DME Schedule of Costs.xlsx

XLSX spreadsheet 77 KB Posted May 17, 2021

Attached to: N065--VISN 15 DME Contracted Services - 8 VA Health System (9 Facility Locations) Marion, IL; Poplar Bluff, St. Louis, MO (2 locations), Columbia, and Kansas City, MO; Leavenworth, Topeka and
Solicitation number: 36C25521Q0307
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15

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Other files

File	Type	Posted
VISN 15 Facilities and Counties Covered - Updated.xls	XLS spreadsheet	May 17, 2021
36C25521Q0307 0001.docx	DOCX document	May 17, 2021
36C25521Q0307_1.docx	DOCX document	May 3, 2021
Attachment (C) VA Privacy Language Appendix C.pdf	PDF	May 3, 2021
WAGE DETERMINATIONS INCORPORATED BY REFERENCE.pdf	PDF	May 3, 2021
Contractor Confidentiality Agreement (VA Form 0752).pdf	PDF	May 3, 2021
Quality Assurance Surveillance Plan (QASP) - FINAL.pdf	PDF	May 3, 2021
DME Inspection Document.doc	DOC document	May 3, 2021
VSC Security_Complete Packet.pdf	PDF	May 3, 2021
Attachment (D) Contractor Rules of Behavior Appendix D.pdf	PDF	May 3, 2021
VHA 1605.05 BUSINESS ASSOCIATE AGREEMENT - New.docx	DOCX document	May 3, 2021
Estimated Equipment Quantities.xlsx	XLSX spreadsheet	May 3, 2021
Areas of Coverage.xls	XLS spreadsheet	May 3, 2021

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VISN 15

CLIN #	Description	Estimated Quantity (Yearly)	Unit of Issue	Unit Price	Total Annual Estimated
VISN 15 - LOCATED IN VISN 15
CLIN 8001	DELIVERY, SETUP AND INSTRUCTION OF ONE OR MORE PIECES OF DURABLE MEDICAL EQUIPMENT WITHIN 50 MILES OF THE VAMC. TO INCLUDE HOME SAFETY INSPECTION. ALL STORAGE AND LABOR IS INCLUDED.

	October 1, 2021 - September 30, 2022 Estimated	4,871	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	5,076	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	5,290	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	5,517	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	5,753	Each	$0.00
CLIN 8002	PICK UP OF ONE OR MORE PIECES OF DURABLE MEDICAL EQUIPMENT WITHIN 50 MILES OF THE VAMC. TO INCLUDE CLEANING, DISINFECTING AND PREPARING FOR REISSUE. ALL STORAGE AND LABOR IS INCLUDED.

	October 1, 2021 - September 30, 2022 Estimated	727	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	733	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	740	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	748	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	756	Each	$0.00
CLIN 8003	MILEAGE IN EXCESS OF 50 MILES FOR DELIVERY OR PICK UP, ONE WAY.

	October 1, 2021 - September 30, 2022 Estimated	63,977	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	65,504	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	67,246	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	69,322	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	71,219	Each	$0.00
CLIN 8004	EMERGENCY DELIVERY

	October 1, 2021 - September 30, 2022 Estimated	155	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	162	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	167	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	180	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	186	Each	$0.00
CLIN 8005	LABOR RATE, PER HOUR FOR REPAIR OF VA OWNED EQUIPMENT.

October 1, 2021 - September 30, 2022 Estimated	884	Each	$0.00
October 1, 2022 - September 30, 2023 Estimated	900	Each	$0.00
October 1, 2023 - September 30, 2024 Estimated	920	Each	$0.00
October 1, 2024 - September 30, 2025 Estimated	941	Each	$0.00
October 1, 2025 - September 30, 2026 Estimated	964	Each	$0.00

VISN 15: Total all CLINS 8001 through 8005
October 1, 2019 - September 30, 2020	$0.00
October 1, 2020 - September 30, 2021 Projected	$0.00
October 1, 2021 - September 30, 2022 Estimated	$0.00
October 1, 2022 - September 30, 2023 Estimated	$0.00
October 1, 2023 - September 30, 2024 Estimated	$0.00
October 1, 2024 - September 30, 2025 Estimated	$0.00
October 1, 2025 - September 30, 2026 Estimated	$0.00
October 1, 2021 - September 30, 2026	$0.00

Columbia

CLIN #	Description	Estimated Quantity (Yearly)	Unit of Issue	Unit Price	Total Annual Estimated
COLUMBIA - LOCATED IN COLUMBIA, MO
CLIN 8001	DELIVERY, SETUP AND INSTRUCTION OF ONE OR MORE PIECES OF DURABLE MEDICAL EQUIPMENT WITHIN 50 MILES OF THE VAMC. TO INCLUDE HOME SAFETY INSPECTION. ALL STORAGE AND LABOR IS INCLUDED.

