P01_Price_Schedule_SOL_36C250-19-Q-0525_FINAL_DRAFT_V15_(wo_Rollup)_12Dec18.pdf

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Medical Physics Certification Services for Radiology
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36C25019Q0525
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||||--DRAFT--||||

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 SCHEDULE OF SERVICES – PRICE SCHEDULE (12 December 2018)

SCHEDULE OF SERVICES – PRICE SCHEDULE

Radiation Physics Certification Services for Columbus VAACC in Ohio

BASE YEAR | 25 February 2019 to 24 February 2020 NOTE 1: The contractor shall invoice only upon completion of authorized work for each TUBE certification and/or DEPARTMENT audit completed in accordance with the terms and conditions established in this contract not-to-exceed (NTE) the maximum quantity and total price established herein.

NOTE 2: All offerors must provide full and complete pricing with their offer for all data elements contained within this SCHEDULE OF SERVICE – PRICE SCHEDULE (SHADED IN YELOW) to be considered acceptable for consideration for award. This includes unit pricing for contract line item numbers (CLINs) for UNSCHEDULED SERVICES (A/U, B/U, C/U, D/U, E/U, F/U, H/U and J/U) at a quantity of zero (0) which shall only be funded and exercised on an “as needed” basis upon bi-lateral modification.

Line Item

Description of Services Performance

Period

QTY

Max NTE

Unit of

Issue

Unit Price

Total Price

Max NTE

0001A Nuclear Medicine (NM) | Recurring Audits BASE YEAR 4 Each $ $

0001B X-Ray Equipment (Annual Tube Certification) BASE YEAR 13 Each $ $

0001C CT Equipment (Annual Tube Certification) BASE YEAR 1 Each $ $

0001D SPEC-CT/PET Equip (Annual Tube Certification) BASE YEAR 2 Each $ $

0001E MRI Equipment (Annual Tube Certification) BASE YEAR 2 Each $ $

0001F Mammography Equip (Annual Tube Certification) BASE YEAR 0 Each $ $

0001G Lead Apron (Annual Equipment Certification) BASE YEAR 120 Each $ $

0001H Ultra Sound Equip (Annual Tube Certification) BASE YEAR 6 Each $ $

0001I Dental Pan/Ceph (Bi-annual Tube Certification) BASE YEAR 13 Each $ $

0001J Dental CBCT (Bi-annual Tube Certification) BASE YEAR 1 Each $ $

0001A/U Nuclear Medicine (NM) | Recurring Audits

UNSCHEDULED

BASE YEAR

(As Needed)

0 Each

0001B/U X-Ray Equipment (Annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0001C/U CT Equipment (Annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0001D/U SPEC-CT/PET Equip (Annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0001E/U MRI Equipment (Annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0001F/U Mammography Equip (Annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0001G/U Lead Apron (Annual Equipment Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0001H/U Ultra Sound Equip (Annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0001I/U Dental Pan/Ceph (Bi-annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0001J/U Dental CBCT (Bi-annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

BASE YEAR | Total Price for Columbus VAACC $

DRAFT

SCHEDULE OF SERVICES – PRICE SCHEDULE

Radiation Physics Certification Services for Dayton VAMC in Ohio

BASE YEAR | 25 February 2019 to 24 February 2020 NOTE 1: The contractor shall invoice only upon completion of authorized work for each TUBE certification and/or DEPARTMENT audit completed in accordance with the terms and conditions established in this contract not-to-exceed (NTE) the maximum quantity and total price established herein.

NOTE 2: All offerors must provide full and complete pricing with their offer for all data elements contained within this SCHEDULE OF SERVICE – PRICE SCHEDULE (SHADED IN YELOW) to be considered acceptable for consideration for award. This includes unit pricing for contract line item numbers (CLINs) for UNSCHEDULED SERVICES (A/U, B/U, C/U, D/U, E/U, F/U, H/U and J/U) at a quantity of zero (0) which shall only be funded and exercised on an “as needed” basis upon bi-lateral modification.

Line Item

Description of Services Performance

Period

QTY

Max NTE

Unit of

Issue

Unit Price

Total Price

Max NTE

0002A Nuclear Medicine (NM) | Recurring Audits BASE YEAR 4 Each $ $

0002B X-Ray Equipment (Annual Tube Certification) BASE YEAR 18 Each $ $

0002C CT Equipment (Annual Tube Certification) BASE YEAR 4 Each $ $

0002D SPEC-CT/PET Equip (Annual Tube Certification) BASE YEAR 5 Each $ $

0002E MRI Equipment (Annual Tube Certification) BASE YEAR 2 Each $ $

0002F Mammography Equip (Annual Tube Certification) BASE YEAR 0 Each $ $

0002G Lead Apron (Annual Equipment Certification) BASE YEAR 0 Each $ $

0002H Ultra Sound Equip (Annual Tube Certification) BASE YEAR 0 Each $ $

0002I Dental Pan/Ceph (Bi-annual Tube Certification) BASE YEAR 2 Each $ $

0002J Dental CBCT (Bi-annual Tube Certification) BASE YEAR 16 Each $ $

0002A/U Nuclear Medicine (NM) | Recurring Audits

UNSCHEDULED

BASE YEAR

(As Needed)

0 Each

0002B/U X-Ray Equipment (Annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0002C/U CT Equipment (Annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0002D/U SPEC-CT/PET Equip (Annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0002E/U MRI Equipment (Annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0002F/U Mammography Equip (Annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0002G/U Lead Apron (Annual Equipment Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0002H/U Ultra Sound Equip (Annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0002I/U Dental Pan/Ceph (Bi-annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0002J/U Dental CBCT (Bi-annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

BASE YEAR | Total Price for Dayton VAMC $

SCHEDULE OF SERVICES – PRICE SCHEDULE

Radiation Physics Certification Services for Cincinnati VAMC in Ohio

BASE YEAR | 25 February 2019 to 24 February 2020 NOTE 1: The contractor shall invoice only upon completion of authorized work for each TUBE certification and/or DEPARTMENT audit completed in accordance with the terms and conditions established in this contract not-to-exceed (NTE) the maximum quantity and total price established herein.

NOTE 2: All offerors must provide full and complete pricing with their offer for all data elements contained within this SCHEDULE OF SERVICE – PRICE SCHEDULE (SHADED IN YELOW) to be considered acceptable for consideration for award. This includes unit pricing for contract line item numbers (CLINs) for UNSCHEDULED SERVICES (A/U, B/U, C/U, D/U, E/U, F/U, H/U and J/U) at a quantity of zero (0) which shall only be funded and exercised on an “as needed” basis upon bi-lateral modification.

