Bay Pines Home Oxygen Price Schedule - Corrected.docx
DOCX document 60 KB Posted
- Attached to
- Q201--HOME OXYGEN DELIVERY BAY PINES, FLORIDA
- Solicitation number
- 36C24823R0205
About this file
This document contains a price schedule for home oxygen delivery services for the Bay Pines VA Medical Center in Florida. The schedule lists 28 line items for various oxygen equipment, supplies, and services required over a potential four-year period including initial setups, stationary and portable concentrators, cylinders, cannulas, ventilators, maintenance, and emergency services. Estimated quantities, units of issue, and total costs are provided for the base year and four one-year options. The related federal contract opportunity is solicitation number 36C24823R0205 for home oxygen delivery in Bay Pines, Florida, issued by the Department of Veterans Affairs VHA VISN 8. The price schedule and opportunity detail the home oxygen products and services to be provided under the contract.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C24823R0205 0001_4.docx | DOCX document | |
| 36C24823R0205 0001_3.docx | DOCX document | |
| 36C24823R0205 0001_2.docx | DOCX document | |
| 36C24823R0205 0001_1.docx | DOCX document | |
| PAST PERFORMANCE QUESTIONNAIRE - revised.docx | DOCX document | |
| Solicitation 36C24823R0205 -Bay Pines Home Oxygen - revised.pdf | ||
| VHA Supplemental Contract Requirements for Combatting COVID-19 Updated 12-14-2021.docx | DOCX document | |
| Wage Determination 2015-5571.pdf | ||
| PAST PERFORMANCE QUESTIONNAIRE.docx | DOCX document | |
| Solicitation 36C24823R0205 -Bay Pines Home Oxygen - 9.5.2023.docx | DOCX document | |
| Quality Assurance Surveillance Plan ( QASP) Home Oxygen Services Bay Pines VAMC.pdf |
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Text version
Bay Pines Beach VA Medical Center Item
BASE YEAR
Estimated M Yearly Quantity
Unit of Issue
| Unit Price |
| Total Price |
0001. Initial set-ups of equipment that consists of various cylinders with regulator, handcart, pouch, backpack, proper storage and disposable supplies
EACH
0002. Stationary Concentrator 1-5 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier when specified.
0003. Stationary Concentrator 5-10 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier when specified.
0004. Portable System Rental for patients’ home
| 20,001 |
| EACH |
0005. Cylinder, Aluminum, E-tank, Refill
0006. Cylinder, Aluminum, D-tank, Refill
0007. Cylinder, Aluminum, C-tank, Refill
| 0008. Cylinder, Aluminum, M-6, Refill |
| 600 |
0009. Cylinder, Aluminum, H or K-tank Refill
EACH
0010. Cylinder, Aluminum, B or BB-tank Refill
EACH
0011. Demand Nasal Cannula (e.g. Oximyzer) Reservoir or Pendant/equivalent
EACH
0012. Oxysafe Fire Safety Thermal Fuses (2 thermal fuse kits per oxygen source i.e concentrator, portables (# of portables)
20,450
EACH
0013. Pneumatic Demand/Conserving Regulators
0014. Cylinder, Aluminum, E-tank Rental, complete portable system (e.g. tank, regulator, etc) for each Medical Center for availability to issue home oxygen beneficiaries who deplete their portable units during appointments or to send home with new start-up (e.g. discharged from inpatient).
0015. Ventilator, Volume ventilator, alternated current with battery back up, alarms, disposable circuits with oxygen cumulator capabilities; back up ventilator; ambu bag; suction machine with three (3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable
| 250 |
| EACH |
| 0016. Portable Concentrator w/two batteries. For travel not to exceed 30 days. |
| 300 |
| EACH |
0017. 5-7Ft Cannulas w/oxygen tubing changed weekly (4) per patient monthly
| 50,000 |
| EACH |
0018. 14-25Ft Cannulas w/oxygen per patient monthly
| 30,000 |
| EACH |
0019. 50Ft Cannulas w/oxygen per patient monthly
| 35,000 |
| EACH |
| 0020. Rental liquid oxygen system (90 – 100 lbs) stationary reservoir per beneficiary. |
| 550 |
| EACH |
| 0021. Rental portable liquid oxygen system with reservoir per beneficiary with carrying bag |
| 550 |
| EACH |
| 0022. Liquid oxygen per pound |
| 400,000 |
| LB |
0023. High volume air compressor capable of producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.
| 300 |
| EACH |
0024. Heated humidifier to be used in conjunction with volume ventilator
| 1440 |
| EACH |
0025. Heated system for humidified compressed air with disposable to include a temperature sensor. Disposables shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.
