36C25024R0036 Line Items Template.xlsx

XLSX spreadsheet 453 KB Posted

Attached to
W065--DME Services - IN & MI FCC - VISN 10
Solicitation number
36C25024R0036
Issued by

About this file

This document appears to be a Line Items Template related to a federal contract opportunity for Durable Medical Equipment (DME) Services for the Department of Veterans Affairs (VA) Veterans Integrated Service Network (VISN) 10 in Indiana and Michigan.

The key details are:

  • The solicitation number is 36C25024R0036 and the contract is for "DME Services - IN & MI FCC - VISN 10".
  • The contract period is from 5/1/24 to 4/30/29, with a base year and four one-year option periods.
  • The contract requires the delivery, setup, education, fitting, and pickup of DME items, as well as assistive technology professional (ATP) deliveries, emergency deliveries, and various levels of DME repair services.
  • The contract covers multiple VA medical centers in Indiana and Michigan, with specific quantities listed for each location and contract period.
  • Pricing is provided on a per-item or per-delivery basis, with not-separately-priced (NSP) items also included.

View the file

Other files

File Type Posted
36C25024R0036 0003.docx DOCX document
36C25024R0036 0002.docx DOCX document
36C25024R0036 0001.docx DOCX document
S02 - D.2 QASP (FINAL dated 12.15.23).pdf PDF
36C25024R0036.docx DOCX document
S02 - D.3 Past Performance Questionnaire.pdf PDF

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Text version

Action Line Item Information

Action Type NamePrimary IDSecondary IDMod NumberTitleOrder Discount Type NameOrder Discount TypeOrder Discount
VHA-SERVICES-IDC-RFP36C25024R0036DME Services - IN & MI
FCC - VISN 10Percent0