	October 1, 2021 - September 30, 2022 Estimated	291	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	305	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	320	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	336	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	353	Each	$0.00
CLIN 8002	PICK UP OF ONE OR MORE PIECES OF DURABLE MEDICAL EQUIPMENT WITHIN 50 MILES OF THE VAMC. TO INCLUDE CLEANING, DISINFECTING AND PREPARING FOR REISSUE. ALL STORAGE AND LABOR IS INCLUDED.

	October 1, 2021 - September 30, 2022 Estimated	84	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	79	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	75	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	72	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	70	Each	$0.00
CLIN 8003	MILEAGE IN EXCESS OF 50 MILES FOR DELIVERY OR PICK UP, ONE WAY.

	October 1, 2021 - September 30, 2022 Estimated	9,656	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	9,945	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	10,243	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	10,550	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	10,866	Each	$0.00
CLIN 8004	EMERGENCY DELIVERY
	October 1, 2018 - September 30, 2019	0	Each
	October 1, 2019 - September 30, 2020	1	Each	$0.00
	October 1, 2020 - September 30, 2021 Projected	4	Each	$0.00
	October 1, 2021 - September 30, 2022 Estimated	4	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	5	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	5	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	7	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	7	Each	$0.00
CLIN 8005	LABOR RATE, PER HOUR FOR REPAIR OF VA OWNED EQUIPMENT.

October 1, 2021 - September 30, 2022 Estimated	184	Each	$0.00
October 1, 2022 - September 30, 2023 Estimated	185	Each	$0.00
October 1, 2023 - September 30, 2024 Estimated	187	Each	$0.00
October 1, 2024 - September 30, 2025 Estimated	188	Each	$0.00
October 1, 2025 - September 30, 2026 Estimated	190	Each	$0.00

VISN 15: Total all CLINS 8001 through 8005

October 1, 2021 - September 30, 2022 Estimated	$0.00
October 1, 2022 - September 30, 2023 Estimated	$0.00
October 1, 2023 - September 30, 2024 Estimated	$0.00
October 1, 2024 - September 30, 2025 Estimated	$0.00
October 1, 2025 - September 30, 2026 Estimated	$0.00
October 1, 2021 - September 30, 2026	$0.00

Kansas City

CLIN #	Description	Estimated Quantity (Yearly)	Unit of Issue	Unit Price	Total Annual Estimated
KANSAS CITY - LOCATED IN KANSAS CITY, MO
CLIN 8001	DELIVERY, SETUP AND INSTRUCTION OF ONE OR MORE PIECES OF DURABLE MEDICAL EQUIPMENT WITHIN 50 MILES OF THE VAMC. TO INCLUDE HOME SAFETY INSPECTION. ALL STORAGE AND LABOR IS INCLUDED.

	October 1, 2021 - September 30, 2022 Estimated	731	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	753	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	776	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	800	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	824	Each	$0.00
CLIN 8002	PICK UP OF ONE OR MORE PIECES OF DURABLE MEDICAL EQUIPMENT WITHIN 50 MILES OF THE VAMC. TO INCLUDE CLEANING, DISINFECTING AND PREPARING FOR REISSUE. ALL STORAGE AND LABOR IS INCLUDED.

	October 1, 2021 - September 30, 2022 Estimated	172	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	177	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	183	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	189	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	195	Each	$0.00
CLIN 8003	MILEAGE IN EXCESS OF 50 MILES FOR DELIVERY OR PICK UP, ONE WAY.

	October 1, 2021 - September 30, 2022 Estimated	5,613	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	5,781	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	5,954	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	6,132	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	6,316	Each	$0.00
CLIN 8004	EMERGENCY DELIVERY

	October 1, 2021 - September 30, 2022 Estimated	28	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	32	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	36	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	40	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	44	Each	$0.00
CLIN 8005	LABOR RATE, PER HOUR FOR REPAIR OF VA OWNED EQUIPMENT.
	October 1, 2018 - September 30, 2019	48	Each
	October 1, 2019 - September 30, 2020	49	Each	$0.00
	October 1, 2020 - September 30, 2021 Projected	91	Each	$0.00
	October 1, 2021 - September 30, 2022 Estimated	63	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	67	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	73	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	79	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	85	Each	$0.00