Line Item

Description of Services Performance

Period

QTY

Max NTE

Unit of

Issue

Unit Price

Total Price

Max NTE

0003A Nuclear Medicine (NM) | Recurring Audits BASE YEAR 4 Each $ $

0003B X-Ray Equipment (Annual Tube Certification) BASE YEAR 35 Each $ $

0003C CT Equipment (Annual Tube Certification) BASE YEAR 4 Each $ $

0003D SPEC-CT/PET Equip (Annual Tube Certification) BASE YEAR 4 Each $ $

0003E MRI Equipment (Annual Tube Certification) BASE YEAR 2 Each $ $

0003F Mammography Equip (Annual Tube Certification) BASE YEAR 0 Each $ $

0003G Lead Apron (Annual Equipment Certification) BASE YEAR 0 Each $ $

0003H Ultra Sound Equip (Annual Tube Certification) BASE YEAR 0 Each $ $

0003I Dental Pan/Ceph (Bi-annual Tube Certification) BASE YEAR 1 Each $ $

0003J Dental CBCT (Bi-annual Tube Certification) BASE YEAR 0 Each $ $

0003A/U Nuclear Medicine (NM) | Recurring Audits

UNSCHEDULED

BASE YEAR

(As Needed)

0 Each

0003B/U X-Ray Equipment (Annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0003C/U CT Equipment (Annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0003D/U SPEC-CT/PET Equip (Annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0003E/U MRI Equipment (Annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0003F/U Mammography Equip (Annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0003G/U Lead Apron (Annual Equipment Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0003H/U Ultra Sound Equip (Annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0003I/U Dental Pan/Ceph (Bi-annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0003J/U Dental CBCT (Bi-annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

BASE YEAR | Total Price for Cincinnati VAMC $

SCHEDULE OF SERVICES – PRICE SCHEDULE

Radiation Physics Certification Services for Chillicothe VAMC in Ohio

BASE YEAR | 25 February 2019 to 24 February 2020 NOTE 1: The contractor shall invoice only upon completion of authorized work for each TUBE certification and/or DEPARTMENT audit completed in accordance with the terms and conditions established in this contract not-to-exceed (NTE) the maximum quantity and total price established herein.

NOTE 2: All offerors must provide full and complete pricing with their offer for all data elements contained within this SCHEDULE OF SERVICE – PRICE SCHEDULE (SHADED IN YELOW) to be considered acceptable for consideration for award. This includes unit pricing for contract line item numbers (CLINs) for UNSCHEDULED SERVICES (A/U, B/U, C/U, D/U, E/U, F/U, H/U and J/U) at a quantity of zero (0) which shall only be funded and exercised on an “as needed” basis upon bi-lateral modification.

Line Item

Description of Services Performance

Period

QTY

Max NTE

Unit of

Issue

Unit Price

Total Price

Max NTE

0004A Nuclear Medicine (NM) | Recurring Audits BASE YEAR 4 Each $ $

0004B X-Ray Equipment (Annual Tube Certification) BASE YEAR 17 Each $ $

0004C CT Equipment (Annual Tube Certification) BASE YEAR 1 Each $ $

0004D SPEC-CT/PET Equip (Annual Tube Certification) BASE YEAR 2 Each $ $

0004E MRI Equipment (Annual Tube Certification) BASE YEAR 1 Each $ $

0004F Mammography Equip (Annual Tube Certification) BASE YEAR 0 Each $ $

0004G Lead Apron (Annual Equipment Certification) BASE YEAR 58 Each $ $

0004H Ultra Sound Equip (Annual Tube Certification) BASE YEAR 0 Each $ $

0004I Dental Pan/Ceph (Bi-annual Tube Certification) BASE YEAR 0 Each $ $

0004J Dental CBCT (Bi-annual Tube Certification) BASE YEAR 1 Each $ $

0004A/U Nuclear Medicine (NM) | Recurring Audits

UNSCHEDULED

BASE YEAR

(As Needed)

0 Each

0004B/U X-Ray Equipment (Annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0004C/U CT Equipment (Annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0004D/U SPEC-CT/PET Equip (Annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0004E/U MRI Equipment (Annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0004F/U Mammography Equip (Annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0004G/U Lead Apron (Annual Equipment Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0004H/U Ultra Sound Equip (Annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0004I/U Dental Pan/Ceph (Bi-annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

0004J/U Dental CBCT (Bi-annual Tube Certification)

UNSCHEDULED

BASE YEAR

(As Needed) 0 Each

BASE YEAR | Total Price for Chillicothe VAMC $

SCHEDULE OF SERVICES – PRICE SCHEDULE

Radiation Physics Certification Services for Columbus VAACC in Ohio

OPTION YEAR ONE (1) | 25 February 2020 to 24 February 2021

NOTE 1: The contractor shall invoice only upon completion of authorized work for each TUBE certification and/or DEPARTMENT audit completed in accordance with the terms and conditions established in this contract not-to-exceed (NTE) the maximum quantity and total price established herein.

NOTE 2: All offerors must provide full and complete pricing with their offer for all data elements contained within this SCHEDULE OF SERVICE – PRICE SCHEDULE (SHADED IN YELOW) to be considered acceptable for consideration for award. This includes unit pricing for contract line item numbers (CLINs) for UNSCHEDULED SERVICES (A/U, B/U, C/U, D/U, E/U, F/U, H/U and J/U) at a quantity of zero (0) which shall only be funded and exercised on an “as needed” basis upon bi-lateral modification.

Line Item

Description of Services Performance

Period

QTY

Max NTE

Unit of

Issue

Unit Price

Total Price

Max NTE

1001A Nuclear Medicine (NM) | Recurring Audits OPTION YR 1 4 Each $ $

1001B X-Ray Equipment (Annual Tube Certification) OPTION YR 1 13 Each $ $

1001C CT Equipment (Annual Tube Certification) OPTION YR 1 1 Each $ $

1001D SPEC-CT/PET Equip (Annual Tube Certification) OPTION YR 1 2 Each $ $

1001E MRI Equipment (Annual Tube Certification) OPTION YR 1 2 Each $ $

1001F Mammography Equip (Annual Tube Certification) OPTION YR 1 0 Each $ $

1001G Lead Apron (Annual Equipment Certification) OPTION YR 1 120 Each $ $

1001H Ultra Sound Equip (Annual Tube Certification) OPTION YR 1 6 Each $ $

1001I Dental Pan/Ceph (Bi-annual Tube Certification) OPTION YR 1 13 Each $ $

1001J Dental CBCT (Bi-annual Tube Certification) OPTION YR 1 1 Each $ $

1001A/U Nuclear Medicine (NM) | Recurring Audits

UNSCHEDULED

OPTION YR 1

(As Needed)

0 Each

1001B/U X-Ray Equipment (Annual Tube Certification)

UNSCHEDULED

OPTION YR 1

(As Needed) 0 Each

1001C/U CT Equipment (Annual Tube Certification)

UNSCHEDULED

1001D/U SPEC-CT/PET Equip (Annual Tube Certification)

UNSCHEDULED

1001E/U MRI Equipment (Annual Tube Certification)

UNSCHEDULED

1001F/U Mammography Equip (Annual Tube Certification)

UNSCHEDULED

1001G/U Lead Apron (Annual Equipment Certification)

UNSCHEDULED

1001H/U Ultra Sound Equip (Annual Tube Certification)

UNSCHEDULED

1001I/U Dental Pan/Ceph (Bi-annual Tube Certification)

UNSCHEDULED

1001J/U Dental CBCT (Bi-annual Tube Certification)

UNSCHEDULED

OPTION YEAR ONE (1) | Total Price for Columbus VAACC $

Radiation Physics Certification Services for Dayton VAMC in Ohio

NOTE 1: The contractor shall invoice only upon completion of authorized work for each TUBE certification and/or DEPARTMENT audit completed in accordance with the terms and conditions established in this contract not-to-exceed (NTE) the maximum quantity and total price established herein.