KB Version: FY24.05A

Items

Item NumberSLINDescriptionRef Line ItemsCommentInclude Comments in DocumentContract PeriodPop BeginPop EndQuantityUnit of MeasurePackaging MultipleReceipt TypeLine Item IsUnit PriceItem Discount Type NameItem DiscountDate UpdatedAddress1Address2Address3CityStateZipZip4CountryMark ForContact NameContact PhoneContact EmailDelivery DateFOBSpecial InstructionsInclude Instructions/Comments in DocumentInclude Data Values in DocumentPRINCIPAL NAICS CODEPRODUCT/SERVICE CODEUNSPSCSIC CODEMANUFACTURER PART NUMBER (MPN)NATIONAL STOCK NUMBERLOCAL STOCK NUMBERDM DOC IDDELIVERY REF. COUNTERUNIT TEXT/DESCRIPTIONDELIVERY REFERENCEITEM MASTER FILE NUMBEREXPENDABLE/NON-EXPENDABLEQUANTITY REQUESTED
0001NSP (Not Separately Priced)
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoBase5/1/244/30/250JB0QuantityNSP0Percent0NONENoNo532283W065
0001AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoBase5/1/244/30/25900JB0QuantityPriced0Percent0NONENoNo532283W065
0001ABVA Northern Indiana Health Care Systems (NIHCS)
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoBase5/1/244/30/25600JB0QuantityPriced0Percent0NONENoNo532283W065
0001ACVA Ann Arbor Health Care System, Ann Arbor, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoBase5/1/244/30/25450JB0QuantityPriced0Percent0NONENoNo532283W065
0001ADBattle Creek VA Medical Center, Battle Creek, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoBase5/1/244/30/25600JB0QuantityPriced0Percent0NONENoNo532283W065
0001AEJohn D. Dingell VA Medical Center, Detroit, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoBase5/1/244/30/25300JB0QuantityPriced0Percent0NONENoNo532283W065
0001AFVeterans Affairs Medical Center, Saginaw, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoBase5/1/244/30/25750JB0QuantityPriced0Percent0NONENoNo532283W065
0002NSP (Not Separately Priced)
Assistive Technology Professional (ATP) DeliveriesNoBase5/1/244/30/250JB0QuantityNSP0Percent0NONENoNo532283W065
0002AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Assistive Technology Professional (ATP) DeliveriesNoBase5/1/244/30/2527JB0QuantityPriced0Percent0NONENoNo
0002ABVA Northern Indiana Health Care Systems (NIHCS)
Assistive Technology Professional (ATP) DeliveriesNoBase5/1/244/30/2518JB0QuantityPriced0Percent0NONENoNo532283W065
0002ACVA Ann Arbor Health Care System, Ann Arbor, MI
Assistive Technology Professional (ATP) DeliveriesNoBase5/1/244/30/2514JB0QuantityPriced0Percent0NONENoNo532283W065
0002ADBattle Creek VA Medical Center, Battle Creek, MI
Assistive Technology Professional (ATP) DeliveriesNoBase5/1/244/30/2518JB0QuantityPriced0Percent0NONENoNo532283W065
0002AEJohn D. Dingell VA Medical Center, Detroit, MI
Assistive Technology Professional (ATP) DeliveriesNoBase5/1/244/30/259JB0QuantityPriced0Percent0NONENoNo532283W065
0002AFVeterans Affairs Medical Center, Saginaw, MI
Assistive Technology Professional (ATP) DeliveriesNoBase5/1/244/30/2523JB0QuantityPriced0Percent0NONENoNo532283W065
0003NSP (Not Separately Priced)
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoBase5/1/244/30/250JB0QuantityNSP0Percent0NONENoNo532283W065
0003AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoBase5/1/244/30/255JB0QuantityPriced0Percent0NONENoNo
0003ABVA Northern Indiana Health Care Systems (NIHCS)
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoBase5/1/244/30/252JB0QuantityPriced0Percent0NONENoNo532283W065
0003ACVA Ann Arbor Health Care System, Ann Arbor, MI
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoBase5/1/244/30/255JB0QuantityPriced0Percent0NONENoNo532283W065
0003ADBattle Creek VA Medical Center, Battle Creek, MI
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoBase5/1/244/30/253JB0QuantityPriced0Percent0NONENoNo532283W065
0003AEJohn D. Dingell VA Medical Center, Detroit, MI
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoBase5/1/244/30/258JB0QuantityPriced0Percent0NONENoNo532283W065
0003AFVeterans Affairs Medical Center, Saginaw, MI
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoBase5/1/244/30/255JB0QuantityPriced0Percent0NONENoNo532283W065
0004NSP (Not Separately Priced)
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoBase5/1/244/30/250JB0QuantityNSP0Percent0NONENoNo532283W065
0004AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoBase5/1/244/30/2518JB0QuantityPriced0Percent0NONENoNo
0004ABVA Northern Indiana Health Care Systems (NIHCS)
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoBase5/1/244/30/2512JB0QuantityPriced0Percent0NONENoNo532283W065
0004ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoBase5/1/244/30/259JB0QuantityPriced0Percent0NONENoNo532283W065