VISN 15: Total all CLINS 8001 through 8005

October 1, 2021 - September 30, 2022 Estimated	$0.00
October 1, 2022 - September 30, 2023 Estimated	$0.00
October 1, 2023 - September 30, 2024 Estimated	$0.00
October 1, 2024 - September 30, 2025 Estimated	$0.00
October 1, 2025 - September 30, 2026 Estimated	$0.00
October 1, 2021 - September 30, 2026	$0.00

Marion

CLIN #	Description	Estimated Quantity (Yearly)	Unit of Issue	Unit Price	Total Annual Estimated
MARION - LOCATED IN MARION, IL
CLIN 8001	DELIVERY, SETUP AND INSTRUCTION OF ONE OR MORE PIECES OF DURABLE MEDICAL EQUIPMENT WITHIN 50 MILES OF THE VAMC. TO INCLUDE HOME SAFETY INSPECTION. ALL STORAGE AND LABOR IS INCLUDED.

	October 1, 2021 - September 30, 2022 Estimated	1,179	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	1,238	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	1,300	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	1,365	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	1,433	Each	$0.00
CLIN 8002	PICK UP OF ONE OR MORE PIECES OF DURABLE MEDICAL EQUIPMENT WITHIN 50 MILES OF THE VAMC. TO INCLUDE CLEANING, DISINFECTING AND PREPARING FOR REISSUE. ALL STORAGE AND LABOR IS INCLUDED.

	October 1, 2021 - September 30, 2022 Estimated	49	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	51	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	53	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	54	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	56	Each	$0.00
CLIN 8003	MILEAGE IN EXCESS OF 50 MILES FOR DELIVERY OR PICK UP, ONE WAY.

	October 1, 2021 - September 30, 2022 Estimated	30,707	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	31,628	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	32,576	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	33,553	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	34,560	Each	$0.00
CLIN 8004	EMERGENCY DELIVERY

	October 1, 2021 - September 30, 2022 Estimated	60	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	62	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	64	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	66	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	68	Each	$0.00
CLIN 8005	LABOR RATE, PER HOUR FOR REPAIR OF VA OWNED EQUIPMENT.

October 1, 2021 - September 30, 2022 Estimated	28	Each	$0.00
October 1, 2022 - September 30, 2023 Estimated	30	Each	$0.00
October 1, 2023 - September 30, 2024 Estimated	33	Each	$0.00
October 1, 2024 - September 30, 2025 Estimated	35	Each	$0.00
October 1, 2025 - September 30, 2026 Estimated	38	Each	$0.00

VISN 15: Total all CLINS 8001 through 8005

October 1, 2021 - September 30, 2022 Estimated	$0.00
October 1, 2022 - September 30, 2023 Estimated	$0.00
October 1, 2023 - September 30, 2024 Estimated	$0.00
October 1, 2024 - September 30, 2025 Estimated	$0.00
October 1, 2025 - September 30, 2026 Estimated	$0.00
October 1, 2021 - September 30, 2026	$0.00

Poplar Bluff

CLIN #	Description	Estimated Quantity (Yearly)	Unit of Issue	Unit Price	Total Annual Estimated
POPLAR BLUFF - LOCATED IN POPLAR BLUFF, MO
CLIN 8001	DELIVERY, SETUP AND INSTRUCTION OF ONE OR MORE PIECES OF DURABLE MEDICAL EQUIPMENT WITHIN 50 MILES OF THE VAMC. TO INCLUDE HOME SAFETY INSPECTION. ALL STORAGE AND LABOR IS INCLUDED.

	October 1, 2021 - September 30, 2022 Estimated	243	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	246	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	249	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	253	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	256	Each	$0.00
CLIN 8002	PICK UP OF ONE OR MORE PIECES OF DURABLE MEDICAL EQUIPMENT WITHIN 50 MILES OF THE VAMC. TO INCLUDE CLEANING, DISINFECTING AND PREPARING FOR REISSUE. ALL STORAGE AND LABOR IS INCLUDED.

	October 1, 2021 - September 30, 2022 Estimated	101	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	99	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	97	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	95	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	92	Each	$0.00
CLIN 8003	MILEAGE IN EXCESS OF 50 MILES FOR DELIVERY OR PICK UP, ONE WAY.

	October 1, 2021 - September 30, 2022 Estimated	4,448	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	4,582	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	4,719	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	4,860	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	5,000	Each	$0.00
CLIN 8004	EMERGENCY DELIVERY

	October 1, 2021 - September 30, 2022 Estimated	3	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	3	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	3	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	5	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	5	Each	$0.00
CLIN 8005	LABOR RATE, PER HOUR FOR REPAIR OF VA OWNED EQUIPMENT.

