHLYOption 411/09/2611/08/27864CY03251206835
4011NITROUS OXIDE USP SIZE 56LBSNITROUS OXIDE USP SIZE 56LBSOption 411/09/2611/08/2748CY03251206835
4012OXYGEN USP MEDICAL PURE 200 CGA 540OXYGEN USP MEDICAL PURE 200 CGA 540Option 411/09/2611/08/27384CY03251206835
4013OXYGEN USP MEDICAL PURE EA CGA 870OXYGEN USP MEDICAL PURE EA CGA 870Option 411/09/2611/08/27144CY03251206835
4014OXYGEN USP MEDICAL EA CGA 870 MRIOXYGEN USP MEDICAL EA CGA 870 MRIOption 411/09/2611/08/2772CY03251206835

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