0004ADBattle Creek VA Medical Center, Battle Creek, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoBase5/1/244/30/2512JB0QuantityPriced0Percent0NONENoNo532283W065
0004AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoBase5/1/244/30/256JB0QuantityPriced0Percent0NONENoNo532283W065
0004AFVeterans Affairs Medical Center, Saginaw, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoBase5/1/244/30/2515JB0QuantityPriced0Percent0NONENoNo532283W065
0005NSP (Not Separately Priced)
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoBase5/1/244/30/250JB0QuantityNSP0Percent0NONENoNo532283W065
0005AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoBase5/1/244/30/2514JB0QuantityPriced0Percent0NONENoNo
0005ABVA Northern Indiana Health Care Systems (NIHCS)
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoBase5/1/244/30/259JB0QuantityPriced0Percent0NONENoNo532283W065
0005ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoBase5/1/244/30/257JB0QuantityPriced0Percent0NONENoNo532283W065
0005ADBattle Creek VA Medical Center, Battle Creek, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoBase5/1/244/30/259JB0QuantityPriced0Percent0NONENoNo532283W065
0005AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoBase5/1/244/30/255JB0QuantityPriced0Percent0NONENoNo532283W065
0005AFVeterans Affairs Medical Center, Saginaw, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoBase5/1/244/30/2511JB0QuantityPriced0Percent0NONENoNo532283W065
0006NSP (Not Separately Priced)
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoBase5/1/244/30/250JB0QuantityNSP0Percent0NONENoNo532283W065
0006AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoBase5/1/244/30/251JB0QuantityPriced0Percent0NONENoNo
0006ABVA Northern Indiana Health Care Systems (NIHCS)
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoBase5/1/244/30/251JB0QuantityPriced0Percent0NONENoNo532283W065
0006ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoBase5/1/244/30/251JB0QuantityPriced0Percent0NONENoNo532283W065
0006ADBattle Creek VA Medical Center, Battle Creek, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoBase5/1/244/30/251JB0QuantityPriced0Percent0NONENoNo532283W065
0006AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoBase5/1/244/30/251JB0QuantityPriced0Percent0NONENoNo532283W065
0006AFVeterans Affairs Medical Center, Saginaw, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoBase5/1/244/30/251JB0QuantityPriced0Percent0NONENoNo532283W065
0007NSP (Not Separately Priced)
Emergency Repair in conjunction with Line Items S 4-6NoBase5/1/244/30/250JB0QuantityNSP0Percent0NONENoNo532283W065
0007AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Emergency Repair in conjunction with Line Items S 4-6NoBase5/1/244/30/252JB0QuantityPriced0Percent0NONENoNo
0007ABVA Northern Indiana Health Care Systems (NIHCS)
Emergency Repair in conjunction with Line Items S 4-6NoBase5/1/244/30/251JB0QuantityPriced0Percent0NONENoNo532283W065
0007ACVA Ann Arbor Health Care System, Ann Arbor, MI
Emergency Repair in conjunction with Line Items S 4-6NoBase5/1/244/30/252JB0QuantityPriced0Percent0NONENoNo532283W065
0007ADBattle Creek VA Medical Center, Battle Creek, MI
Emergency Repair in conjunction with Line Items S 4-6NoBase5/1/244/30/251JB0QuantityPriced0Percent0NONENoNo532283W065
0007AEJohn D. Dingell VA Medical Center, Detroit, MI
Emergency Repair in conjunction with Line Items S 4-6NoBase5/1/244/30/254JB0QuantityPriced0Percent0NONENoNo532283W065
0007AFVeterans Affairs Medical Center, Saginaw, MI
Emergency Repair in conjunction with Line Items S 4-6NoBase5/1/244/30/252JB0QuantityPriced0Percent0NONENoNo532283W065
1001NSP (Not Separately Priced)
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 15/1/254/30/260JB0QuantityNSP0Percent0NONENoNo532283W065
1001AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 15/1/254/30/26990JB0QuantityPriced0Percent0NONENoNo532283W065
1001ABVA Northern Indiana Health Care Systems (NIHCS)
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 15/1/254/30/26660JB0QuantityPriced0Percent0NONENoNo532283W065
1001ACVA Ann Arbor Health Care System, Ann Arbor, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 15/1/254/30/26495JB0QuantityPriced0Percent0NONENoNo532283W065
1001ADBattle Creek VA Medical Center, Battle Creek, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 15/1/254/30/26660JB0QuantityPriced0Percent0NONENoNo532283W065
1001AEJohn D. Dingell VA Medical Center, Detroit, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 15/1/254/30/26330JB0QuantityPriced0Percent0NONENoNo532283W065
