36C24819Q0249-0001001.xlsx

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Supply: Medical oxygen cylinders lease
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36C24819Q0249
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36C24819Q0249 0001 Attachment A - Sub-CLINs X003 Cylinder Breakdown.xlsx

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Base Period

CLIN 0003 Base Period - July 1, 2019 - September 30, 2019Rental per unit / per monthUnit rental fee x Est. Qty.Gas price per cylinder unitUnit Gas Price x Est. Qty.Cylinder Rental total + Gas Total
SUBCLINDESCRIPTION OF MEDICAL GASESEST. Base QTY.CYLINDER RENTAL /PER UNITCYLINDER RENTAL TOTALUNIT GAS PRICEGAS TOTAL PRICERENTAL & GAS TOTAL
0003aCARBON DIOXIDE MEDICAL (E)16
0003bCARBON DIOXIDE MEDICAL (H)/(K)3
0003cCART RACKLR50 LAYERED 50 CAPACITY AJ2
0003dOXYGEN MEDICAL (H)/(K)5
0003eHELIUM BALOON GRADE (H)/(K)2
0003fMEDICAL AIR, USP (H)/(K)4
0003gNITROGEN MEDICAL, LIQUID HP (180LTR)15
0003hNITROGEN MEDICAL (E)2
0003iNITROGEN MEDICAL (H)/(K)6
0003jNITROGENUHP 99.999% 049 Per Liter (T Size Compressed Cylinder)2
0003kNITROS OXIDE USP (E)4
0003lNITROS OXIDE USP (H)/(K)11
0003mOXYGEN MEDICAL (E) Aluminum E (Walk-Behind)375
0003nOXYGEN MEDICAL(E)OXY-GEN 1 (TM)5
0003oOXYGEN MEDICAL (H)/(K)6
0003pOXYGEN MEDICAL (T)4
0003qOXYGEN MEDICAL LIQUID MP (180 LTR)11
0003rOXYGEN MEDICAL, OXY-GEN 1 (E) ALUM DESS2529
0003sLUNG DIFFUSER GAS 0.3% CO/0.3% CH4/21% O2/N2 0442
BASE PERIOD TOTALS

Option Yr. 1

CLIN 1003 Option Year One - October 1, 2019 - September 30, 2020Rental per unit / per monthUnit rental fee x Est. Qty.Gas price per cylinder unitUnit Gas Price x Est. Qty.Cylinder Rental total + Gas Total
SUBCLINDESCRIPTION OF MEDICAL GASESEST. ANNUAL QTY.CYLINDER RENTAL /PER UNITCYLINDER RENTAL TOTALUNIT GAS PRICEGAS TOTAL PRICERENTAL & GAS TOTAL
0003aCARBON DIOXIDE MEDICAL (E)78
0003bCARBON DIOXIDE MEDICAL (H)/(K)14
0003cCART RACKLR50 LAYERED 50 CAPACITY AJ4
0003dOXYGEN MEDICAL (H)/(K)24
0003eHELIUM BALOON GRADE (H)/(K)6
0003fMEDICAL AIR, USP (H)/(K)22
0003gNITROGEN MEDICAL, LIQUID HP (180LTR)77
0003hNITROGEN MEDICAL (E)12
0003iNITROGEN MEDICAL (H)/(K)30
0003jNITROGENUHP 99.999% 049 Per Liter (T Size Compressed Cylinder)6
0003kNITROS OXIDE USP (E)19
0003lNITROS OXIDE USP (H)/(K)56
0003mOXYGEN MEDICAL (E) Aluminum E (Walk-Behind)1874
0003nOXYGEN MEDICAL(E)OXY-GEN 1 (TM)26
0003oOXYGEN MEDICAL (H)/(K)29
0003pOXYGEN MEDICAL (T)20
0003qOXYGEN MEDICAL LIQUID MP (180 LTR)56
0003rOXYGEN MEDICAL, OXY-GEN 1 (E) ALUM DESS12640
0003sLUNG DIFFUSER GAS 0.3% CO/0.3% CH4/21% O2/N2 0447
OPTION YEAR 1 TOTALS