| 72 |
| EACH |
| 0026. Emergency service to check out situations other than equipment failures |
| 200 |
| EACH |
0027. Delivery for re-supply and/or relocation of equipment due to change in beneficiary’s residence.
| 250 |
| EACH |
0028. Maintenance of VA purchased portable oxygen concentrators, when appropriately prescribed
| 350 |
| EACH |
Estimated Total Base Year
Bay Pines Beach VA Medical Center Item Option YEAR 1
Estimated
Quantity
Unit of Issue
| Unit Price |
| Total Price |
1001. Initial set-ups of equipment
1002. Stationary Concentrator 1-5 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier when specified.
1003. Stationary Concentrator 5-10 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier when specified.
1004. Portable System Rental for
| 18192 |
| EACH |
1005. Cylinder, Aluminum, E-tank, Refill
1006. Cylinder, Aluminum, D-tank, Refill
1007. Cylinder, Aluminum, C-tank, Refill
| 1008. Cylinder, Aluminum, M-6, Refill |
| 600 |
1009. Cylinder, Aluminum, H or K-tank Refill
EACH
1010. Cylinder, Aluminum, B or BB-tank Refill
EACH
1011. Demand Nasal Cannula (e.g. Oximyzer) Reservoir or Pendant/equivalent
EACH
1012. Oxysafe Fire Safety Thermal Fuses (2 thermal fuse kits per oxygen source i.e concentrator, portables (# of portables)
EACH
1013. Pneumatic Demand/Conserving Regulators
1014. Cylinder, Aluminum, E-tank Rental, complete portable system (e.g. tank, regulator, etc) for each Medical Center for availability to issue home oxygen beneficiaries who deplete their portable units during appointments or to send home with new start-up (e.g. discharged from inpatient).
1015. Ventilator, Volume ventilator, alternated current with battery back up, alarms, disposable circuits with oxygen cumulator capabilities; back up ventilator; ambu bag; suction machine with three (3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable
| 250 |
| EACH |
| 1016. Portable Concentrator w/two batteries. For travel not to exceed 30 days. |
| 300 |
| EACH |
1017. 5-7Ft Cannulas w/oxygen per patient monthly
| 50,000 |
| EACH |
1018. 14-25Ft Cannulas w/oxygen per patient monthly
| 30,000 |
| EACH |
1019. 50Ft Cannulas w/oxygen per patient monthly
| 35,000 |
| EACH |
| 1020. Rental liquid oxygen system (90 – 100 lbs) stationary reservoir per beneficiary. |
| 550 |
| EACH |
| 1021. Rental portable liquid oxygen system with reservoir per beneficiary with carrying bag |
| 550 |
| EACH |
| 1022. Liquid oxygen per pound |
| 400,000 |
| LB |
1023. High volume air compressor capable of producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.
| 300 |
| EACH |
1024. Heated humidifier to be used in conjunction with volume ventilator
| 1440 |
| EACH |
1025. Heated system for humidified compressed air with disposable to include a temperature sensor. Disposables shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.
| 72 |
| EACH |
| 1026. Emergency service to check out situations other than equipment failures |
| 200 |
| EACH |
1027. Delivery for re-supply and/or relocation of equipment due to change in beneficiary’s residence.
| 250 |
| EACH |
1028. Maintenance of VA purchased portable oxygen concentrators, when appropriately prescribed
| 350 |
| EACH |
Estimated Total Option Year 1:
Item Option YEAR 2
Estimated
Quantity
Unit of Issue
| Unit Price |
| Total Price |
2001. Initial set-ups of equipment
2002. Stationary Concentrator 1-5 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier when specified.
2003. Stationary Concentrator 5-10 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier when specified.
2004. Portable System Rental for
| 18269 |
| EACH |
2005. Cylinder, Aluminum, E-tank, Refill
2006. Cylinder, Aluminum, D-tank, Refill
2007. Cylinder, Aluminum, C-tank, Refill
| 2008. Cylinder, Aluminum, M-6, Refill |
| 600 |
2009. Cylinder, Aluminum, H or K-tank Refill
EACH
2010. Cylinder, Aluminum, B or BB-tank Refill
EACH
2011. Demand Nasal Cannula (e.g. Oximyzer) Reservoir or Pendant/equivalent
EACH
2012. Oxysafe Fire Safety Thermal Fuses (2 thermal fuse kits per oxygen source i.e concentrator, portables (# of portables)
20,445
EACH
2013. Pneumatic Demand/Conserving Regulators
2014. Cylinder, Aluminum, E-tank Rental, complete portable system (e.g. tank, regulator, etc) for each Medical Center for availability to issue home oxygen beneficiaries who deplete their portable units during appointments or to send home with new start-up (e.g. discharged from inpatient).
