Attachment_4___VCB_-_Price_Book.xlsx

XLSX spreadsheet 29 KB Posted Dec 20, 2018

Attached to: Diagnostic Medical Physics Services
Solicitation number: 36C25719Q0110
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 17

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36C25719Q0110 Attachment 4 _ VCB - Price Book.xlsx

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File	Type	Posted
36C25719Q0110.docx	DOCX document	Dec 20, 2018
RFQ_-_36C25719Q0110.docx	DOCX document	Dec 20, 2018
Attachment_3___STX_-_Price_Book.xlsx	XLSX spreadsheet	Dec 20, 2018
Attachment_1___STX_-_Statement_of_Work.docx	DOCX document	Dec 20, 2018
Attachment_2___VCB_-_Statement_of_Work.docx	DOCX document	Dec 20, 2018

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BASE YR

ATTACHMENT 4 - PRICE BOOK DATED 12-20-2018 36C25719Q0110

*Note: The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. Line Item Totals are Not To Exceed (NTE) values.

	LINE ITEM 0013
		PERIOD OF PERFORMANCE - BASE YEAR
	Harlingen VA Outpatient Clinic (HOPC), 2106 Treasure Hills Blvd, Harlingen, TX 78550
	ITEM	EE#	CERT Price	RECERT PRICE
1	MRI Unit – Siemens Skyra - 3.0 Tesla	2481
2	CT Unit - GE Revolution EVO – 64 slice	17002
3	DEXA Unit - GE Lunar Prodigy	2498
4	XRay Unit - GE Discovery XR656+	17003
5	XRay Unit - Samsung GM85 Portable	17507
6	Dental XRay Unit - Planmeca Intra	1932
7	Dental XRay Unit - Planmeca Intra	1933
8	Dental XRay Unit - Planmeca ProMax	1934
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

	LINE ITEM 0014
		PERIOD OF PERFORMANCE - BASE YEAR
	VA Health Care Center at Harlingen (HCC), 2601 Veterans Drive, Harlingen, TX 78550
	ITEM	EE#	CERT Price	RECERT PRICE
1	C-arm Unit - Siemens Arcadis Avantic	6028
2	C-arm Unit - Siemens Cios Fusion	16847
3	Mini C-Arm Unit - Orthoscan	4954
4	Cystoscopy Unit - Siemens Uroskop	7471
5	Ultrasound Unit - Philip EPIQ 7G	16519
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

	LINE ITEM 0015
		PERIOD OF PERFORMANCE - BASE YEAR
	McAllen Outpatient Clinic (MOPC), 901 E. Hackberry Ave., McAllen, TX 78503
	ITEM	EE#	CERT Price	RECERT PRICE
1	XRay Unit - Philips Digital Diagnost	14911
2	XRay Unit - Philips Easy Diagnost	4792
3	DEXA Unit - GE Lunar Prodigy	12976
4	Ultrasound Unit - Philips EPIQ 7G	12611
5	Mammography Unit - Hologic Selenia Dimensions w/Tomosyn	16889
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

	LINE ITEM 0016
		PERIOD OF PERFORMANCE - BASE YEAR
	Laredo VA Outpatient clinic (LOPC), 4602 N. Bartlett, Laredo, TX 78041
	ITEM	EE#	CERT Price	RECERT PRICE
1	XRay Unit - Philips Digital Diagnost	8406
2	XRay Unit - Samsung GM85 Portable	17508
3	Dental XRay Unit - Planmeca Intra	8024
4	Dental XRay Unit - Planmeca Intra	8040
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

	LINE ITEM 0017
		PERIOD OF PERFORMANCE - BASE YEAR
	Corpus Christi Outpatient Clinic (CCOPC), 5283 Old Brownsville Road, Corpus Christi, TX 78405
	ITEM	EE#	CERT Price	RECERT PRICE
1	XRay Unit - Philips Digital Diagnost	15959
2	Ultrasound Unit - Philips EPIQ 7G	16428
3	Mobile XRay Unit - Siemens MiraMax Portable	5418
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