NOTE 2: All offerors must provide full and complete pricing with their offer for all data elements contained within this SCHEDULE OF SERVICE – PRICE SCHEDULE (SHADED IN YELOW) to be considered acceptable for consideration for award. This includes unit pricing for contract line item numbers (CLINs) for UNSCHEDULED SERVICES (A/U, B/U, C/U, D/U, E/U, F/U, H/U and J/U) at a quantity of zero (0) which shall only be funded and exercised on an “as needed” basis upon bi-lateral modification.

Line Item

Description of Services Performance

Period

QTY

Max NTE

Unit of

Issue

Unit Price

Total Price

Max NTE

1002A Nuclear Medicine (NM) | Recurring Audits OPTION YR 1 4 Each $ $

1002B X-Ray Equipment (Annual Tube Certification) OPTION YR 1 18 Each $ $

1002C CT Equipment (Annual Tube Certification) OPTION YR 1 4 Each $ $

1002D SPEC-CT/PET Equip (Annual Tube Certification) OPTION YR 1 5 Each $ $

1002E MRI Equipment (Annual Tube Certification) OPTION YR 1 2 Each $ $

1002F Mammography Equip (Annual Tube Certification) OPTION YR 1 0 Each $ $

1002G Lead Apron (Annual Equipment Certification) OPTION YR 1 0 Each $ $

1002H Ultra Sound Equip (Annual Tube Certification) OPTION YR 1 0 Each $ $

1002I Dental Pan/Ceph (Bi-annual Tube Certification) OPTION YR 1 2 Each $ $

1002J Dental CBCT (Bi-annual Tube Certification) OPTION YR 1 0 Each $ $

1002A/U Nuclear Medicine (NM) | Recurring Audits

UNSCHEDULED

OPTION YR 1

(As Needed)

1002B/U X-Ray Equipment (Annual Tube Certification)

UNSCHEDULED

1002C/U CT Equipment (Annual Tube Certification)

UNSCHEDULED

1002D/U SPEC-CT/PET Equip (Annual Tube Certification)

UNSCHEDULED

1002E/U MRI Equipment (Annual Tube Certification)

UNSCHEDULED

1002F/U Mammography Equip (Annual Tube Certification)

UNSCHEDULED

1002G/U Lead Apron (Annual Equipment Certification)

UNSCHEDULED

1002H/U Ultra Sound Equip (Annual Tube Certification)

UNSCHEDULED

1002I/U Dental Pan/Ceph (Bi-annual Tube Certification)

UNSCHEDULED

1002J/U Dental CBCT (Bi-annual Tube Certification)

UNSCHEDULED

OPTION YEAR ONE (1) | Total Price for Dayton VAMC $

Radiation Physics Certification Services for Cincinnati VAMC in Ohio

NOTE 1: The contractor shall invoice only upon completion of authorized work for each TUBE certification and/or DEPARTMENT audit completed in accordance with the terms and conditions established in this contract not-to-exceed (NTE) the maximum quantity and total price established herein.

NOTE 2: All offerors must provide full and complete pricing with their offer for all data elements contained within this SCHEDULE OF SERVICE – PRICE SCHEDULE (SHADED IN YELOW) to be considered acceptable for consideration for award. This includes unit pricing for contract line item numbers (CLINs) for UNSCHEDULED SERVICES (A/U, B/U, C/U, D/U, E/U, F/U, H/U and J/U) at a quantity of zero (0) which shall only be funded and exercised on an “as needed” basis upon bi-lateral modification.

Line Item

Description of Services Performance

Period

QTY

Max NTE

Unit of

Issue

Unit Price

Total Price

Max NTE

1003A Nuclear Medicine (NM) | Recurring Audits OPTION YR 1 4 Each $ $

1003B X-Ray Equipment (Annual Tube Certification) OPTION YR 1 35 Each $ $

1003C CT Equipment (Annual Tube Certification) OPTION YR 1 4 Each $ $

1003D SPEC-CT/PET Equip (Annual Tube Certification) OPTION YR 1 4 Each $ $

1003E MRI Equipment (Annual Tube Certification) OPTION YR 1 2 Each $ $

1003F Mammography Equip (Annual Tube Certification) OPTION YR 1 0 Each $ $

1003G Lead Apron (Annual Equipment Certification) OPTION YR 1 0 Each $ $

1003H Ultra Sound Equip (Annual Tube Certification) OPTION YR 1 0 Each $ $

1003I Dental Pan/Ceph (Bi-annual Tube Certification) OPTION YR 1 1 Each $ $

1003J Dental CBCT (Bi-annual Tube Certification) OPTION YR 1 0 Each $ $

1003A/U Nuclear Medicine (NM) | Recurring Audits

UNSCHEDULED

OPTION YR 1

(As Needed)

1003B/U X-Ray Equipment (Annual Tube Certification)

UNSCHEDULED

1003C/U CT Equipment (Annual Tube Certification)

UNSCHEDULED

1003D/U SPEC-CT/PET Equip (Annual Tube Certification)

UNSCHEDULED

1003E/U MRI Equipment (Annual Tube Certification)

UNSCHEDULED

1003F/U Mammography Equip (Annual Tube Certification)

UNSCHEDULED

1003G/U Lead Apron (Annual Equipment Certification)

UNSCHEDULED

1003H/U Ultra Sound Equip (Annual Tube Certification)

UNSCHEDULED

1003I/U Dental Pan/Ceph (Bi-annual Tube Certification)

UNSCHEDULED

1003J/U Dental CBCT (Bi-annual Tube Certification)

UNSCHEDULED

OPTION YEAR ONE (1) | Total Price for Cincinnati VAMC $

Radiation Physics Certification Services for Chillicothe VAMC in Ohio

NOTE 1: The contractor shall invoice only upon completion of authorized work for each TUBE certification and/or DEPARTMENT audit completed in accordance with the terms and conditions established in this contract not-to-exceed (NTE) the maximum quantity and total price established herein.

NOTE 2: All offerors must provide full and complete pricing with their offer for all data elements contained within this SCHEDULE OF SERVICE – PRICE SCHEDULE (SHADED IN YELOW) to be considered acceptable for consideration for award. This includes unit pricing for contract line item numbers (CLINs) for UNSCHEDULED SERVICES (A/U, B/U, C/U, D/U, E/U, F/U, H/U and J/U) at a quantity of zero (0) which shall only be funded and exercised on an “as needed” basis upon bi-lateral modification.