2015. Ventilator, Volume ventilator, alternated current with battery back up, alarms, disposable circuits with oxygen cumulator capabilities; back up ventilator; ambu bag; suction machine with three (3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable
| 250 |
| EACH |
| 2016. Portable Concentrator w/two batteries. For travel not to exceed 30 days. |
| 300 |
| EACH |
2017. 5-7Ft Cannulas w/oxygen per patient monthly
| 73,000 |
| EACH |
2018. 14-25Ft Cannulas w/oxygen per patient monthly
| 36,885 |
| EACH |
2019. 50Ft Cannulas w/oxygen per patient monthly
| 41,885 |
| EACH |
| 2020. Rental liquid oxygen system (90 – 100 lbs) stationary reservoir per beneficiary. |
| 550 |
| EACH |
| 2021. Rental portable liquid oxygen system with reservoir per beneficiary with carrying bag |
| 550 |
| EACH |
| 2022. Liquid oxygen per pound |
| 400,000 |
| LB |
2023. High volume air compressor capable of producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.
| 300 |
| EACH |
2024. Heated humidifier to be used in conjunction with volume ventilator
| 1440 |
| EACH |
2025. Heated system for humidified compressed air with disposable to include a temperature sensor. Disposables shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.
| 72 |
| EACH |
| 2026. Emergency service to check out situations other than equipment failures |
| 200 |
| EACH |
2027. Delivery for re-supply and/or relocation of equipment due to change in beneficiary’s residence.
| 250 |
| EACH |
2028. Maintenance of VA purchased portable oxygen concentrators, when appropriately prescribed
| 350 |
| EACH |
Estimated Total Option Year 2:
Item Option YEAR 3
Estimated
Quantity
Unit of Issue
| Unit Price |
| Total Price |
3001. Initial set-ups of equipment
3002. Stationary Concentrator 1-5 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier when specified.
3003. Stationary Concentrator 5-10 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier when specified.
3004. Portable System Rental for
| 24,912 |
| EACH |
3005. Cylinder, Aluminum, E-tank, Refill
3006. Cylinder, Aluminum, D-tank, Refill
3007. Cylinder, Aluminum, C-tank, Refill
| 3008. Cylinder, Aluminum, M-6, Refill |
| 600 |
3009. Cylinder, Aluminum, H or K-tank Refill
EACH
3010. Cylinder, Aluminum, B or BB-tank Refill
EACH
3011. Demand Nasal Cannula (e.g. Oximyzer) Reservoir or Pendant/equivalent
EACH
3012. Oxysafe Fire Safety Thermal Fuses (2 thermal fuse kits per oxygen source i.e concentrator, portables (# of portables)
EACH
3013. Pneumatic Demand/Conserving Regulators
3014. Cylinder, Aluminum, E-tank Rental, complete portable system (e.g. tank, regulator, etc) for each Medical Center for availability to issue home oxygen beneficiaries who deplete their portable units during appointments or to send home with new start-up (e.g. discharged from inpatient).
3015. Ventilator, Volume ventilator, alternated current with battery back up, alarms, disposable circuits with oxygen cumulator capabilities; back up ventilator; ambu bag; suction machine with three (3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable
| 250 |
| EACH |
| 3016. Portable Concentrator w/two batteries. For travel not to exceed 30 days. |
| 300 |
| EACH |
3017. 5-7Ft Cannulas w/oxygen per patient monthly
| 73,000 |
| EACH |
3018. 14-25Ft Cannulas w/oxygen per patient monthly
| 36,800 |
| EACH |
3019. 50Ft Cannulas w/oxygen per patient monthly
| 41,800 |
| EACH |
| 3020. Rental liquid oxygen system (90 – 100 lbs) stationary reservoir per beneficiary. |
| 550 |
| EACH |
| 3021. Rental portable liquid oxygen system with reservoir per beneficiary with carrying bag |
| 550 |
| EACH |
| 3022. Liquid oxygen per pound |
| 400,000 |
| LB |
3023. High volume air compressor capable of producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.
| 300 |
| EACH |
3024. Heated humidifier to be used in conjunction with volume ventilator
| 1440 |
| EACH |
3025. Heated system for humidified compressed air with disposable to include a temperature sensor. Disposables shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.