	LINE ITEM 0018
		PERIOD OF PERFORMANCE - BASE YEAR
	Corpus Christi Specialty Clinic (CCSC), 205 S. Enterprize Parkway, Corpus Christi, TX 78405
	ITEM	EE#	CERT Price	RECERT PRICE
1	Dental XRay Unit - Planmeca Intra	7872
2	Dental XRay Unit - Planmeca Intra	7870
3	Dental XRay Unit - Planmeca Intra	7906
4	Dental XRay Unit - Planmeca Intra	7871
5	Dental XRay Unit - Planmeca Intra	7868
6	Dental XRay Unit - Planmeca ProMax	7869
7	Mini C-Arm Unit - Orthoscan	2377
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

BASE YEAR TOTAL (NTE) $ - 0

OPTION YR 1

ATTACHMENT 4 - PRICE BOOK DATED 12-20-2018 36C25719Q0110

	LINE ITEM 1013
		PERIOD OF PERFORMANCE - OPTION YEAR 1
	Harlingen VA Outpatient Clinic (HOPC), 2106 Treasure Hills Blvd, Harlingen, TX 78550
	ITEM	EE#	CERT Price	RECERT PRICE
1	MRI Unit – Siemens Skyra - 3.0 Tesla	2481
2	CT Unit - GE Revolution EVO – 64 slice	17002
3	DEXA Unit - GE Lunar Prodigy	2498
4	XRay Unit - GE Discovery XR656+	17003
5	XRay Unit - Samsung GM85 Portable	17507
6	Dental XRay Unit - Planmeca Intra	1932
7	Dental XRay Unit - Planmeca Intra	1933
8	Dental XRay Unit - Planmeca ProMax	1934
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

	LINE ITEM 1014
		PERIOD OF PERFORMANCE - OPTION YEAR 1
	VA Health Care Center at Harlingen (HCC), 2601 Veterans Drive, Harlingen, TX 78550
	ITEM	EE#	CERT Price	RECERT PRICE
1	C-arm Unit - Siemens Arcadis Avantic	6028
2	C-arm Unit - Siemens Cios Fusion	16847
3	Mini C-Arm Unit - Orthoscan	4954
4	Cystoscopy Unit - Siemens Uroskop	7471
5	Ultrasound Unit - Philip EPIQ 7G	16519
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

	LINE ITEM 1015
		PERIOD OF PERFORMANCE - OPTION YEAR 1
	McAllen Outpatient Clinic (MOPC), 901 E. Hackberry Ave., McAllen, TX 78503
	ITEM	EE#	CERT Price	RECERT PRICE
1	XRay Unit - Philips Digital Diagnost	14911
2	XRay Unit - Philips Easy Diagnost	4792
3	DEXA Unit - GE Lunar Prodigy	12976
4	Ultrasound Unit - Philips EPIQ 7G	12611
5	Mammography Unit - Hologic Selenia Dimensions w/Tomosyn	16889
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

	LINE ITEM 1016
		PERIOD OF PERFORMANCE - OPTION YEAR 1
	Laredo VA Outpatient clinic (LOPC), 4602 N. Bartlett, Laredo, TX 78041
	ITEM	EE#	CERT Price	RECERT PRICE
1	XRay Unit - Philips Digital Diagnost	8406
2	XRay Unit - Samsung GM85 Portable	17508
3	Dental XRay Unit - Planmeca Intra	8024
4	Dental XRay Unit - Planmeca Intra	8040
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

	LINE ITEM 1017
		PERIOD OF PERFORMANCE - OPTION YEAR 1
	Corpus Christi Outpatient Clinic (CCOPC), 5283 Old Brownsville Road, Corpus Christi, TX 78405
	ITEM	EE#	CERT Price	RECERT PRICE
1	XRay Unit - Philips Digital Diagnost	15959
2	Ultrasound Unit - Philips EPIQ 7G	16428
3	Mobile XRay Unit - Siemens MiraMax Portable	5418
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