1001AFVeterans Affairs Medical Center, Saginaw, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 15/1/254/30/26825JB0QuantityPriced0Percent0NONENoNo532283W065
1002NSP (Not Separately Priced)
Assistive Technology Professional (ATP) DeliveriesNoOption 15/1/254/30/260JB0QuantityNSP0Percent0NONENoNo532283W065
1002AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Assistive Technology Professional (ATP) DeliveriesNoOption 15/1/254/30/2630JB0QuantityPriced0Percent0NONENoNo
1002ABVA Northern Indiana Health Care Systems (NIHCS)
Assistive Technology Professional (ATP) DeliveriesNoOption 15/1/254/30/2620JB0QuantityPriced0Percent0NONENoNo532283W065
1002ACVA Ann Arbor Health Care System, Ann Arbor, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 15/1/254/30/2615JB0QuantityPriced0Percent0NONENoNo532283W065
1002ADBattle Creek VA Medical Center, Battle Creek, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 15/1/254/30/2620JB0QuantityPriced0Percent0NONENoNo532283W065
1002AEJohn D. Dingell VA Medical Center, Detroit, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 15/1/254/30/2610JB0QuantityPriced0Percent0NONENoNo532283W065
1002AFVeterans Affairs Medical Center, Saginaw, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 15/1/254/30/2625JB0QuantityPriced0Percent0NONENoNo532283W065
1003NSP (Not Separately Priced)
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoOption 15/1/254/30/260JB0QuantityNSP0Percent0NONENoNo532283W065
1003AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoOption 15/1/254/30/266JB0QuantityPriced0Percent0NONENoNo
1003ABVA Northern Indiana Health Care Systems (NIHCS)
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoOption 15/1/254/30/263JB0QuantityPriced0Percent0NONENoNo532283W065
1003ACVA Ann Arbor Health Care System, Ann Arbor, MI
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoOption 15/1/254/30/266JB0QuantityPriced0Percent0NONENoNo532283W065
1003ADBattle Creek VA Medical Center, Battle Creek, MI
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoOption 15/1/254/30/264JB0QuantityPriced0Percent0NONENoNo532283W065
1003AEJohn D. Dingell VA Medical Center, Detroit, MI
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoOption 15/1/254/30/269JB0QuantityPriced0Percent0NONENoNo532283W065
1003AFVeterans Affairs Medical Center, Saginaw, MI
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoOption 15/1/254/30/266JB0QuantityPriced0Percent0NONENoNo532283W065
1004NSP (Not Separately Priced)
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 15/1/254/30/260JB0QuantityNSP0Percent0NONENoNo532283W065
1004AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 15/1/254/30/2620JB0QuantityPriced0Percent0NONENoNo
1004ABVA Northern Indiana Health Care Systems (NIHCS)
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 15/1/254/30/2613JB0QuantityPriced0Percent0NONENoNo532283W065
1004ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 15/1/254/30/2610JB0QuantityPriced0Percent0NONENoNo532283W065
1004ADBattle Creek VA Medical Center, Battle Creek, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 15/1/254/30/2613JB0QuantityPriced0Percent0NONENoNo532283W065
1004AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 15/1/254/30/267JB0QuantityPriced0Percent0NONENoNo532283W065
1004AFVeterans Affairs Medical Center, Saginaw, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 15/1/254/30/2617JB0QuantityPriced0Percent0NONENoNo532283W065
1005NSP (Not Separately Priced)
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 15/1/254/30/260JB0QuantityNSP0Percent0NONENoNo532283W065
1005AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 15/1/254/30/2615JB0QuantityPriced0Percent0NONENoNo
1005ABVA Northern Indiana Health Care Systems (NIHCS)
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 15/1/254/30/2610JB0QuantityPriced0Percent0NONENoNo532283W065
1005ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 15/1/254/30/267JB0QuantityPriced0Percent0NONENoNo532283W065
1005ADBattle Creek VA Medical Center, Battle Creek, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 15/1/254/30/2610JB0QuantityPriced0Percent0NONENoNo532283W065
1005AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 15/1/254/30/265JB0QuantityPriced0Percent0NONENoNo532283W065
1005AFVeterans Affairs Medical Center, Saginaw, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 15/1/254/30/2612JB0QuantityPriced0Percent0NONENoNo532283W065
1006NSP (Not Separately Priced)
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 15/1/254/30/260JB0QuantityNSP0Percent0NONENoNo532283W065