Line Item

Description of Services Performance

Period

QTY

Max NTE

Unit of

Issue

Unit Price

Total Price

Max NTE

1004A Nuclear Medicine (NM) | Recurring Audits OPTION YR 1 4 Each $ $

1004B X-Ray Equipment (Annual Tube Certification) OPTION YR 1 17 Each $ $

1004C CT Equipment (Annual Tube Certification) OPTION YR 1 1 Each $ $

1004D SPEC-CT/PET Equip (Annual Tube Certification) OPTION YR 1 2 Each $ $

1004E MRI Equipment (Annual Tube Certification) OPTION YR 1 1 Each $ $

1004F Mammography Equip (Annual Tube Certification) OPTION YR 1 0 Each $ $

1004G Lead Apron (Annual Equipment Certification) OPTION YR 1 58 Each $ $

1004H Ultra Sound Equip (Annual Tube Certification) OPTION YR 1 0 Each $ $

1004I Dental Pan/Ceph (Bi-annual Tube Certification) OPTION YR 1 0 Each $ $

1004J Dental CBCT (Bi-annual Tube Certification) OPTION YR 1 1 Each $ $

1004A/U Nuclear Medicine (NM) | Recurring Audits

UNSCHEDULED

OPTION YR 1

(As Needed)

1004B/U X-Ray Equipment (Annual Tube Certification)

UNSCHEDULED

1004C/U CT Equipment (Annual Tube Certification)

UNSCHEDULED

1004D/U SPEC-CT/PET Equip (Annual Tube Certification)

UNSCHEDULED

1004E/U MRI Equipment (Annual Tube Certification)

UNSCHEDULED

1004F/U Mammography Equip (Annual Tube Certification)

UNSCHEDULED

1004G/U Lead Apron (Annual Equipment Certification)

UNSCHEDULED

1004H/U Ultra Sound Equip (Annual Tube Certification)

UNSCHEDULED

1004I/U Dental Pan/Ceph (Bi-annual Tube Certification)

UNSCHEDULED

1004J/U Dental CBCT (Bi-annual Tube Certification)

UNSCHEDULED

OPTION YEAR ONE (1) | Total Price for Chillicothe VAMC $

OPTION YEAR TWO (2) | 25 February 2021 to 24 February 2022

NOTE 1: The contractor shall invoice only upon completion of authorized work for each TUBE certification and/or DEPARTMENT audit completed in accordance with the terms and conditions established in this contract not-to-exceed (NTE) the maximum quantity and total price established herein.

NOTE 2: All offerors must provide full and complete pricing with their offer for all data elements contained within this SCHEDULE OF SERVICE – PRICE SCHEDULE (SHADED IN YELOW) to be considered acceptable for consideration for award. This includes unit pricing for contract line item numbers (CLINs) for UNSCHEDULED SERVICES (A/U, B/U, C/U, D/U, E/U, F/U, H/U and J/U) at a quantity of zero (0) which shall only be funded and exercised on an “as needed” basis upon bi-lateral modification.

Line Item

Description of Services Performance

Period

QTY

Max NTE

Unit of

Issue

Unit Price

Total Price

Max NTE

2001A Nuclear Medicine (NM) | Recurring Audits OPTION YR 2 4 Each $ $

2001B X-Ray Equipment (Annual Tube Certification) OPTION YR 2 13 Each $ $

2001C CT Equipment (Annual Tube Certification) OPTION YR 2 1 Each $ $

2001D SPEC-CT/PET Equip (Annual Tube Certification) OPTION YR 2 2 Each $ $

1001E MRI Equipment (Annual Tube Certification) OPTION YR 2 2 Each $ $

2001F Mammography Equip (Annual Tube Certification) OPTION YR 2 0 Each $ $

2001G Lead Apron (Annual Equipment Certification) OPTION YR 2 120 Each $ $

2001H Ultra Sound Equip (Annual Tube Certification) OPTION YR 2 6 Each $ $

2001I Dental Pan/Ceph (Bi-annual Tube Certification) OPTION YR 2 13 Each $ $

2001J Dental CBCT (Bi-annual Tube Certification) OPTION YR 2 1 Each $ $

2001A/U Nuclear Medicine (NM) | Recurring Audits

UNSCHEDULED

OPTION YR 2

(As Needed)

2001B/U X-Ray Equipment (Annual Tube Certification)

UNSCHEDULED

OPTION YR 2

2001C/U CT Equipment (Annual Tube Certification)

UNSCHEDULED

2001D/U SPEC-CT/PET Equip (Annual Tube Certification)

UNSCHEDULED

2001E/U MRI Equipment (Annual Tube Certification)

UNSCHEDULED

2001F/U Mammography Equip (Annual Tube Certification)

UNSCHEDULED

2001G/U Lead Apron (Annual Equipment Certification)

UNSCHEDULED

2001H/U Ultra Sound Equip (Annual Tube Certification)

UNSCHEDULED

2001I/U Dental Pan/Ceph (Bi-annual Tube Certification)

UNSCHEDULED

2001J/U Dental CBCT (Bi-annual Tube Certification)

UNSCHEDULED

OPTION YEAR TWO (2) | Total Price for Columbus VAACC $

NOTE 1: The contractor shall invoice only upon completion of authorized work for each TUBE certification and/or DEPARTMENT audit completed in accordance with the terms and conditions established in this contract not-to-exceed (NTE) the maximum quantity and total price established herein.

NOTE 2: All offerors must provide full and complete pricing with their offer for all data elements contained within this SCHEDULE OF SERVICE – PRICE SCHEDULE (SHADED IN YELOW) to be considered acceptable for consideration for award. This includes unit pricing for contract line item numbers (CLINs) for UNSCHEDULED SERVICES (A/U, B/U, C/U, D/U, E/U, F/U, H/U and J/U) at a quantity of zero (0) which shall only be funded and exercised on an “as needed” basis upon bi-lateral modification.

Line Item

Description of Services Performance

Period

QTY

Max NTE

Unit of

Issue

Unit Price

Total Price

Max NTE

2002A Nuclear Medicine (NM) | Recurring Audits OPTION YR 2 4 Each $ $

2002B X-Ray Equipment (Annual Tube Certification) OPTION YR 2 18 Each $ $

2002C CT Equipment (Annual Tube Certification) OPTION YR 2 4 Each $ $

2002D SPEC-CT/PET Equip (Annual Tube Certification) OPTION YR 2 5 Each $ $

2002E MRI Equipment (Annual Tube Certification) OPTION YR 2 2 Each $ $

2002F Mammography Equip (Annual Tube Certification) OPTION YR 2 0 Each $ $

2002G Lead Apron (Annual Equipment Certification) OPTION YR 2 0 Each $ $

2002H Ultra Sound Equip (Annual Tube Certification) OPTION YR 2 0 Each $ $

2002I Dental Pan/Ceph (Bi-annual Tube Certification) OPTION YR 2 2 Each $ $

2002J Dental CBCT (Bi-annual Tube Certification) OPTION YR 2 16 Each $ $

2002A/U Nuclear Medicine (NM) | Recurring Audits

UNSCHEDULED

OPTION YR 2

(As Needed)

2002B/U X-Ray Equipment (Annual Tube Certification)

UNSCHEDULED

2002C/U CT Equipment (Annual Tube Certification)

UNSCHEDULED

2002D/U SPEC-CT/PET Equip (Annual Tube Certification)

UNSCHEDULED

2002E/U MRI Equipment (Annual Tube Certification)

UNSCHEDULED

2002F/U Mammography Equip (Annual Tube Certification)

UNSCHEDULED

2002G/U Lead Apron (Annual Equipment Certification)

UNSCHEDULED

2002H/U Ultra Sound Equip (Annual Tube Certification)

UNSCHEDULED

2002I/U Dental Pan/Ceph (Bi-annual Tube Certification)

UNSCHEDULED

2002J/U Dental CBCT (Bi-annual Tube Certification)

UNSCHEDULED

OPTION YEAR TWO (2) | Total Price for Dayton VAMC $

NOTE 1: The contractor shall invoice only upon completion of authorized work for each TUBE certification and/or DEPARTMENT audit completed in accordance with the terms and conditions established in this contract not-to-exceed (NTE) the maximum quantity and total price established herein.