	LINE ITEM 1018
		PERIOD OF PERFORMANCE - OPTION YEAR 1
	Corpus Christi Specialty Clinic (CCSC), 205 S. Enterprize Parkway, Corpus Christi, TX 78405
	ITEM	EE#	CERT Price	RECERT PRICE
1	Dental XRay Unit - Planmeca Intra	7872
2	Dental XRay Unit - Planmeca Intra	7870
3	Dental XRay Unit - Planmeca Intra	7906
4	Dental XRay Unit - Planmeca Intra	7871
5	Dental XRay Unit - Planmeca Intra	7868
6	Dental XRay Unit - Planmeca ProMax	7869
7	Mini C-Arm Unit - Orthoscan	2377
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

OPTION YEAR 1 TOTAL (NTE) $ - 0

OPTION YR 2

ATTACHMENT 4 - PRICE BOOK DATED 12-20-2018 36C25719Q0110

	LINE ITEM 2013
		PERIOD OF PERFORMANCE - OPTION YEAR 2
	Harlingen VA Outpatient Clinic (HOPC), 2106 Treasure Hills Blvd, Harlingen, TX 78550
	ITEM	EE#	CERT Price	RECERT PRICE
1	MRI Unit – Siemens Skyra - 3.0 Tesla	2481
2	CT Unit - GE Revolution EVO – 64 slice	17002
3	DEXA Unit - GE Lunar Prodigy	2498
4	XRay Unit - GE Discovery XR656+	17003
5	XRay Unit - Samsung GM85 Portable	17507
6	Dental XRay Unit - Planmeca Intra	1932
7	Dental XRay Unit - Planmeca Intra	1933
8	Dental XRay Unit - Planmeca ProMax	1934
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

	LINE ITEM 2014
		PERIOD OF PERFORMANCE - OPTION YEAR 2
	VA Health Care Center at Harlingen (HCC), 2601 Veterans Drive, Harlingen, TX 78550
	ITEM	EE#	CERT Price	RECERT PRICE
1	C-arm Unit - Siemens Arcadis Avantic	6028
2	C-arm Unit - Siemens Cios Fusion	16847
3	Mini C-Arm Unit - Orthoscan	4954
4	Cystoscopy Unit - Siemens Uroskop	7471
5	Ultrasound Unit - Philip EPIQ 7G	16519
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

	LINE ITEM 2015
		PERIOD OF PERFORMANCE - OPTION YEAR 2
	McAllen Outpatient Clinic (MOPC), 901 E. Hackberry Ave., McAllen, TX 78503
	ITEM	EE#	CERT Price	RECERT PRICE
1	XRay Unit - Philips Digital Diagnost	14911
2	XRay Unit - Philips Easy Diagnost	4792
3	DEXA Unit - GE Lunar Prodigy	12976
4	Ultrasound Unit - Philips EPIQ 7G	12611
5	Mammography Unit - Hologic Selenia Dimensions w/Tomosyn	16889
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

	LINE ITEM 2016
		PERIOD OF PERFORMANCE - OPTION YEAR 2
	Laredo VA Outpatient clinic (LOPC), 4602 N. Bartlett, Laredo, TX 78041
	ITEM	EE#	CERT Price	RECERT PRICE
1	XRay Unit - Philips Digital Diagnost	8406
2	XRay Unit - Samsung GM85 Portable	17508
3	Dental XRay Unit - Planmeca Intra	8024
4	Dental XRay Unit - Planmeca Intra	8040
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

	LINE ITEM 2017
		PERIOD OF PERFORMANCE - OPTION YEAR 2
	Corpus Christi Outpatient Clinic (CCOPC), 5283 Old Brownsville Road, Corpus Christi, TX 78405
	ITEM	EE#	CERT Price	RECERT PRICE
1	XRay Unit - Philips Digital Diagnost	15959
2	Ultrasound Unit - Philips EPIQ 7G	16428
3	Mobile XRay Unit - Siemens MiraMax Portable	5418
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

	LINE ITEM 2018
		PERIOD OF PERFORMANCE - OPTION YEAR 2
	Corpus Christi Specialty Clinic (CCSC), 205 S. Enterprize Parkway, Corpus Christi, TX 78405
	ITEM	EE#	CERT Price	RECERT PRICE
1	Dental XRay Unit - Planmeca Intra	7872
2	Dental XRay Unit - Planmeca Intra	7870
3	Dental XRay Unit - Planmeca Intra	7906
4	Dental XRay Unit - Planmeca Intra	7871
5	Dental XRay Unit - Planmeca Intra	7868
6	Dental XRay Unit - Planmeca ProMax	7869
7	Mini C-Arm Unit - Orthoscan	2377
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

