36C24818Q9543-002.docx

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Bed and Mattress Rental - Tiered Evaluation
Solicitation number
36C24818Q9543
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36C24818Q9543 Price-Cost Schedule - Attachment A.docx

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PRICE/COST SCHEDULE

Contract Period - Base: POP Begin: 10-01-2018 to POP End: 09-30-2019

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
2,500.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Dolphin Fluid Immersion Simulation Mattress Estimated Rental Quantity - Priced Per Day Models: DLPH-3582KIT; DLPH4882KIT, DLPHV-3588KIT-RNT Contract Period: Base POP Begin: 10-01-2018 POP End: 09-30-2019

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Cair 1000 (Bariatric Low Air Loss Therapy System) Rental

Contract Period: Base

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Alternate Cair Plus (Alternating Pressure Therapy System)

Contract Period: Base

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Flap Cair

Contract Period: Base

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Turn Cair Plus LAL System Mattress

Contract Period: Base

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Alternate Cair Plus (Alternating Pressure Therapy LAL System)

Contract Period: Base

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Turn Cair (Lateral Rotation/Low Air Loss Therapy System)

Contract Period: Base

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Turn Cair RT (lateral Rotation/Low Air Loss Therapy System)

Contract Period: Base

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare ProCair Plus

Contract Period: Base

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare ProCair V/VR (Therapeutic Mattress Replacement)

Contract Period: Base

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare ReplaMatt Series

Contract Period: Base

250.00

DY

Name Brand or Equal to Joerns Healthcare BariMatt 1000 Plus

Contract Period: Base

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare (Chauffeur Universal Transport System)

Contract Period: Base

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Trapeze w/Adapter UCXT

Contract Period: Base

500.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Trapeze - Weight Tolerance 250 LBS

Contract Period: Base

500.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Bariatric Trapeze - Weight Tolerance 1000 LBS

Contract Period: Base

100.00
DY
__________________
__________________

Name Brand or Equal to Joerns Floor Mat 33x60x2

Contract Period: Base

500.00

Name Brand or Equal to Joerns Healthcare Bariatric Commode w/bucket

Contract Period: Base

650.00
DY
__________________
__________________

Name Brand or Equal to Joerns Bariatric Bed Frame w/Foam Mattress

Contract Period: Base

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Bariatric Drop Arm Commode

Contract Period: Base

GRAND TOTAL
__________________

Contract Period - Option Year 1: POP Begin: 10-01-2019 to POP End: 09-30-2020

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
2,500.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Dolphin Fluid Immersion Simulation Mattress

Models: DLPH-3582KIT; DLPH4882KIT, DLPHV-3588KIT-RNT Contract Period: Option Year 1 POP Begin: 10-01-2019 POP End: 09-30-2020

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Cair 1000 (Bariatric Low Air Loss Therapy System) Rental

Contract Period: Option Year 1

Name Brand or Equal to Joerns Alternate Cair Plus (Alternating Pressure Therapy System)

Contract Period: Option Year 1

DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Flap Cair

Contract Period: Option Year 1

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Turn Cair Plus LAL System Mattress

Contract Period: Option Year 1

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Alternate Cair Plus (Alternating Pressure Therapy LAL System)

Contract Period: Option Year 1

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Turn Cair (Lateral Rotation/Low Air Loss Therapy System)

Contract Period: Option Year 1

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Turn Cair RT (lateral Rotation/Low Air Loss Therapy System)

Contract Period: Option Year 1

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare ProCair Plus

Contract Period: Option Year 1

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare ProCair V/VR (Therapeutic Mattress Replacement)

Contract Period: Option Year 1

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare ReplaMatt Series

Contract Period: Option Year 1

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare BariMatt 1000 Plus

Contract Period: Option Year 1

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare (Chauffeur Universal Transport System)