NOTE 2: All offerors must provide full and complete pricing with their offer for all data elements contained within this SCHEDULE OF SERVICE – PRICE SCHEDULE (SHADED IN YELOW) to be considered acceptable for consideration for award. This includes unit pricing for contract line item numbers (CLINs) for UNSCHEDULED SERVICES (A/U, B/U, C/U, D/U, E/U, F/U, H/U and J/U) at a quantity of zero (0) which shall only be funded and exercised on an “as needed” basis upon bi-lateral modification.

Line Item

Description of Services Performance

Period

QTY

Max NTE

Unit of

Issue

Unit Price

Total Price

Max NTE

2003A Nuclear Medicine (NM) | Recurring Audits OPTION YR 2 4 Each $ $

2003B X-Ray Equipment (Annual Tube Certification) OPTION YR 2 35 Each $ $

2003C CT Equipment (Annual Tube Certification) OPTION YR 2 4 Each $ $

2003D SPEC-CT/PET Equip (Annual Tube Certification) OPTION YR 2 4 Each $ $

2003E MRI Equipment (Annual Tube Certification) OPTION YR 2 2 Each $ $

2003F Mammography Equip (Annual Tube Certification) OPTION YR 2 0 Each $ $

2003G Lead Apron (Annual Equipment Certification) OPTION YR 2 0 Each $ $

2003H Ultra Sound Equip (Annual Tube Certification) OPTION YR 2 0 Each $ $

2003I Dental Pan/Ceph (Bi-annual Tube Certification) OPTION YR 2 1 Each $ $

2003J Dental CBCT (Bi-annual Tube Certification) OPTION YR 2 0 Each $ $

2003A/U Nuclear Medicine (NM) | Recurring Audits

UNSCHEDULED

OPTION YR 2

(As Needed)

2003B/U X-Ray Equipment (Annual Tube Certification)

UNSCHEDULED

2003C/U CT Equipment (Annual Tube Certification)

UNSCHEDULED

2003D/U SPEC-CT/PET Equip (Annual Tube Certification)

UNSCHEDULED

2003E/U MRI Equipment (Annual Tube Certification)

UNSCHEDULED

2003F/U Mammography Equip (Annual Tube Certification)

UNSCHEDULED

2003G/U Lead Apron (Annual Equipment Certification)

UNSCHEDULED

2003H/U Ultra Sound Equip (Annual Tube Certification)

UNSCHEDULED

2003I/U Dental Pan/Ceph (Bi-annual Tube Certification)

UNSCHEDULED

2003J/U Dental CBCT (Bi-annual Tube Certification)

UNSCHEDULED

OPTION YEAR TWO (2) | Total Price for Cincinnati VAMC $

NOTE 1: The contractor shall invoice only upon completion of authorized work for each TUBE certification and/or DEPARTMENT audit completed in accordance with the terms and conditions established in this contract not-to-exceed (NTE) the maximum quantity and total price established herein.

NOTE 2: All offerors must provide full and complete pricing with their offer for all data elements contained within this SCHEDULE OF SERVICE – PRICE SCHEDULE (SHADED IN YELOW) to be considered acceptable for consideration for award. This includes unit pricing for contract line item numbers (CLINs) for UNSCHEDULED SERVICES (A/U, B/U, C/U, D/U, E/U, F/U, H/U and J/U) at a quantity of zero (0) which shall only be funded and exercised on an “as needed” basis upon bi-lateral modification.

Line Item

Description of Services Performance

Period

QTY

Max NTE

Unit of

Issue

Unit Price

Total Price

Max NTE

2004A Nuclear Medicine (NM) | Recurring Audits OPTION YR 2 4 Each $ $

2004B X-Ray Equipment (Annual Tube Certification) OPTION YR 2 17 Each $ $

2004C CT Equipment (Annual Tube Certification) OPTION YR 2 1 Each $ $

2004D SPEC-CT/PET Equip (Annual Tube Certification) OPTION YR 2 2 Each $ $

1004E MRI Equipment (Annual Tube Certification) OPTION YR 2 1 Each $ $

2004F Mammography Equip (Annual Tube Certification) OPTION YR 2 0 Each $ $

2004G Lead Apron (Annual Equipment Certification) OPTION YR 2 58 Each $ $

2004H Ultra Sound Equip (Annual Tube Certification) OPTION YR 2 0 Each $ $

2004I Dental Pan/Ceph (Bi-annual Tube Certification) OPTION YR 2 0 Each $ $

2004J Dental CBCT (Bi-annual Tube Certification) OPTION YR 2 1 Each $ $

2004A/U Nuclear Medicine (NM) | Recurring Audits

UNSCHEDULED

OPTION YR 2

(As Needed)

2004B/U X-Ray Equipment (Annual Tube Certification)

UNSCHEDULED

2004C/U CT Equipment (Annual Tube Certification)

UNSCHEDULED

2004D/U SPEC-CT/PET Equip (Annual Tube Certification)

UNSCHEDULED

2004E/U MRI Equipment (Annual Tube Certification)

UNSCHEDULED

2004F/U Mammography Equip (Annual Tube Certification)

UNSCHEDULED

2004G/U Lead Apron (Annual Equipment Certification)

UNSCHEDULED

2004H/U Ultra Sound Equip (Annual Tube Certification)

UNSCHEDULED

2004I/U Dental Pan/Ceph (Bi-annual Tube Certification)

UNSCHEDULED

2004J/U Dental CBCT (Bi-annual Tube Certification)

UNSCHEDULED

OPTION YEAR TWO (2) | Total Price for Chillicothe VAMC $

OPTION YEAR THREE (3) | 25 February 2022 to 24 February 2023

NOTE 1: The contractor shall invoice only upon completion of authorized work for each TUBE certification and/or DEPARTMENT audit completed in accordance with the terms and conditions established in this contract not-to-exceed (NTE) the maximum quantity and total price established herein.

NOTE 2: All offerors must provide full and complete pricing with their offer for all data elements contained within this SCHEDULE OF SERVICE – PRICE SCHEDULE (SHADED IN YELOW) to be considered acceptable for consideration for award. This includes unit pricing for contract line item numbers (CLINs) for UNSCHEDULED SERVICES (A/U, B/U, C/U, D/U, E/U, F/U, H/U and J/U) at a quantity of zero (0) which shall only be funded and exercised on an “as needed” basis upon bi-lateral modification.