1006AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 15/1/254/30/261JB0QuantityPriced0Percent0NONENoNo
1006ABVA Northern Indiana Health Care Systems (NIHCS)
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 15/1/254/30/261JB0QuantityPriced0Percent0NONENoNo532283W065
1006ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 15/1/254/30/261JB0QuantityPriced0Percent0NONENoNo532283W065
1006ADBattle Creek VA Medical Center, Battle Creek, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 15/1/254/30/261JB0QuantityPriced0Percent0NONENoNo532283W065
1006AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 15/1/254/30/261JB0QuantityPriced0Percent0NONENoNo532283W065
1006AFVeterans Affairs Medical Center, Saginaw, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 15/1/254/30/261JB0QuantityPriced0Percent0NONENoNo532283W065
1007NSP (Not Separately Priced)
Emergency Repair in conjunction with Line Items S 4-6NoOption 15/1/254/30/260JB0QuantityNSP0Percent0NONENoNo532283W065
1007AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Emergency Repair in conjunction with Line Items S 4-6NoOption 15/1/254/30/263JB0QuantityPriced0Percent0NONENoNo
1007ABVA Northern Indiana Health Care Systems (NIHCS)
Emergency Repair in conjunction with Line Items S 4-6NoOption 15/1/254/30/261JB0QuantityPriced0Percent0NONENoNo532283W065
1007ACVA Ann Arbor Health Care System, Ann Arbor, MI
Emergency Repair in conjunction with Line Items S 4-6NoOption 15/1/254/30/263JB0QuantityPriced0Percent0NONENoNo532283W065
1007ADBattle Creek VA Medical Center, Battle Creek, MI
Emergency Repair in conjunction with Line Items S 4-6NoOption 15/1/254/30/262JB0QuantityPriced0Percent0NONENoNo532283W065
1007AEJohn D. Dingell VA Medical Center, Detroit, MI
Emergency Repair in conjunction with Line Items S 4-6NoOption 15/1/254/30/264JB0QuantityPriced0Percent0NONENoNo532283W065
1007AFVeterans Affairs Medical Center, Saginaw, MI
Emergency Repair in conjunction with Line Items S 4-6NoOption 15/1/254/30/263JB0QuantityPriced0Percent0NONENoNo532283W065
2001NSP (Not Separately Priced)
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 25/1/264/30/270JB0QuantityNSP0Percent0NONENoNo532283W065
2001AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 25/1/264/30/271080JB0QuantityPriced0Percent0NONENoNo532283W065
2001ABVA Northern Indiana Health Care Systems (NIHCS)
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 25/1/264/30/27720JB0QuantityPriced0Percent0NONENoNo532283W065
2001ACVA Ann Arbor Health Care System, Ann Arbor, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 25/1/264/30/27540JB0QuantityPriced0Percent0NONENoNo532283W065
2001ADBattle Creek VA Medical Center, Battle Creek, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 25/1/264/30/27720JB0QuantityPriced0Percent0NONENoNo532283W065
2001AEJohn D. Dingell VA Medical Center, Detroit, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 25/1/264/30/27360JB0QuantityPriced0Percent0NONENoNo532283W065
2001AFVeterans Affairs Medical Center, Saginaw, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 25/1/264/30/27900JB0QuantityPriced0Percent0NONENoNo532283W065
2002NSP (Not Separately Priced)
Assistive Technology Professional (ATP) DeliveriesNoOption 25/1/264/30/270JB0QuantityNSP0Percent0NONENoNo532283W065
2002AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Assistive Technology Professional (ATP) DeliveriesNoOption 25/1/264/30/2732JB0QuantityPriced0Percent0NONENoNo
2002ABVA Northern Indiana Health Care Systems (NIHCS)
Assistive Technology Professional (ATP) DeliveriesNoOption 25/1/264/30/2722JB0QuantityPriced0Percent0NONENoNo532283W065
2002ACVA Ann Arbor Health Care System, Ann Arbor, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 25/1/264/30/2716JB0QuantityPriced0Percent0NONENoNo532283W065
2002ADBattle Creek VA Medical Center, Battle Creek, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 25/1/264/30/2722JB0QuantityPriced0Percent0NONENoNo532283W065
2002AEJohn D. Dingell VA Medical Center, Detroit, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 25/1/264/30/2711JB0QuantityPriced0Percent0NONENoNo532283W065
2002AFVeterans Affairs Medical Center, Saginaw, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 25/1/264/30/2727JB0QuantityPriced0Percent0NONENoNo532283W065
2003NSP (Not Separately Priced)
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoOption 25/1/264/30/270JB0QuantityNSP0Percent0NONENoNo532283W065
2003AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoOption 25/1/264/30/277JB0QuantityPriced0Percent0NONENoNo
2003ABVA Northern Indiana Health Care Systems (NIHCS)
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoOption 25/1/264/30/274JB0QuantityPriced0Percent0NONENoNo532283W065
