36C24819Q0249-0002041.xlsx

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Supply: Medical oxygen cylinders lease
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36C24819Q0249
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36C24819Q0249 0002 Attachment A - Medical Cylinder SubCLIN Breakdown Updated.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 (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
1003aCARBON DIOXIDE MEDICAL (E)78
1003bCARBON DIOXIDE MEDICAL (H)/(K)14
1003cCART RACKLR50 LAYERED 50 CAPACITY AJ4
1003dOXYGEN MEDICAL (K)24
1003eHELIUM BALOON GRADE (H)/(K)6
1003fMEDICAL AIR, USP (H)/(K)22
1003gNITROGEN MEDICAL, LIQUID HP (180LTR)77
1003hNITROGEN MEDICAL (E)12
1003iNITROGEN MEDICAL (H)/(K)30
1003jNITROGENUHP 99.999% 049 Per Liter (T Size Compressed Cylinder)6
1003kNITROS OXIDE USP (E)19
1003lNITROS OXIDE USP (H)/(K)56
1003mOXYGEN MEDICAL (E) Aluminum E (Walk-Behind)1874
1003nOXYGEN MEDICAL(E)OXY-GEN 1 (TM)26
1003oOXYGEN MEDICAL (H)/(K)29
1003pOXYGEN MEDICAL (T)20
1003qOXYGEN MEDICAL LIQUID MP (180 LTR)56
1003rOXYGEN MEDICAL, OXY-GEN 1 (E) ALUM DESS12640
1003sLUNG 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
2003aCARBON DIOXIDE MEDICAL (E)78
2003bCARBON DIOXIDE MEDICAL (H)/(K)14
2003cCART RACKLR50 LAYERED 50 CAPACITY AJ4
2003dOXYGEN MEDICAL (K)24
2003eHELIUM BALOON GRADE (H)/(K)6
2003fMEDICAL AIR, USP (H)/(K)22
2003gNITROGEN MEDICAL, LIQUID HP (180LTR)77
2003hNITROGEN MEDICAL (E)12
2003iNITROGEN MEDICAL (H)/(K)30
2003jNITROGENUHP 99.999% 049 Per Liter (T Size Compressed Cylinder)6
2003kNITROS OXIDE USP (E)19
2003lNITROS OXIDE USP (H)/(K)56
2003mOXYGEN MEDICAL (E) Aluminum E (Walk-Behind)1874
2003nOXYGEN MEDICAL(E)OXY-GEN 1 (TM)26
2003oOXYGEN MEDICAL (H)/(K)29
2003pOXYGEN MEDICAL (T)20
2003qOXYGEN MEDICAL LIQUID MP (180 LTR)56
2003rOXYGEN MEDICAL, OXY-GEN 1 (E) ALUM DESS12640
2003sLUNG 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
3003aCARBON DIOXIDE MEDICAL (E)78
3003bCARBON DIOXIDE MEDICAL (H)/(K)14
3003cCART RACKLR50 LAYERED 50 CAPACITY AJ4
3003dOXYGEN MEDICAL (K)24
3003eHELIUM BALOON GRADE (H)/(K)6
3003fMEDICAL AIR, USP (H)/(K)22
3003gNITROGEN MEDICAL, LIQUID HP (180LTR)77
3003hNITROGEN MEDICAL (E)12
3003iNITROGEN MEDICAL (H)/(K)30
3003jNITROGENUHP 99.999% 049 Per Liter (T Size Compressed Cylinder)6
3003kNITROS OXIDE USP (E)19
3003lNITROS OXIDE USP (H)/(K)56
3003mOXYGEN MEDICAL (E) Aluminum E (Walk-Behind)1874
3003nOXYGEN MEDICAL(E)OXY-GEN 1 (TM)26
3003oOXYGEN MEDICAL (H)/(K)29
3003pOXYGEN MEDICAL (T)20
3003qOXYGEN MEDICAL LIQUID MP (180 LTR)56
3003rOXYGEN MEDICAL, OXY-GEN 1 (E) ALUM DESS12640
3003sLUNG 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
4003aCARBON DIOXIDE MEDICAL (E)78
4003bCARBON DIOXIDE MEDICAL (H)/(K)14
4003cCART RACKLR50 LAYERED 50 CAPACITY AJ4
4003dOXYGEN MEDICAL (K)24
4003eHELIUM BALOON GRADE (H)/(K)6
4003fMEDICAL AIR, USP (H)/(K)22
4003gNITROGEN MEDICAL, LIQUID HP (180LTR)77
4003hNITROGEN MEDICAL (E)12
4003iNITROGEN MEDICAL (H)/(K)30
4003jNITROGENUHP 99.999% 049 Per Liter (T Size Compressed Cylinder)6
4003kNITROS OXIDE USP (E)19
4003lNITROS OXIDE USP (H)/(K)56
4003mOXYGEN MEDICAL (E) Aluminum E (Walk-Behind)1874
4003nOXYGEN MEDICAL(E)OXY-GEN 1 (TM)26
4003oOXYGEN MEDICAL (H)/(K)29
4003pOXYGEN MEDICAL (T)20
4003qOXYGEN MEDICAL LIQUID MP (180 LTR)56
4003rOXYGEN MEDICAL, OXY-GEN 1 (E) ALUM DESS12640
4003sLUNG DIFFUSER GAS 0.3% CO/0.3% CH4/21% O2/N2 0447
OPTION YEAR 4 TOTALS

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