October 1, 2021 - September 30, 2022 Estimated	150	Each	$0.00
October 1, 2022 - September 30, 2023 Estimated	153	Each	$0.00
October 1, 2023 - September 30, 2024 Estimated	156	Each	$0.00
October 1, 2024 - September 30, 2025 Estimated	159	Each	$0.00
October 1, 2025 - September 30, 2026 Estimated	162	Each	$0.00

VISN 15: Total all CLINS 8001 through 8005

October 1, 2021 - September 30, 2022 Estimated	$0.00
October 1, 2022 - September 30, 2023 Estimated	$0.00
October 1, 2023 - September 30, 2024 Estimated	$0.00
October 1, 2024 - September 30, 2025 Estimated	$0.00
October 1, 2025 - September 30, 2026 Estimated	$0.00
October 1, 2021 - September 30, 2026	$0.00

St. Louis

CLIN #	Description	Estimated Quantity (Yearly)	Unit of Issue	Unit Price	Total Annual Estimated
ST. LOUIS - LOCATED IN ST. LOUIS, MO
CLIN 8001	DELIVERY, SETUP AND INSTRUCTION OF ONE OR MORE PIECES OF DURABLE MEDICAL EQUIPMENT WITHIN 50 MILES OF THE VAMC. TO INCLUDE HOME SAFETY INSPECTION. ALL STORAGE AND LABOR IS INCLUDED.

	October 1, 2021 - September 30, 2022 Estimated	1,898	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	1,993	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	2,092	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	2,197	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	2,306	Each	$0.00
CLIN 8002	PICK UP OF ONE OR MORE PIECES OF DURABLE MEDICAL EQUIPMENT WITHIN 50 MILES OF THE VAMC. TO INCLUDE CLEANING, DISINFECTING AND PREPARING FOR REISSUE. ALL STORAGE AND LABOR IS INCLUDED.

	October 1, 2021 - September 30, 2022 Estimated	197	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	205	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	213	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	222	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	231	Each	$0.00
CLIN 8003	MILEAGE IN EXCESS OF 50 MILES FOR DELIVERY OR PICK UP, ONE WAY.

	October 1, 2021 - September 30, 2022 Estimated	3,810	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	4,000	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	4,200	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	4,410	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	4,631	Each	$0.00
CLIN 8004	EMERGENCY DELIVERY

	October 1, 2021 - September 30, 2022 Estimated	10	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	10	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	10	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	12	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	12	Each	$0.00
CLIN 8005	LABOR RATE, PER HOUR FOR REPAIR OF VA OWNED EQUIPMENT.

October 1, 2021 - September 30, 2022 Estimated	120	Each	$0.00
October 1, 2022 - September 30, 2023 Estimated	124	Each	$0.00
October 1, 2023 - September 30, 2024 Estimated	128	Each	$0.00
October 1, 2024 - September 30, 2025 Estimated	132	Each	$0.00
October 1, 2025 - September 30, 2026 Estimated	136	Each	$0.00

VISN 15: Total all CLINS 8001 through 8005

October 1, 2021 - September 30, 2022 Estimated	$0.00
October 1, 2022 - September 30, 2023 Estimated	$0.00
October 1, 2023 - September 30, 2024 Estimated	$0.00
October 1, 2024 - September 30, 2025 Estimated	$0.00
October 1, 2025 - September 30, 2026 Estimated	$0.00
October 1, 2021 - September 30, 2026	$0.00

Eastern Kansas

CLIN #	Description	Estimated Quantity (Yearly)	Unit of Issue	Unit Price	Total Annual Estimated
EASTERN KANSAS - LOCATED IN TOPEKA, KS
CLIN 8001	DELIVERY, SETUP AND INSTRUCTION OF ONE OR MORE PIECES OF DURABLE MEDICAL EQUIPMENT WITHIN 50 MILES OF THE VAMC. TO INCLUDE HOME SAFETY INSPECTION. ALL STORAGE AND LABOR IS INCLUDED.

	October 1, 2021 - September 30, 2022 Estimated	213	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	215	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	217	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	219	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	223	Each	$0.00
CLIN 8002	PICK UP OF ONE OR MORE PIECES OF DURABLE MEDICAL EQUIPMENT WITHIN 50 MILES OF THE VAMC. TO INCLUDE CLEANING, DISINFECTING AND PREPARING FOR REISSUE. ALL STORAGE AND LABOR IS INCLUDED.