2003ACVA Ann Arbor Health Care System, Ann Arbor, MI
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoOption 25/1/264/30/277JB0QuantityPriced0Percent0NONENoNo532283W065
2003ADBattle Creek VA Medical Center, Battle Creek, MI
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoOption 25/1/264/30/275JB0QuantityPriced0Percent0NONENoNo532283W065
2003AEJohn D. Dingell VA Medical Center, Detroit, MI
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoOption 25/1/264/30/2710JB0QuantityPriced0Percent0NONENoNo532283W065
2003AFVeterans Affairs Medical Center, Saginaw, MI
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoOption 25/1/264/30/277JB0QuantityPriced0Percent0NONENoNo532283W065
2004NSP (Not Separately Priced)
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 25/1/264/30/270JB0QuantityNSP0Percent0NONENoNo532283W065
2004AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 25/1/264/30/2722JB0QuantityPriced0Percent0NONENoNo
2004ABVA Northern Indiana Health Care Systems (NIHCS)
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 25/1/264/30/2714JB0QuantityPriced0Percent0NONENoNo532283W065
2004ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 25/1/264/30/2711JB0QuantityPriced0Percent0NONENoNo532283W065
2004ADBattle Creek VA Medical Center, Battle Creek, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 25/1/264/30/2714JB0QuantityPriced0Percent0NONENoNo532283W065
2004AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 25/1/264/30/277JB0QuantityPriced0Percent0NONENoNo532283W065
2004AFVeterans Affairs Medical Center, Saginaw, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 25/1/264/30/2718JB0QuantityPriced0Percent0NONENoNo532283W065
2005NSP (Not Separately Priced)
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 25/1/264/30/270JB0QuantityNSP0Percent0NONENoNo532283W065
2005AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 25/1/264/30/2716JB0QuantityPriced0Percent0NONENoNo
2005ABVA Northern Indiana Health Care Systems (NIHCS)
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 25/1/264/30/2711JB0QuantityPriced0Percent0NONENoNo532283W065
2005ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 25/1/264/30/278JB0QuantityPriced0Percent0NONENoNo532283W065
2005ADBattle Creek VA Medical Center, Battle Creek, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 25/1/264/30/2711JB0QuantityPriced0Percent0NONENoNo532283W065
2005AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 25/1/264/30/275JB0QuantityPriced0Percent0NONENoNo532283W065
2005AFVeterans Affairs Medical Center, Saginaw, MI
Level 2 Repair - Simple repairs that routinely take under 2 hour to complete.NoOption 25/1/264/30/2714JB0QuantityPriced0Percent0NONENoNo532283W065
2006NSP (Not Separately Priced)
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 25/1/264/30/270JB0QuantityNSP0Percent0NONENoNo532283W065
2006AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 25/1/264/30/272JB0QuantityPriced0Percent0NONENoNo
2006ABVA Northern Indiana Health Care Systems (NIHCS)
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 25/1/264/30/272JB0QuantityPriced0Percent0NONENoNo532283W065
2006ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 25/1/264/30/272JB0QuantityPriced0Percent0NONENoNo532283W065
2006ADBattle Creek VA Medical Center, Battle Creek, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 25/1/264/30/272JB0QuantityPriced0Percent0NONENoNo532283W065
2006AEJohn D. Dingell VA Medical Center, Detroit, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 25/1/264/30/272JB0QuantityPriced0Percent0NONENoNo532283W065
2006AFVeterans Affairs Medical Center, Saginaw, MI
Level 3 Repair - Highly Complex repairs that routinely take greater than 2 hours to complete.NoOption 25/1/264/30/272JB0QuantityPriced0Percent0NONENoNo532283W065
2007NSP (Not Separately Priced)
Emergency Repair in conjunction with Line Items S 4-6NoOption 25/1/264/30/270JB0QuantityNSP0Percent0NONENoNo532283W065
2007AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Emergency Repair in conjunction with Line Items 4-6NoOption 25/1/264/30/273JB0QuantityPriced0Percent0NONENoNo
2007ABVA Northern Indiana Health Care Systems (NIHCS)
Emergency Repair in conjunction with Line Items S 4-6NoOption 25/1/264/30/272JB0QuantityPriced0Percent0NONENoNo532283W065
2007ACVA Ann Arbor Health Care System, Ann Arbor, MI
Emergency Repair in conjunction with Line Items S 4-6NoOption 25/1/264/30/273JB0QuantityPriced0Percent0NONENoNo532283W065
2007ADBattle Creek VA Medical Center, Battle Creek, MI