Line Item

Description of Services Performance

Period

QTY

Max NTE

Unit of

Issue

Unit Price

Total Price

Max NTE

3001A Nuclear Medicine (NM) | Recurring Audits OPTION YR 3 4 Each $ $

3001B X-Ray Equipment (Annual Tube Certification) OPTION YR 3 13 Each $ $

3001C CT Equipment (Annual Tube Certification) OPTION YR 3 1 Each $ $

3001D SPEC-CT/PET Equip (Annual Tube Certification) OPTION YR 3 2 Each $ $

3001E MRI Equipment (Annual Tube Certification) OPTION YR 3 2 Each $ $

3001F Mammography Equip (Annual Tube Certification) OPTION YR 3 0 Each $ $

3001G Lead Apron (Annual Equipment Certification) OPTION YR 3 120 Each $ $

3001H Ultra Sound Equip (Annual Tube Certification) OPTION YR 3 6 Each $ $

3001I Dental Pan/Ceph (Bi-annual Tube Certification) OPTION YR 3 13 Each $ $

3001J Dental CBCT (Bi-annual Tube Certification) OPTION YR 3 1 Each $ $

3001A/U Nuclear Medicine (NM) | Recurring Audits

UNSCHEDULED

OPTION YR 3

(As Needed)

3001B/U X-Ray Equipment (Annual Tube Certification)

UNSCHEDULED

OPTION YR 3

3001C/U CT Equipment (Annual Tube Certification)

UNSCHEDULED

3001D/U SPEC-CT/PET Equip (Annual Tube Certification)

UNSCHEDULED

3001E/U MRI Equipment (Annual Tube Certification)

UNSCHEDULED

3001F/U Mammography Equip (Annual Tube Certification)

UNSCHEDULED

3001G/U Lead Apron (Annual Equipment Certification)

UNSCHEDULED

3001H/U Ultra Sound Equip (Annual Tube Certification)

UNSCHEDULED

3001I/U Dental Pan/Ceph (Bi-annual Tube Certification)

UNSCHEDULED

3001J/U Dental CBCT (Bi-annual Tube Certification)

UNSCHEDULED

OPTION YEAR THREE (3) | Total Price for Columbus VAACC $

NOTE 1: The contractor shall invoice only upon completion of authorized work for each TUBE certification and/or DEPARTMENT audit completed in accordance with the terms and conditions established in this contract not-to-exceed (NTE) the maximum quantity and total price established herein.

NOTE 2: All offerors must provide full and complete pricing with their offer for all data elements contained within this SCHEDULE OF SERVICE – PRICE SCHEDULE (SHADED IN YELOW) to be considered acceptable for consideration for award. This includes unit pricing for contract line item numbers (CLINs) for UNSCHEDULED SERVICES (A/U, B/U, C/U, D/U, E/U, F/U, H/U and J/U) at a quantity of zero (0) which shall only be funded and exercised on an “as needed” basis upon bi-lateral modification.

Line Item

Description of Services Performance

Period

QTY

Max NTE

Unit of

Issue

Unit Price

Total Price

Max NTE

3002A Nuclear Medicine (NM) | Recurring Audits OPTION YR 3 4 Each $ $

3002B X-Ray Equipment (Annual Tube Certification) OPTION YR 3 18 Each $ $

3002C CT Equipment (Annual Tube Certification) OPTION YR 3 4 Each $ $

3002D SPEC-CT/PET Equip (Annual Tube Certification) OPTION YR 3 5 Each $ $

3002E MRI Equipment (Annual Tube Certification) OPTION YR 3 2 Each $ $

3002F Mammography Equip (Annual Tube Certification) OPTION YR 3 0 Each $ $

3002G Lead Apron (Annual Equipment Certification) OPTION YR 3 0 Each $ $

3002H Ultra Sound Equip (Annual Tube Certification) OPTION YR 3 0 Each $ $

3002I Dental Pan/Ceph (Bi-annual Tube Certification) OPTION YR 3 2 Each $ $

3002J Dental CBCT (Bi-annual Tube Certification) OPTION YR 3 0 Each $ $

3002A/U Nuclear Medicine (NM) | Recurring Audits

UNSCHEDULED

OPTION YR 3

(As Needed)

3002B/U X-Ray Equipment (Annual Tube Certification)

UNSCHEDULED

3002C/U CT Equipment (Annual Tube Certification)

UNSCHEDULED

3002D/U SPEC-CT/PET Equip (Annual Tube Certification)

UNSCHEDULED

3002E/U MRI Equipment (Annual Tube Certification)

UNSCHEDULED

3002F/U Mammography Equip (Annual Tube Certification)

UNSCHEDULED

3002G/U Lead Apron (Annual Equipment Certification)

UNSCHEDULED

3002H/U Ultra Sound Equip (Annual Tube Certification)

UNSCHEDULED

3002I/U Dental Pan/Ceph (Bi-annual Tube Certification)

UNSCHEDULED

3002J/U Dental CBCT (Bi-annual Tube Certification)

UNSCHEDULED

OPTION YEAR THREE (3) | Total Price for Dayton VAMC $

NOTE 1: The contractor shall invoice only upon completion of authorized work for each TUBE certification and/or DEPARTMENT audit completed in accordance with the terms and conditions established in this contract not-to-exceed (NTE) the maximum quantity and total price established herein.

NOTE 2: All offerors must provide full and complete pricing with their offer for all data elements contained within this SCHEDULE OF SERVICE – PRICE SCHEDULE (SHADED IN YELOW) to be considered acceptable for consideration for award. This includes unit pricing for contract line item numbers (CLINs) for UNSCHEDULED SERVICES (A/U, B/U, C/U, D/U, E/U, F/U, H/U and J/U) at a quantity of zero (0) which shall only be funded and exercised on an “as needed” basis upon bi-lateral modification.

Line Item

Description of Services Performance

Period

QTY

Max NTE

Unit of

Issue

Unit Price

Total Price

Max NTE

3003A Nuclear Medicine (NM) | Recurring Audits OPTION YR 3 4 Each $ $

3003B X-Ray Equipment (Annual Tube Certification) OPTION YR 3 35 Each $ $

3003C CT Equipment (Annual Tube Certification) OPTION YR 3 4 Each $ $

3003D SPEC-CT/PET Equip (Annual Tube Certification) OPTION YR 3 4 Each $ $

3003E MRI Equipment (Annual Tube Certification) OPTION YR 3 2 Each $ $

3003F Mammography Equip (Annual Tube Certification) OPTION YR 3 0 Each $ $

3003G Lead Apron (Annual Equipment Certification) OPTION YR 3 0 Each $ $

3003H Ultra Sound Equip (Annual Tube Certification) OPTION YR 3 0 Each $ $

3003I Dental Pan/Ceph (Bi-annual Tube Certification) OPTION YR 3 1 Each $ $

3003J Dental CBCT (Bi-annual Tube Certification) OPTION YR 3 0 Each $ $

3003A/U Nuclear Medicine (NM) | Recurring Audits

UNSCHEDULED

OPTION YR 3

(As Needed)

3003B/U X-Ray Equipment (Annual Tube Certification)

UNSCHEDULED

3003C/U CT Equipment (Annual Tube Certification)

UNSCHEDULED

3003D/U SPEC-CT/PET Equip (Annual Tube Certification)

UNSCHEDULED

3003E/U MRI Equipment (Annual Tube Certification)

UNSCHEDULED

3003F/U Mammography Equip (Annual Tube Certification)

UNSCHEDULED

3003G/U Lead Apron (Annual Equipment Certification)

UNSCHEDULED

3003H/U Ultra Sound Equip (Annual Tube Certification)

UNSCHEDULED

3003I/U Dental Pan/Ceph (Bi-annual Tube Certification)

UNSCHEDULED

3003J/U Dental CBCT (Bi-annual Tube Certification)

UNSCHEDULED

OPTION YEAR THREE (3) | Total Price for Cincinnati VAMC $

NOTE 1: The contractor shall invoice only upon completion of authorized work for each TUBE certification and/or DEPARTMENT audit completed in accordance with the terms and conditions established in this contract not-to-exceed (NTE) the maximum quantity and total price established herein.