Contract Period: Option Year 1

Name Brand or Equal to Joerns Healthcare Trapeze w/Adapter UCXT

Contract Period: Option Year 1

Name Brand or Equal to Joerns Healthcare Trapeze - Weight Tolerance 250 lBS

Contract Period: Option Year 1

500.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Bariatric Trapeze - Weight Tolerance 1000 LBS

Contract Period: Option Year 1

100.00
DY
__________________
__________________

Name Brand or Equal to Joerns Floor Mat 33x60x2

Contract Period: Option Year 1

500.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Bariatric Commode w/bucket Contract Period: Option Year 1

650.00
DY
__________________
__________________

Name Brand or Equal to Joerns Bariatric Bed Frame w/Foam Mattress

Contract Period: Option Year 1

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Bariatric Drop Arm Commode Contract Period: Option Year 1

GRAND TOTAL

Contract Period - Option Year 2: POP Begin: 10-01-2020 to POP End: 09-30-2021

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
2,500.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Dolphin Fluid Immersion Simulation Mattress

Models: DLPH-3582KIT; DLPH4882KIT, DLPHV-3588KIT-RNT Contract Period: Option Year2 POP Begin: 10-01-2020 POP End: 09-30-2021

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Cair 1000 (Bariatric Low Air Loss Therapy System) Rental

Contract Period: Option Year2

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Alternate Cair Plus (Alternating Pressure Therapy System)

Contract Period: Option Year2

Name Brand or Equal to Joerns Healthcare Flap Cair

Contract Period: Option Year2

Name Brand or Equal to Joerns Healthcare Turn Cair Plus LAL System Mattress

Contract Period: Option Year2

Name Brand or Equal to Joerns Healthcare Alternate Cair Plus (Alternating Pressure Therapy LAL System)

Contract Period: Option Year2

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Turn Cair (Lateral Rotation/Low Air Loss Therapy System)

Contract Period: Option Year2

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Turn Cair RT (lateral Rotation/Low Air Loss Therapy System)

Contract Period: Option Year2

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare ProCair Plus

Contract Period: Option Year2

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare ProCair V/VR (Therapeutic Mattress Replacement)

Contract Period: Option Year2

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare ReplaMatt Series

Contract Period: Option Year2

Name Brand or Equal to Joerns Healthcare BariMatt 1000 Plus

Contract Period: Option Year2

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare (Chauffeur Universal Transport System)

Contract Period: Option Year2

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Trapeze w/Adapter UCXT

Contract Period: Option Year2

Name Brand or Equal to Joerns Healthcare Trapeze - Weight Tolerance 250 LBS

Contract Period: Option Year2

Name Brand or Equal to Joerns Healthcare Bariatric Trapeze - Weight Tolerance 1000 LBS

Contract Period: Option Year2

100.00
DY
__________________
__________________

Name Brand or Equal to Joerns Floor Mat 33x60x2

Contract Period: Option Year2

Name Brand or Equal to Joerns Healthcare Bariatric Commode w/bucket Contract Period: Option Year2

650.00
DY
__________________
__________________

Name Brand or Equal to Joerns Bariatric Bed Frame w/Foam Mattress

Contract Period: Option Year2

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Bariatric Drop Arm Commode Contract Period: Option Year2

GRAND TOTAL
__________________

Contract Period - Option Year 3: POP Begin: 10-01-2021 to POP End: 09-30-2022

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
2,500.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Dolphin Fluid Immersion Simulation Mattress

Models: DLPH-3582KIT; DLPH4882KIT, DLPHV-3588KIT-RNT Contract Period: Option Year3 POP Begin: 10-01-2021 POP End: 09-30-2022

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Cair 1000 (Bariatric Low Air Loss Therapy System) Rental

Contract Period: Option Year3

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Alternate Cair Plus (Alternating Pressure Therapy System)

Contract Period: Option Year3

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Flap Cair

Contract Period: Option Year3

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Turn Cair Plus LAL System Mattress