Emergency Repair in conjunction with Line Items S 4-6NoOption 25/1/264/30/272JB0QuantityPriced0Percent0NONENoNo532283W065
2007AEJohn D. Dingell VA Medical Center, Detroit, MI
Emergency Repair in conjunction with Line Items S 4-6NoOption 25/1/264/30/275JB0QuantityPriced0Percent0NONENoNo532283W065
2007AFVeterans Affairs Medical Center, Saginaw, MI
Emergency Repair in conjunction with Line Items S 4-6NoOption 25/1/264/30/273JB0QuantityPriced0Percent0NONENoNo532283W065
3001NSP (Not Separately Priced)
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 35/1/274/30/280JB0QuantityNSP0Percent0NONENoNo532283W065
3001AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 35/1/274/30/281170JB0QuantityPriced0Percent0NONENoNo532283W065
3001ABVA Northern Indiana Health Care Systems (NIHCS)
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 35/1/274/30/28780JB0QuantityPriced0Percent0NONENoNo532283W065
3001ACVA Ann Arbor Health Care System, Ann Arbor, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 35/1/274/30/28585JB0QuantityPriced0Percent0NONENoNo532283W065
3001ADBattle Creek VA Medical Center, Battle Creek, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 35/1/274/30/28780JB0QuantityPriced0Percent0NONENoNo532283W065
3001AEJohn D. Dingell VA Medical Center, Detroit, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 35/1/274/30/28390JB0QuantityPriced0Percent0NONENoNo532283W065
3001AFVeterans Affairs Medical Center, Saginaw, MI
Delivery, set-up, educate patient, fit (if applicable), and pick-upNoOption 35/1/274/30/28975JB0QuantityPriced0Percent0NONENoNo532283W065
3002NSP (Not Separately Priced)
Assistive Technology Professional (ATP) DeliveriesNoOption 35/1/274/30/280JB0QuantityNSP0Percent0NONENoNo532283W065
3002AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Assistive Technology Professional (ATP) DeliveriesNoOption 35/1/274/30/2835JB0QuantityPriced0Percent0NONENoNo
3002ABVA Northern Indiana Health Care Systems (NIHCS)
Assistive Technology Professional (ATP) DeliveriesNoOption 35/1/274/30/2823JB0QuantityPriced0Percent0NONENoNo532283W065
3002ACVA Ann Arbor Health Care System, Ann Arbor, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 35/1/274/30/2818JB0QuantityPriced0Percent0NONENoNo532283W065
3002ADBattle Creek VA Medical Center, Battle Creek, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 35/1/274/30/2823JB0QuantityPriced0Percent0NONENoNo532283W065
3002AEJohn D. Dingell VA Medical Center, Detroit, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 35/1/274/30/2812JB0QuantityPriced0Percent0NONENoNo532283W065
3002AFVeterans Affairs Medical Center, Saginaw, MI
Assistive Technology Professional (ATP) DeliveriesNoOption 35/1/274/30/2829JB0QuantityPriced0Percent0NONENoNo532283W065
3003NSP (Not Separately Priced)
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoOption 35/1/274/30/280JB0QuantityNSP0Percent0NONENoNo532283W065
3003AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoOption 35/1/274/30/288JB0QuantityPriced0Percent0NONENoNo
3003ABVA Northern Indiana Health Care Systems (NIHCS)
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoOption 35/1/274/30/285JB0QuantityPriced0Percent0NONENoNo532283W065
3003ACVA Ann Arbor Health Care System, Ann Arbor, MI
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoOption 35/1/274/30/288JB0QuantityPriced0Percent0NONENoNo532283W065
3003ADBattle Creek VA Medical Center, Battle Creek, MI
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoOption 35/1/274/30/286JB0QuantityPriced0Percent0NONENoNo532283W065
3003AEJohn D. Dingell VA Medical Center, Detroit, MI
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoOption 35/1/274/30/2811JB0QuantityPriced0Percent0NONENoNo532283W065
3003AFVeterans Affairs Medical Center, Saginaw, MI
Emergency Delivery (to be used in conjunction with Line Items 1 or Line Items 2)NoOption 35/1/274/30/288JB0QuantityPriced0Percent0NONENoNo532283W065
3004NSP (Not Separately Priced)
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 35/1/274/30/280JB0QuantityNSP0Percent0NONENoNo532283W065
3004AARichard L. Roudebush VA Medical Center, Indianapolis, IN
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 35/1/274/30/2823JB0QuantityPriced0Percent0NONENoNo
3004ABVA Northern Indiana Health Care Systems (NIHCS)
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 35/1/274/30/2816JB0QuantityPriced0Percent0NONENoNo532283W065
3004ACVA Ann Arbor Health Care System, Ann Arbor, MI
Level 1 Repair - Simple repairs that routinely take under 1 hour to complete.NoOption 35/1/274/30/2812JB0QuantityPriced0Percent0NONENoNo532283W065

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