OPTION YEAR 2 TOTAL (NTE) $ - 0

OPTION YR 3

ATTACHMENT 4 - PRICE BOOK DATED 12-20-2018 36C25719Q0110

	LINE ITEM 3013
		PERIOD OF PERFORMANCE - OPTION YEAR 3
	Harlingen VA Outpatient Clinic (HOPC), 2106 Treasure Hills Blvd, Harlingen, TX 78550
	ITEM	EE#	CERT Price	RECERT PRICE
1	MRI Unit – Siemens Skyra - 3.0 Tesla	2481
2	CT Unit - GE Revolution EVO – 64 slice	17002
3	DEXA Unit - GE Lunar Prodigy	2498
4	XRay Unit - GE Discovery XR656+	17003
5	XRay Unit - Samsung GM85 Portable	17507
6	Dental XRay Unit - Planmeca Intra	1932
7	Dental XRay Unit - Planmeca Intra	1933
8	Dental XRay Unit - Planmeca ProMax	1934
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

	LINE ITEM 3014
		PERIOD OF PERFORMANCE - OPTION YEAR 3
	VA Health Care Center at Harlingen (HCC), 2601 Veterans Drive, Harlingen, TX 78550
	ITEM	EE#	CERT Price	RECERT PRICE
1	C-arm Unit - Siemens Arcadis Avantic	6028
2	C-arm Unit - Siemens Cios Fusion	16847
3	Mini C-Arm Unit - Orthoscan	4954
4	Cystoscopy Unit - Siemens Uroskop	7471
5	Ultrasound Unit - Philip EPIQ 7G	16519
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

	LINE ITEM 3015
		PERIOD OF PERFORMANCE - OPTION YEAR 3
	McAllen Outpatient Clinic (MOPC), 901 E. Hackberry Ave., McAllen, TX 78503
	ITEM	EE#	CERT Price	RECERT PRICE
1	XRay Unit - Philips Digital Diagnost	14911
2	XRay Unit - Philips Easy Diagnost	4792
3	DEXA Unit - GE Lunar Prodigy	12976
4	Ultrasound Unit - Philips EPIQ 7G	12611
5	Mammography Unit - Hologic Selenia Dimensions w/Tomosyn	16889
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

	LINE ITEM 3016
		PERIOD OF PERFORMANCE - OPTION YEAR 3
	Laredo VA Outpatient clinic (LOPC), 4602 N. Bartlett, Laredo, TX 78041
	ITEM	EE#	CERT Price	RECERT PRICE
1	XRay Unit - Philips Digital Diagnost	8406
2	XRay Unit - Samsung GM85 Portable	17508
3	Dental XRay Unit - Planmeca Intra	8024
4	Dental XRay Unit - Planmeca Intra	8040
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

	LINE ITEM 3017
		PERIOD OF PERFORMANCE - OPTION YEAR 3
	Corpus Christi Outpatient Clinic (CCOPC), 5283 Old Brownsville Road, Corpus Christi, TX 78405
	ITEM	EE#	CERT Price	RECERT PRICE
1	XRay Unit - Philips Digital Diagnost	15959
2	Ultrasound Unit - Philips EPIQ 7G	16428
3	Mobile XRay Unit - Siemens MiraMax Portable	5418
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

	LINE ITEM 3018
		PERIOD OF PERFORMANCE - OPTION YEAR 3
	Corpus Christi Specialty Clinic (CCSC), 205 S. Enterprize Parkway, Corpus Christi, TX 78405
	ITEM	EE#	CERT Price	RECERT PRICE
1	Dental XRay Unit - Planmeca Intra	7872
2	Dental XRay Unit - Planmeca Intra	7870
3	Dental XRay Unit - Planmeca Intra	7906
4	Dental XRay Unit - Planmeca Intra	7871
5	Dental XRay Unit - Planmeca Intra	7868
6	Dental XRay Unit - Planmeca ProMax	7869
7	Mini C-Arm Unit - Orthoscan	2377
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

