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Base Year - SOUTHERN ZONE
| Item No. |
| Description of Supplies/Services |
| Estimated Quantity |
| Unit of Issue |
| Estimated Unit Price |
| Estimated Amount |
| 0001 |
| Delivery, Set-up, and Pick-up of Equipment |
(to include wheelchairs, patient lifts, shower chairs, home care beds, etc.) and Provision of Patient Instructions (DME), in accordance with the Statement of Work.
| 0002 |
| Maintenance, Refurbishing and Repair of DME, including all routine Maintenance, Refurbishing and Repair calls, emergency calls, Maintenance, Refurbishing and Repair as per manufactures guidelines |
| 4080 |
| SVC |
| 0003 |
| Hourly repair rate for VA-owned equipment |
| 1599 |
| SVC |
| 0004 |
| Emergency trip to and from beneficiaries’ |
home for delivery & set up/pickup, sanitizing, repair of DME.
| 0005 |
| Installation of Grab Bars & outside handrails |
| 1140 |
| SVC |
Base Year
Option Year #1
| Item No. |
| Description of Supplies/Services |
| Estimated Quantity |
| Estimated Unit of Issue |
| Estimated Unit Price |
| Estimated Amount |
| 1001 |
| Delivery, Set-up, and Pick-up of Equipment |
(to include wheelchairs, patient lifts, shower chairs, home care beds, etc.) and Provision of Patient Instructions (DME), in accordance with the Statement of Work.
| 1002 |
| Maintenance, Refurbishing and Repair of DME, including all routine Maintenance, Refurbishing and Repair calls, emergency calls, Maintenance, Refurbishing and Repair as per manufactures guidelines. |
| 4080 |
| SVC |
| 1003 |
| Hourly repair rate for VA-owned equipment |
| 1599 |
| SVC |
| 1004 |
| Emergency trip to and from beneficiaries’ |
home for delivery & set up/pickup, sanitizing, repair of DME..
| 1005 |
| Installation of Grab Bars & outside handrails |
| 1140 |
| SVC |
Option Year #1
Option Year #2
| Item No. |
| Description of Supplies/Services |
| Estimated Quantity |
| Estimated Unit of Issue |
| Estimated Unit Price |
| Estimated Amount |
| 2001 |
| Delivery, Set-up, and Pick-up of Equipment |
(to include wheelchairs, patient lifts, shower chairs, home care beds, etc.) and Provision of Patient Instructions (DME), in accordance with the Statement of Work
| 2002 |
| Maintenance, Refurbishing and Repair of DME, including all routine Maintenance, Refurbishing and Repair calls, emergency calls, Maintenance, Refurbishing and Repair as per manufactures guidelines. |
| 4080 |
| SVC |
| 2003 |
| Hourly repair rate for VA-owned equipment |
| 1599 |
| SVC |
| 2004 |
| Emergency trip to and from beneficiary’s home for delivery & set up/pickup, sanitizing, repair of DME. |
| 410 |
| SVC |
| 2005 |
| Installation of Grab Bars & outside handrails |
| 1140 |
| SVC |
Option Year #2
Option Year #3
| Item No. |
| Description of Supplies/Services |
| Estimated Quantity |
| Estimated Unit of Issue |
| Estimated Unit Price |
| Estimated Amount |
| 3001 |
| Delivery, Set-up, and Pick-up of Equipment |
(to include wheelchairs, patient lifts, shower chairs, home care beds, etc.) and Provision of Patient Instructions (DME), in accordance with the Statement of Work
| 3002 |
| Maintenance, Refurbishing and Repair of DME, including all routine Maintenance, Refurbishing and Repair calls, emergency calls, Maintenance, Refurbishing and Repair as per manufactures guidelines. |
| 4080 |
| SVC |
| 3003 |
| Hourly repair rate for VA-owned equipment |
| 1599 |
| SVC |
| 3004 |
| Emergency trip to and from beneficiaries’ home for delivery & set up/pickup, sanitizing, repair of DME. |
| 410 |
| SVC |
| 3005 |
| Installation of Grab Bars & outside handrails |
| 1140 |
| SVC |
Option Year #3
Option Year #4
| Item No. |
| Description of Supplies/Services |
| Estimated Quantity |
| Estimated Unit of Issue |
| Estimated Unit Price |
| Estimate Amount |
| 4001 |
| Delivery, Set-up, and Pick-up of Equipment |
(to include wheelchairs, patient lifts, shower chairs, home care beds, etc.) and Provision of Patient Instructions (DME), in accordance with the Statement of Work
| 4002 |
| Maintenance, Refurbishing and Repair of DME, including all routine Maintenance, Refurbishing and Repair calls, emergency calls, Maintenance, Refurbishing and Repair as per manufactures guidelines. |
| 4080 |
| SVC |
| 4003 |
| Hourly repair rate for VA-owned equipment |
| 1599 |
| SVC |
| 4004 |
| Emergency trip to and from beneficiaries’ home for delivery & set up/pickup, sanitizing, repair of DME. |
| 410 |
| SVC |
| 4005 |
| Installation of Grab Bars & outside handrails |
| 1140 |
| SVC |
Option Year #4
