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Attachment C 36C24818Q0702
PRICE/COST/DELIVERY SCHEDULE
ITEM INFORMATION
Base Period June 1, 2018 to September 30, 2018
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 0001 |
| Oxygenator, Pump & Table Pack/Kit. Delivery of ten (10) each per month |
| 4.00 |
| MO |
| __________________ |
| __________ |
Option Year 1 October 1, 2018 to September 30, 2019
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 1001 |
| Oxygenator, Pump & Table Pack/Kit. Delivery of ten (10) each per month |
| 12.00 |
| MO |
| __________________ |
| __________ |
Option Year 2 October 1, 2019 to September 30, 2020
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 2001 |
| Oxygenator, Pump & Table Pack/Kit. Delivery of ten (10) each per month |
| 12.00 |
| MO |
| __________________ |
| __________ |
Option Year 3 October 1, 2020 to September 30, 2021
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 3001 |
| Oxygenator, Pump & Table Pack/Kit. Delivery of ten (10) each per month |
| 12.00 |
| MO |
| __________________ |
| __________ |
Option Year 4 October 1, 2021 to September 30, 2022
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 4001 |
| Oxygenator, Pump & Table Pack/Kit. Delivery of ten (10) each per month |
| 12.00 |
| MO |
| __________________ |
| __________ |
GRAND TOTAL
DELIVERY SCHEDULE
| ITEM NUMBERS |
| QUANTITY PER MONTH |
| DELIVERY DATE |
0001 to 4001
| 10.00 |
| 1st week of each month |