NOTE 2: All offerors must provide full and complete pricing with their offer for all data elements contained within this SCHEDULE OF SERVICE – PRICE SCHEDULE (SHADED IN YELOW) to be considered acceptable for consideration for award. This includes unit pricing for contract line item numbers (CLINs) for UNSCHEDULED SERVICES (A/U, B/U, C/U, D/U, E/U, F/U, H/U and J/U) at a quantity of zero (0) which shall only be funded and exercised on an “as needed” basis upon bi-lateral modification.

Line Item

Description of Services Performance

Period

QTY

Max NTE

Unit of

Issue

Unit Price

Total Price

Max NTE

3004A Nuclear Medicine (NM) | Recurring Audits OPTION YR 3 4 Each $ $

3004B X-Ray Equipment (Annual Tube Certification) OPTION YR 3 17 Each $ $

3004C CT Equipment (Annual Tube Certification) OPTION YR 3 1 Each $ $

3004D SPEC-CT/PET Equip (Annual Tube Certification) OPTION YR 3 2 Each $ $

3004E MRI Equipment (Annual Tube Certification) OPTION YR 3 1 Each $ $

3004F Mammography Equip (Annual Tube Certification) OPTION YR 3 0 Each $ $

3004G Lead Apron (Annual Equipment Certification) OPTION YR 3 58 Each $ $

3004H Ultra Sound Equip (Annual Tube Certification) OPTION YR 3 0 Each $ $

3004I Dental Pan/Ceph (Bi-annual Tube Certification) OPTION YR 3 0 Each $ $

3004J Dental CBCT (Bi-annual Tube Certification) OPTION YR 3 1 Each $ $

3004A/U Nuclear Medicine (NM) | Recurring Audits

UNSCHEDULED

OPTION YR 3

(As Needed)

3004B/U X-Ray Equipment (Annual Tube Certification)

UNSCHEDULED

3004C/U CT Equipment (Annual Tube Certification)

UNSCHEDULED

3004D/U SPEC-CT/PET Equip (Annual Tube Certification)

UNSCHEDULED

3004E/U MRI Equipment (Annual Tube Certification)

UNSCHEDULED

3004F/U Mammography Equip (Annual Tube Certification)

UNSCHEDULED

3004G/U Lead Apron (Annual Equipment Certification)

UNSCHEDULED

3004H/U Ultra Sound Equip (Annual Tube Certification)

UNSCHEDULED

3004I/U Dental Pan/Ceph (Bi-annual Tube Certification)

UNSCHEDULED

3004J/U Dental CBCT (Bi-annual Tube Certification)

UNSCHEDULED

OPTION YEAR THREE (3) | Total Price for Chillicothe VAMC $

OPTION YEAR FOUR (4) | 25 February 2023 to 24 February 2024

NOTE 1: The contractor shall invoice only upon completion of authorized work for each TUBE certification and/or DEPARTMENT audit completed in accordance with the terms and conditions established in this contract not-to-exceed (NTE) the maximum quantity and total price established herein.

NOTE 2: All offerors must provide full and complete pricing with their offer for all data elements contained within this SCHEDULE OF SERVICE – PRICE SCHEDULE (SHADED IN YELOW) to be considered acceptable for consideration for award. This includes unit pricing for contract line item numbers (CLINs) for UNSCHEDULED SERVICES (A/U, B/U, C/U, D/U, E/U, F/U, H/U and J/U) at a quantity of zero (0) which shall only be funded and exercised on an “as needed” basis upon bi-lateral modification.

Line Item

Description of Services Performance

Period

QTY

Max NTE

Unit of

Issue

Unit Price

Total Price

Max NTE

4001A Nuclear Medicine (NM) | Recurring Audits OPTION YR 4 4 Each $ $

4001B X-Ray Equipment (Annual Tube Certification) OPTION YR 4 13 Each $ $

4001C CT Equipment (Annual Tube Certification) OPTION YR 4 1 Each $ $

4001D SPEC-CT/PET Equip (Annual Tube Certification) OPTION YR 4 2 Each $ $

4001E MRI Equipment (Annual Tube Certification) OPTION YR 4 2 Each $ $

4001F Mammography Equip (Annual Tube Certification) OPTION YR 4 0 Each $ $

4001G Lead Apron (Annual Equipment Certification) OPTION YR 4 120 Each $ $

4001H Ultra Sound Equip (Annual Tube Certification) OPTION YR 4 6 Each $ $

4001I Dental Pan/Ceph (Bi-annual Tube Certification) OPTION YR 4 13 Each $ $

4001J Dental CBCT (Bi-annual Tube Certification) OPTION YR 4 1 Each $ $

4001A/U Nuclear Medicine (NM) | Recurring Audits

UNSCHEDULED

OPTION YR 4

(As Needed)

4001B/U X-Ray Equipment (Annual Tube Certification)

UNSCHEDULED

OPTION YR 4

4001C/U CT Equipment (Annual Tube Certification)

UNSCHEDULED

4001D/U SPEC-CT/PET Equip (Annual Tube Certification)

UNSCHEDULED

4001E/U MRI Equipment (Annual Tube Certification)

UNSCHEDULED

4001F/U Mammography Equip (Annual Tube Certification)

UNSCHEDULED

4001G/U Lead Apron (Annual Equipment Certification)

UNSCHEDULED

4001H/U Ultra Sound Equip (Annual Tube Certification)

UNSCHEDULED

4001I/U Dental Pan/Ceph (Bi-annual Tube Certification)

UNSCHEDULED

4001J/U Dental CBCT (Bi-annual Tube Certification)

UNSCHEDULED

OPTION YEAR FOUR (4) | Total Price for Columbus VAACC $

NOTE 1: The contractor shall invoice only upon completion of authorized work for each TUBE certification and/or DEPARTMENT audit completed in accordance with the terms and conditions established in this contract not-to-exceed (NTE) the maximum quantity and total price established herein.

NOTE 2: All offerors must provide full and complete pricing with their offer for all data elements contained within this SCHEDULE OF SERVICE – PRICE SCHEDULE (SHADED IN YELOW) to be considered acceptable for consideration for award. This includes unit pricing for contract line item numbers (CLINs) for UNSCHEDULED SERVICES (A/U, B/U, C/U, D/U, E/U, F/U, H/U and J/U) at a quantity of zero (0) which shall only be funded and exercised on an “as needed” basis upon bi-lateral modification.