	October 1, 2021 - September 30, 2022 Estimated	100	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	98	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	96	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	93	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	90	Each	$0.00
CLIN 8003	MILEAGE IN EXCESS OF 50 MILES FOR DELIVERY OR PICK UP, ONE WAY.

	October 1, 2021 - September 30, 2022 Estimated	1,913	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	2,000	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	2,100	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	2,200	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	2,300	Each	$0.00
CLIN 8004	EMERGENCY DELIVERY

	October 1, 2021 - September 30, 2022 Estimated	9	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	9	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	9	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	10	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	10	Each	$0.00
CLIN 8005	LABOR RATE, PER HOUR FOR REPAIR OF VA OWNED EQUIPMENT.

October 1, 2021 - September 30, 2022 Estimated	36	Each	$0.00
October 1, 2022 - September 30, 2023 Estimated	36	Each	$0.00
October 1, 2023 - September 30, 2024 Estimated	36	Each	$0.00
October 1, 2024 - September 30, 2025 Estimated	38	Each	$0.00
October 1, 2025 - September 30, 2026 Estimated	38	Each	$0.00

VISN 15: Total all CLINS 8001 through 8005

October 1, 2021 - September 30, 2022 Estimated	$0.00
October 1, 2022 - September 30, 2023 Estimated	$0.00
October 1, 2023 - September 30, 2024 Estimated	$0.00
October 1, 2024 - September 30, 2025 Estimated	$0.00
October 1, 2025 - September 30, 2026 Estimated	$0.00
October 1, 2021 - September 30, 2026	$0.00

Wichita

CLIN #	Description	Estimated Quantity (Yearly)	Unit of Issue	Unit Price	Total Annual Estimated
WICHITA - LOCATED IN WICHITA, KS
CLIN 8001	DELIVERY, SETUP AND INSTRUCTION OF ONE OR MORE PIECES OF DURABLE MEDICAL EQUIPMENT WITHIN 50 MILES OF THE VAMC. TO INCLUDE HOME SAFETY INSPECTION. ALL STORAGE AND LABOR IS INCLUDED.

	October 1, 2021 - September 30, 2022 Estimated	316	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	326	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	336	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	347	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	358	Each	$0.00
CLIN 8002	PICK UP OF ONE OR MORE PIECES OF DURABLE MEDICAL EQUIPMENT WITHIN 50 MILES OF THE VAMC. TO INCLUDE CLEANING, DISINFECTING AND PREPARING FOR REISSUE. ALL STORAGE AND LABOR IS INCLUDED.

	October 1, 2021 - September 30, 2022 Estimated	24	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	24	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	23	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	23	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	22	Each	$0.00
CLIN 8003	MILEAGE IN EXCESS OF 50 MILES FOR DELIVERY OR PICK UP, ONE WAY.

	October 1, 2021 - September 30, 2022 Estimated	7,830	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	7,568	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	7,454	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	7,617	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	7,546	Each	$0.00
CLIN 8004	EMERGENCY DELIVERY

	October 1, 2021 - September 30, 2022 Estimated	41	Each	$0.00
	October 1, 2022 - September 30, 2023 Estimated	41	Each	$0.00
	October 1, 2023 - September 30, 2024 Estimated	40	Each	$0.00
	October 1, 2024 - September 30, 2025 Estimated	40	Each	$0.00
	October 1, 2025 - September 30, 2026 Estimated	40	Each	$0.00
CLIN 8005	LABOR RATE, PER HOUR FOR REPAIR OF VA OWNED EQUIPMENT.

October 1, 2021 - September 30, 2022 Estimated	303	Each	$0.00
October 1, 2022 - September 30, 2023 Estimated	305	Each	$0.00
October 1, 2023 - September 30, 2024 Estimated	307	Each	$0.00
October 1, 2024 - September 30, 2025 Estimated	310	Each	$0.00
October 1, 2025 - September 30, 2026 Estimated	315	Each	$0.00

VISN 15: Total all CLINS 8001 through 8005

October 1, 2021 - September 30, 2022 Estimated	$0.00
October 1, 2022 - September 30, 2023 Estimated	$0.00
October 1, 2023 - September 30, 2024 Estimated	$0.00
October 1, 2024 - September 30, 2025 Estimated	$0.00
October 1, 2025 - September 30, 2026 Estimated	$0.00
October 1, 2021 - September 30, 2026	$0.00

File details come from the government source that posted it. Updated May 17, 2021.