Option Yr. 2

CLIN 2003 Option Year Two - October 1, 2020 - September 30, 2021Rental per unit / per monthUnit rental fee x Est. Qty.Gas price per cylinder unitUnit Gas Price x Est. Qty.Cylinder Rental total + Gas Total
SUBCLINDESCRIPTION OF MEDICAL GASESEST. ANNUAL QTY.CYLINDER RENTAL /PER UNITCYLINDER RENTAL TOTALUNIT GAS PRICEGAS TOTAL PRICERENTAL & GAS TOTAL
0003aCARBON DIOXIDE MEDICAL (E)78
0003bCARBON DIOXIDE MEDICAL (H)/(K)14
0003cCART RACKLR50 LAYERED 50 CAPACITY AJ4
0003dOXYGEN MEDICAL (H)/(K)24
0003eHELIUM BALOON GRADE (H)/(K)6
0003fMEDICAL AIR, USP (H)/(K)22
0003gNITROGEN MEDICAL, LIQUID HP (180LTR)77
0003hNITROGEN MEDICAL (E)12
0003iNITROGEN MEDICAL (H)/(K)30
0003jNITROGENUHP 99.999% 049 Per Liter (T Size Compressed Cylinder)6
0003kNITROS OXIDE USP (E)19
0003lNITROS OXIDE USP (H)/(K)56
0003mOXYGEN MEDICAL (E) Aluminum E (Walk-Behind)1874
0003nOXYGEN MEDICAL(E)OXY-GEN 1 (TM)26
0003oOXYGEN MEDICAL (H)/(K)29
0003pOXYGEN MEDICAL (T)20
0003qOXYGEN MEDICAL LIQUID MP (180 LTR)56
0003rOXYGEN MEDICAL, OXY-GEN 1 (E) ALUM DESS12640
0003sLUNG DIFFUSER GAS 0.3% CO/0.3% CH4/21% O2/N2 0447
OPTION YEAR 2 TOTALS

Option Yr. 3

CLIN 3003 Option Year Three - October 1, 2021 - September 30, 2022Rental per unit / per monthUnit rental fee x Est. Qty.Gas price per cylinder unitUnit Gas Price x Est. Qty.Cylinder Rental total + Gas Total
SUBCLINDESCRIPTION OF MEDICAL GASESEST. ANNUAL QTY.CYLINDER RENTAL /PER UNITCYLINDER RENTAL TOTALUNIT GAS PRICEGAS TOTAL PRICERENTAL & GAS TOTAL
0003aCARBON DIOXIDE MEDICAL (E)78
0003bCARBON DIOXIDE MEDICAL (H)/(K)14
0003cCART RACKLR50 LAYERED 50 CAPACITY AJ4
0003dOXYGEN MEDICAL (H)/(K)24
0003eHELIUM BALOON GRADE (H)/(K)6
0003fMEDICAL AIR, USP (H)/(K)22
0003gNITROGEN MEDICAL, LIQUID HP (180LTR)77
0003hNITROGEN MEDICAL (E)12
0003iNITROGEN MEDICAL (H)/(K)30
0003jNITROGENUHP 99.999% 049 Per Liter (T Size Compressed Cylinder)6
0003kNITROS OXIDE USP (E)19
0003lNITROS OXIDE USP (H)/(K)56
0003mOXYGEN MEDICAL (E) Aluminum E (Walk-Behind)1874
0003nOXYGEN MEDICAL(E)OXY-GEN 1 (TM)26
0003oOXYGEN MEDICAL (H)/(K)29
0003pOXYGEN MEDICAL (T)20
0003qOXYGEN MEDICAL LIQUID MP (180 LTR)56
0003rOXYGEN MEDICAL, OXY-GEN 1 (E) ALUM DESS12640
0003sLUNG DIFFUSER GAS 0.3% CO/0.3% CH4/21% O2/N2 0447
OPTION YEAR 3 TOTALS

Option Yr. 4

CLIN 4003 Option Year Four - October 1, 2022 - September 30, 2023Rental per unit / per monthUnit rental fee x Est. Qty.Gas price per cylinder unitUnit Gas Price x Est. Qty.Cylinder Rental total + Gas Total
SUBCLINDESCRIPTION OF MEDICAL GASESEST. ANNUAL QTY.CYLINDER RENTAL /PER UNITCYLINDER RENTAL TOTALUNIT GAS PRICEGAS TOTAL PRICERENTAL & GAS TOTAL
0003aCARBON DIOXIDE MEDICAL (E)78
0003bCARBON DIOXIDE MEDICAL (H)/(K)14
0003cCART RACKLR50 LAYERED 50 CAPACITY AJ4
0003dOXYGEN MEDICAL (H)/(K)24
0003eHELIUM BALOON GRADE (H)/(K)6
0003fMEDICAL AIR, USP (H)/(K)22
0003gNITROGEN MEDICAL, LIQUID HP (180LTR)77
0003hNITROGEN MEDICAL (E)12
0003iNITROGEN MEDICAL (H)/(K)30
0003jNITROGENUHP 99.999% 049 Per Liter (T Size Compressed Cylinder)6
0003kNITROS OXIDE USP (E)19
0003lNITROS OXIDE USP (H)/(K)56
0003mOXYGEN MEDICAL (E) Aluminum E (Walk-Behind)1874
0003nOXYGEN MEDICAL(E)OXY-GEN 1 (TM)26
0003oOXYGEN MEDICAL (H)/(K)29
0003pOXYGEN MEDICAL (T)20
0003qOXYGEN MEDICAL LIQUID MP (180 LTR)56
0003rOXYGEN MEDICAL, OXY-GEN 1 (E) ALUM DESS12640
0003sLUNG DIFFUSER GAS 0.3% CO/0.3% CH4/21% O2/N2 0447
OPTION YEAR 4 TOTALS

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