PRICE_SCHEDULE_and_DELIVERY_SCHEDULE_Revised.docx
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- Supply: Drawings, Designs, Plans, patient lifts, booms, modular headwalls equipment and installation
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- 36C24819Q0115
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36C24819Q0115 0001 PRICE SCHEDULE and DELIVERY SCHEDULE_Revised.docx
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B.3 PRICE/COST SCHEDULE
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| ESTIMATED QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 136.00 |
| EA |
| __________________ |
| __________________ |
Patient Lift drawings and designs (bi-directional "traverse" systems w/single rail to bathroom) In accordance with (IAW) Statement of Need (SON) Section V Contract Period: Base POP Begin: 01-22-2019 POP End: 01-21-2020
| 40.00 |
| EA |
| __________________ |
| __________________ |
Boom equipment drawings and design.
Contract Period: Base
| 96.00 |
| EA |
| __________________ |
| __________________ |
Headwall Modular panel system drawings and design.
Contract Period: Base
OPTION YEAR 1:
Base Year Total______________
| 96.00 |
| EA |
| __________________ |
| __________________ |
Installation kits Headwall, Modular Panel System & hardware for attaching other equipment.
In Accordance With (IAW) Statement of Need (SON) Section VI 6-1 Contract Period: Option 1 POP Begin: 01-22-2021 POP End: 01-21-2022
| 40.00 |
| EA |
| __________________ |
| __________________ |
Installation kits for mounting boom system. including mounting plates In Accordance With (IAW) Statement of Need (SON) Section VI 6-2 Contract Period: Option 1 POP Begin: 01-22-2020 POP End: 01-21-2021
| 136.00 |
| EA |
| __________________ |
| __________________ |
Installation kits for Patient lifts equipment (Mounting Support) Traverse H-type System w/single Rail In Accordance With (IAW) Statement of Need (SON) Section VI 6-3 Contract Period: Option 1
| 20.00 |
| EA |
| __________________ |
| __________________ |
Headwall units for Medical/Surgical patient rooms In Accordance With (IAW) Statement of Need (SON) Section VII 7-1 Contract Period: Option 1
| 20.00 |
| EA |
| __________________ |
| __________________ |
Boom Exam Light with installation In Accordance With (IAW) Statement of Need (SON) Section VII 7-1c Contract Period: Option 1
| 20.00 |
| EA |
| __________________ |
| __________________ |
Boom IV Pole Arm System with installation In Accordance With (IAW) Statement of Need (SON) Section VII 7-1b Contract Period: Option 1
| 20.00 |
| EA |
| __________________ |
| __________________ |
Boom, Equipment, and Tandem arm, ICU with installation.
In Accordance With (IAW) Statement of Need (SON) Section VII 7.2 Contract Period: Option 1
| 1.00 |
| EA |
| __________________ |
| __________________ |
Booms Clinical and technical training sessions In Accordance With (IAW) Statement of Need (SON) Section IX Contract Period: Option 1
| 20.00 |
| EA |
| __________________ |
| __________________ |
Lift System, Overhead, Patient Room w/Bath for ICU Patient Rooms Traverse H-type System w/single Rail In Accordance With (IAW) Statement of Need (SON) Section VII 7-3 Contract Period: Option 1
| 20.00 |
| EA |
| __________________ |
| __________________ |
Lift System, Overhead, Patient Room w/Bath for Med/Surg Patient Rooms Traverse H-type System w/single Rail.
Contract Period: Option 1
| 10.00 |
| EA |
| __________________ |
| __________________ |
Lift System, Overhead, Bariatric, Patient Room w/Bath for Med/Surg Patient Rooms Traverse --type System w/single Rail.
Contract Period: Option 1
| 1.00 |
| EA |
| __________________ |
| __________________ |
Patient lift Clinical and technical training sessions
Contract Period: Option 1
OPTION YEAR II
Option Year I Total
| 1.00 |
| EA |
| __________________ |
| __________________ |
Installation kits Headwall, Modular Panel System & hardware for attaching other equipment.
In Accordance With (IAW) Statement of Need (SON) Section VI 6-1 Contract Period: Option 2
| 1.00 |
| EA |
| __________________ |
| __________________ |
Installation kits for mounting boom system. including mounting plates In Accordance With (IAW) Statement of Need (SON) Section VI 6-2 Contract Period: Option 2
| 1.00 |
| EA |
| __________________ |
| __________________ |
Installation kits for Patient lifts equipment (Mounting Support)Traverse H-type System w/single Rail In Accordance With (IAW) Statement of Need (SON) Section VI 6-3 Contract Period: Option 2
| 96.00 |
| EA |
| __________________ |
| __________________ |
Headwall units for Medical/Surgical patient rooms In Accordance With (IAW) Statement of Need (SON) Section VII 7-1 Contract Period: Option 2
| 40.00 |
| EA |
| __________________ |
| __________________ |
Boom Exam Light with installation In Accordance With (IAW) Statement of Need (SON) Section VII 7-1c Contract Period: Option 2
| 40.00 |
| EA |
| __________________ |
| __________________ |
Boom IV Pole Arm System with installation In Accordance With (IAW) Statement of Need (SON) Section VII 7-1b Contract Period: Option 2
| 40.00 |
| EA |
| __________________ |
| __________________ |
Boom, Equipment, and Tandem arm, ICU with installation.
In Accordance With (IAW) Statement of Need (SON) Section VII 7.2
Contract Period: Option 2
| 2.00 |
| EA |
| __________________ |
| __________________ |
Booms Clinical and technical training sessions
Contract Period: Option 2
| 40.00 |
| EA |
| __________________ |
| __________________ |
Lift System, Overhead, Patient Room w/Bath for ICU Patient Rooms Traverse H-type System w/single Rail
Contract Period: Option 2
| 86.00 |
| EA |
| __________________ |
| __________________ |
Lift System, Overhead, Patient Room w/Bath for Med/Surg Patient Rooms Traverse H-type System w/single Rail.
Contract Period: Option 2
| 10.00 |
| EA |
| __________________ |
| __________________ |
Lift System, Overhead, Bariatric, Patient Room w/Bath for Med/Surg Patient Rooms Traverse -type System w/single Rail.
Contract Period: Option 2
| 2.00 |
| EA |
| __________________ |
| __________________ |
Patient lift Clinical and technical training sessions
Contract Period: Option 2
Option Year II Total
| GRAND TOTAL |
| __________________ |
B.4 DELIVERY SCHEDULE
ITEM NUMBER
DELIVERY DATE
| 0001-0003 |
| SHIP TO: |
| JAMES A HALEY HOSPITAL |
13000 BRUCE B DOWNS
TAMPA, FL 33612 4745
USA
January 22, 2019
| MARK FOR: |
| Mark Puhulla |
813.972.2000 x2472 Mark.Puhalla@va.gov
| 1001-1012 |
| SHIP TO: |
| James A Haley Veterans Hospital |
13000 Bruce B Downs Tampa, FL 33612 4745
January 22, 2020
| MARK FOR: |
| Mark Puhalla |
| 2001-2012 |
| SHIP TO: |
| James A Haley Veterans Hospital |
13000 Bruce B Downs Tampa, FL 33612 4745
January 22, 2021
| MARK FOR: |
| Mark Puhalla |
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