Contract Period: Option Year3

Name Brand or Equal to Joerns Healthcare Alternate Cair Plus (Alternating Pressure Therapy LAL System)

Contract Period: Option Year3

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Turn Cair (Lateral Rotation/Low Air Loss Therapy System)

Contract Period: Option Year3

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Turn Cair RT (lateral Rotation/Low Air Loss Therapy System)

Contract Period: Option Year3

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare ProCair Plus

Contract Period: Option Year3

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare ProCair V/VR (Therapeutic Mattress Replacement)

Contract Period: Option Year3

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare ReplaMatt Series

Contract Period: Option Year3

Name Brand or Equal to Joerns Healthcare BariMatt 1000 Plus

Contract Period: Option Year3

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare (Chauffeur Universal Transport System)

Contract Period: Option Year3

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Trapeze w/Adapter UCXT

Contract Period: Option Year3

500.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Trapeze - Weight Tolerance 250 LBS

Contract Period: Option Year3

500.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Bariatric Trapeze - Weight Tolerance 1000 LBS

Contract Period: Option Year3

100.00
DY
__________________
__________________

Name Brand or Equal to Joerns Floor Mat 33x60x2

Contract Period: Option Year3

Name Brand or Equal to Joerns Healthcare Bariatric Commode w/bucket

Contract Period: Option Year3

650.00
DY
__________________
__________________

Name Brand or Equal to Joerns Bariatric Bed Frame w/Foam Mattress

Contract Period: Option Year3

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Bariatric Drop Arm Commode

Contract Period: Option Year3

GRAND TOTAL
__________________

Contract Period - Option Year 4: POP Begin: 10-01-2022 to POP End: 09-30-2023

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
2,500.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Dolphin Fluid Immersion Simulation Mattress

Models: DLPH-3582KIT; DLPH4882KIT, DLPHV-3588KIT-RNT Contract Period: Option Year 4 POP Begin: 10-01-2022 POP End: 09-30-2023

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Cair 1000 (Bariatric Low Air Loss Therapy System) Rental

Contract Period: Option Year 4

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Alternate Cair Plus (Alternating Pressure Therapy System)

Contract Period: Option Year 4

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Flap Cair

Contract Period: Option Year 4

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Turn Cair Plus LAL System Mattress

Contract Period: Option Year 4

Name Brand or Equal to Joerns Healthcare Alternate Cair Plus (Alternating Pressure Therapy LAL System)

Contract Period: Option Year 4

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Turn Cair (Lateral Rotation/Low Air Loss Therapy System)

Contract Period: Option Year 4

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Turn Cair RT (lateral Rotation/Low Air Loss Therapy System)

Contract Period: Option Year 4

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare ProCair Plus

Contract Period: Option Year 4

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare ProCair V/VR (Therapeutic Mattress Replacement)

Contract Period: Option Year 4

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare ReplaMatt Series

Contract Period: Option Year 4

Name Brand or Equal to Joerns Healthcare BariMatt 1000 Plus

Contract Period: Option Year 4

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare (Chauffeur Universal Transport System)

Contract Period: Option Year 4

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Trapeze w/Adapter UCXT

Contract Period: Option Year 4

500.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Trapeze - Weight Tolerance 250 LBS

Contract Period: Option Year 4

500.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Bariatric Trapeze - Weight Tolerance 1000 LBS

Contract Period: Option Year 4

100.00
DY
__________________
__________________

Name Brand or Equal to Joerns Floor Mat 33x60x2

Contract Period: Option Year 4

Name Brand or Equal to Joerns Healthcare Bariatric Commode w/bucket

Contract Period: Option Year 4

650.00
DY
__________________
__________________

Name Brand or Equal to Joerns Bariatric Bed Frame w/Foam Mattress

Contract Period: Option Year 4

250.00
DY
__________________
__________________

Name Brand or Equal to Joerns Healthcare Bariatric Drop Arm Commode

Contract Period: Option Year 4

GRAND TOTAL
__________________

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