OPTION YEAR 3 TOTAL (NTE) $ - 0

OPTION YR 4

ATTACHMENT 4 - PRICE BOOK DATED 12-20-2018 36C25719Q0110

	LINE ITEM 4013
		PERIOD OF PERFORMANCE - OPTION YEAR 4
	Harlingen VA Outpatient Clinic (HOPC), 2106 Treasure Hills Blvd, Harlingen, TX 78550
	ITEM	EE#	CERT Price	RECERT PRICE
1	MRI Unit – Siemens Skyra - 3.0 Tesla	2481
2	CT Unit - GE Revolution EVO – 64 slice	17002
3	DEXA Unit - GE Lunar Prodigy	2498
4	XRay Unit - GE Discovery XR656+	17003
5	XRay Unit - Samsung GM85 Portable	17507
6	Dental XRay Unit - Planmeca Intra	1932
7	Dental XRay Unit - Planmeca Intra	1933
8	Dental XRay Unit - Planmeca ProMax	1934
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

	LINE ITEM 4014
		PERIOD OF PERFORMANCE - OPTION YEAR 4
	VA Health Care Center at Harlingen (HCC), 2601 Veterans Drive, Harlingen, TX 78550
	ITEM	EE#	CERT Price	RECERT PRICE
1	C-arm Unit - Siemens Arcadis Avantic	6028
2	C-arm Unit - Siemens Cios Fusion	16847
3	Mini C-Arm Unit - Orthoscan	4954
4	Cystoscopy Unit - Siemens Uroskop	7471
5	Ultrasound Unit - Philip EPIQ 7G	16519
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

	LINE ITEM 4015
		PERIOD OF PERFORMANCE - OPTION YEAR 4
	McAllen Outpatient Clinic (MOPC), 901 E. Hackberry Ave., McAllen, TX 78503
	ITEM	EE#	CERT Price	RECERT PRICE
1	XRay Unit - Philips Digital Diagnost	14911
2	XRay Unit - Philips Easy Diagnost	4792
3	DEXA Unit - GE Lunar Prodigy	12976
4	Ultrasound Unit - Philips EPIQ 7G	12611
5	Mammography Unit - Hologic Selenia Dimensions w/Tomosyn	16889
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

	LINE ITEM 4016
		PERIOD OF PERFORMANCE - OPTION YEAR 4
	Laredo VA Outpatient clinic (LOPC), 4602 N. Bartlett, Laredo, TX 78041
	ITEM	EE#	CERT Price	RECERT PRICE
1	XRay Unit - Philips Digital Diagnost	8406
2	XRay Unit - Samsung GM85 Portable	17508
3	Dental XRay Unit - Planmeca Intra	8024
4	Dental XRay Unit - Planmeca Intra	8040
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

	LINE ITEM 4017
		PERIOD OF PERFORMANCE - OPTION YEAR 4
	Corpus Christi Outpatient Clinic (CCOPC), 5283 Old Brownsville Road, Corpus Christi, TX 78405
	ITEM	EE#	CERT Price	RECERT PRICE
1	XRay Unit - Philips Digital Diagnost	15959
2	Ultrasound Unit - Philips EPIQ 7G	16428
3	Mobile XRay Unit - Siemens MiraMax Portable	5418
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

	LINE ITEM 4018
		PERIOD OF PERFORMANCE - OPTION YEAR 4
	Corpus Christi Specialty Clinic (CCSC), 205 S. Enterprize Parkway, Corpus Christi, TX 78405
	ITEM	EE#	CERT Price	RECERT PRICE
1	Dental XRay Unit - Planmeca Intra	7872
2	Dental XRay Unit - Planmeca Intra	7870
3	Dental XRay Unit - Planmeca Intra	7906
4	Dental XRay Unit - Planmeca Intra	7871
5	Dental XRay Unit - Planmeca Intra	7868
6	Dental XRay Unit - Planmeca ProMax	7869
7	Mini C-Arm Unit - Orthoscan	2377
	Line Item Sub Total		0.00	0.00
			Line Item Total	$ - 0

OPTION YEAR 4 TOTAL (NTE) $ - 0

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