| 72 |
| EACH |
| 3026. Emergency service to check out situations other than equipment failures |
| 200 |
| EACH |
3027. Delivery for re-supply and/or relocation of equipment due to change in beneficiary’s residence.
| 250 |
| EACH |
3028. Maintenance of VA purchased portable oxygen concentrators, when appropriately prescribed
| 350 |
| EACH |
Estimated Total Option Year 3:
Item Option YEAR 4
Estimated
Quantity
Unit of Issue
| Unit Price |
| Total Price |
4001. Initial set-ups of equipment
4002. Stationary Concentrator 1-5 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier when specified.
4003. Stationary Concentrator 5-10 LPM with Back-up M-60, regulator, stand, nasal cannula or mask and humidifier when specified.
4004. Portable System Rental for
| 16,435 |
| EACH |
4005. Cylinder, Aluminum, E-tank, Refill
4006. Cylinder, Aluminum, D-tank, Refill
4007. Cylinder, Aluminum, C-tank, Refill
| 4008. Cylinder, Aluminum, M-6, Refill |
| 600 |
4009. Cylinder, Aluminum, H or K-tank Refill
EACH
4010. Cylinder, Aluminum, B or BB-tank Refill
EACH
4011. Demand Nasal Cannula (e.g. Oximyzer) Reservoir or Pendant/equivalent
EACH
4012. Oxysafe Fire Safety Thermal Fuses (2 thermal fuse kits per oxygen source i.e concentrator, portables (# of portables)
EACH
4013. Pneumatic Demand/Conserving Regulators
4014. Cylinder, Aluminum, E-tank Rental, complete portable system (e.g. tank, regulator, etc) for each Medical Center for availability to issue home oxygen beneficiaries who deplete their portable units during appointments or to send home with new start-up (e.g. discharged from inpatient).
4015. Ventilator, Volume ventilator, alternated current with battery back up, alarms, disposable circuits with oxygen cumulator capabilities; back up ventilator; ambu bag; suction machine with three (3) disposables per beneficiary to include connecting tubing, suction catheter, tubing, bacterial humidifier filters, Closed System Suction Catheter w/ Swivel Adapter with a MeterDose Inhaler (MDI) port, Resuscitation Bag w/ Mask and oxygen tubing and Yankauer suction and tips instrument where applicable
| 250 |
| EACH |
| 4016. Portable Concentrator w/two batteries. For travel not to exceed 30 days. |
| 300 |
| EACH |
4017. 5-7Ft Cannulas w/oxygen per patient monthly
| 73,000 |
| EACH |
4018. 14-25Ft Cannulas w/oxygen per patient monthly
| 36,800 |
| EACH |
4019. 50Ft Cannulas w/oxygen per patient monthly
| 41,800 |
| EACH |
| 4020. Rental liquid oxygen system (90 – 100 lbs) stationary reservoir per beneficiary. |
| 550 |
| EACH |
| 4021. Rental portable liquid oxygen system with reservoir per beneficiary with carrying bag |
| 550 |
| EACH |
| 4022. Liquid oxygen per pound |
| 300,000 |
| LB |
4023. High volume air compressor capable of producing 8 to 15 lpm. Cost of monthly rental to include disposable supplies to be changed/washed weekly. Disposable shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.
| 300 |
| EACH |
4024. Heated humidifier to be used in conjunction with volume ventilator
| 1440 |
| EACH |
4025. Heated system for humidified compressed air with disposable to include a temperature sensor. Disposables shall include: (A) Mask, T-piece or trach collar; 2 on hand at all times. (B) Aerosol corrugated hose, 6 ft., 2 on hand at all times. (C) Nebulizer adapter. 4 on hand at all times. (D) Large aerosol nebulizer bottle; 2 on hand at all times.
| 72 |
| EACH |
| 4026. Emergency service to check out situations other than equipment failures |
| 200 |
| EACH |
4027. Delivery for re-supply and/or relocation of equipment due to change in beneficiary’s residence.
| 250 |
| EACH |
4028. Maintenance of VA purchased portable oxygen concentrators, when appropriately prescribed
| 350 |
| EACH |
Estimated Total Option Year 4:
Estimated Total Amount of Base and four (4) option Years:
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