Line Item

Description of Services Performance

Period

QTY

Max NTE

Unit of

Issue

Unit Price

Total Price

Max NTE

4002A Nuclear Medicine (NM) | Recurring Audits OPTION YR 4 4 Each $ $

4002B X-Ray Equipment (Annual Tube Certification) OPTION YR 4 18 Each $ $

4002C CT Equipment (Annual Tube Certification) OPTION YR 4 4 Each $ $

4002D SPEC-CT/PET Equip (Annual Tube Certification) OPTION YR 4 5 Each $ $

4002E MRI Equipment (Annual Tube Certification) OPTION YR 4 2 Each $ $

4002F Mammography Equip (Annual Tube Certification) OPTION YR 4 0 Each $ $

4002G Lead Apron (Annual Equipment Certification) OPTION YR 4 0 Each $ $

4002H Ultra Sound Equip (Annual Tube Certification) OPTION YR 4 0 Each $ $

4002I Dental Pan/Ceph (Bi-annual Tube Certification) OPTION YR 4 2 Each $ $

4002J Dental CBCT (Bi-annual Tube Certification) OPTION YR 4 16 Each $ $

4002A/U Nuclear Medicine (NM) | Recurring Audits

UNSCHEDULED

OPTION YR 4

(As Needed)

4002B/U X-Ray Equipment (Annual Tube Certification)

UNSCHEDULED

4002C/U CT Equipment (Annual Tube Certification)

UNSCHEDULED

4002D/U SPEC-CT/PET Equip (Annual Tube Certification)

UNSCHEDULED

4002E/U MRI Equipment (Annual Tube Certification)

UNSCHEDULED

4002F/U Mammography Equip (Annual Tube Certification)

UNSCHEDULED

4002G/U Lead Apron (Annual Equipment Certification)

UNSCHEDULED

4002H/U Ultra Sound Equip (Annual Tube Certification)

UNSCHEDULED

4002I/U Dental Pan/Ceph (Bi-annual Tube Certification)

UNSCHEDULED

4002J/U Dental CBCT (Bi-annual Tube Certification)

UNSCHEDULED

OPTION YEAR FOUR (4) | Total Price for Dayton VAMC $

NOTE 1: The contractor shall invoice only upon completion of authorized work for each TUBE certification and/or DEPARTMENT audit completed in accordance with the terms and conditions established in this contract not-to-exceed (NTE) the maximum quantity and total price established herein.

NOTE 2: All offerors must provide full and complete pricing with their offer for all data elements contained within this SCHEDULE OF SERVICE – PRICE SCHEDULE (SHADED IN YELOW) to be considered acceptable for consideration for award. This includes unit pricing for contract line item numbers (CLINs) for UNSCHEDULED SERVICES (A/U, B/U, C/U, D/U, E/U, F/U, H/U and J/U) at a quantity of zero (0) which shall only be funded and exercised on an “as needed” basis upon bi-lateral modification.

Line Item

Description of Services Performance

Period

QTY

Max NTE

Unit of

Issue

Unit Price

Total Price

Max NTE

4003A Nuclear Medicine (NM) | Recurring Audits OPTION YR 4 4 Each $ $

4003B X-Ray Equipment (Annual Tube Certification) OPTION YR 4 35 Each $ $

4003C CT Equipment (Annual Tube Certification) OPTION YR 4 4 Each $ $

4003D SPEC-CT/PET Equip (Annual Tube Certification) OPTION YR 4 4 Each $ $

4003E MRI Equipment (Annual Tube Certification) OPTION YR 4 2 Each $ $

4003F Mammography Equip (Annual Tube Certification) OPTION YR 4 0 Each $ $

4003G Lead Apron (Annual Equipment Certification) OPTION YR 4 0 Each $ $

4003H Ultra Sound Equip (Annual Tube Certification) OPTION YR 4 0 Each $ $

4003I Dental Pan/Ceph (Bi-annual Tube Certification) OPTION YR 4 1 Each $ $

4003J Dental CBCT (Bi-annual Tube Certification) OPTION YR 4 0 Each $ $

4003A/U Nuclear Medicine (NM) | Recurring Audits

UNSCHEDULED

OPTION YR 4

(As Needed)

4003B/U X-Ray Equipment (Annual Tube Certification)

UNSCHEDULED

4003C/U CT Equipment (Annual Tube Certification)

UNSCHEDULED

4003D/U SPEC-CT/PET Equip (Annual Tube Certification)

UNSCHEDULED

4003E/U MRI Equipment (Annual Tube Certification)

UNSCHEDULED

4003F/U Mammography Equip (Annual Tube Certification)

UNSCHEDULED

4003G/U Lead Apron (Annual Equipment Certification)

UNSCHEDULED

4003H/U Ultra Sound Equip (Annual Tube Certification)

UNSCHEDULED

4003I/U Dental Pan/Ceph (Bi-annual Tube Certification)

UNSCHEDULED

4003J/U Dental CBCT (Bi-annual Tube Certification)

UNSCHEDULED

OPTION YEAR FOUR (4) | Total Price for Cincinnati VAMC $

NOTE 1: The contractor shall invoice only upon completion of authorized work for each TUBE certification and/or DEPARTMENT audit completed in accordance with the terms and conditions established in this contract not-to-exceed (NTE) the maximum quantity and total price established herein.

NOTE 2: All offerors must provide full and complete pricing with their offer for all data elements contained within this SCHEDULE OF SERVICE – PRICE SCHEDULE (SHADED IN YELOW) to be considered acceptable for consideration for award. This includes unit pricing for contract line item numbers (CLINs) for UNSCHEDULED SERVICES (A/U, B/U, C/U, D/U, E/U, F/U, H/U and J/U) at a quantity of zero (0) which shall only be funded and exercised on an “as needed” basis upon bi-lateral modification.

Line Item

Description of Services Performance

Period

QTY

Max NTE

Unit of

Issue

Unit Price

Total Price

Max NTE

4004A Nuclear Medicine (NM) | Recurring Audits OPTION YR 4 4 Each $ $

4004B X-Ray Equipment (Annual Tube Certification) OPTION YR 4 17 Each $ $

4004C CT Equipment (Annual Tube Certification) OPTION YR 4 1 Each $ $

4004D SPEC-CT/PET Equip (Annual Tube Certification) OPTION YR 4 2 Each $ $

4004E MRI Equipment (Annual Tube Certification) OPTION YR 4 1 Each $ $

4004F Mammography Equip (Annual Tube Certification) OPTION YR 4 0 Each $ $

4004G Lead Apron (Annual Equipment Certification) OPTION YR 4 58 Each $ $

4004H Ultra Sound Equip (Annual Tube Certification) OPTION YR 4 0 Each $ $

4004I Dental Pan/Ceph (Bi-annual Tube Certification) OPTION YR 4 0 Each $ $

4004J Dental CBCT (Bi-annual Tube Certification) OPTION YR 4 1 Each $ $

4004A/U Nuclear Medicine (NM) | Recurring Audits

UNSCHEDULED

OPTION YR 4

(As Needed)

4004B/U X-Ray Equipment (Annual Tube Certification)

UNSCHEDULED

4004C/U CT Equipment (Annual Tube Certification)

UNSCHEDULED

4004D/U SPEC-CT/PET Equip (Annual Tube Certification)

UNSCHEDULED

4004E/U MRI Equipment (Annual Tube Certification)

UNSCHEDULED

4004F/U Mammography Equip (Annual Tube Certification)

UNSCHEDULED

4004G/U Lead Apron (Annual Equipment Certification)

UNSCHEDULED

4004H/U Ultra Sound Equip (Annual Tube Certification)

UNSCHEDULED

4004I/U Dental Pan/Ceph (Bi-annual Tube Certification)

UNSCHEDULED

4004J/U Dental CBCT (Bi-annual Tube Certification)

UNSCHEDULED

OPTION YEAR FOUR (4) | Total Price for Chillicothe VAMC $

File details come from the government source that posted it.