Attachment 6 - Sample Task Order 8 March 2020.xlsx

XLSX spreadsheet 12 KB Posted

Attached to
VISN 17 HOME OXYGEN SERVICE CONTRACT Federal contract opportunity
Solicitation number
36C25719R0027
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 17

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Other files for this federal contract opportunity

Other files attached to VISN 17 HOME OXYGEN SERVICE CONTRACT, newest first.
File Type Posted
36C25719R0027 0001 - RFP Amendment.pdf PDF
Attachment 1 - Home Oxygen Price Worksheet 8 March 2020.xlsx XLSX spreadsheet
Attachment 7 - Rough Estimate Patient Count.pdf PDF
36C25719R0027-0001 Responses to Questions 8 March 2020.pdf PDF
36C25719R0027-0001_RFP Amendment - Conformed Copy.pdf PDF
36C25719R0027-000.docx DOCX document
36C25719R0027-001.pdf PDF
36C25719R0027-001.pdf PDF
36C25719R0027-000.docx DOCX document

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Sheet1

SAMPLE MONTHLY TASK ORDER - FY2020
STATION:
CLINITEM DESCRIPTIONQTYPRICETOTAL BILLED AMT
0009EQUIPMENT PICKUP CHARGE75$ - 0
0001CONCENTRATOR SETUP FEE 5LPM505$ - 0
0025acFIRESAFE THERMAL FUSE750$ - 0
0027O2 EMERGENCY SETUP45$ - 0
0008PORTABLE CONCENTRATOR SETUP125$ - 0
0011ROUTINE CONCENTRATOR MAINT300$ - 0
0024PREVENTIVE MAINTENANCE80$ - 0
0003ULTRAFILL SETUP FEE25$ - 0
$ - 0
Prices reflected here shall be the same prices offered on price schedule for FY2020.
Please do not change quantities. Only fill out Column D "Price" and which Station you are submitting prices for. Submit pricing for base year only. In addition, submit a sample task order for each station you are proposing on. Comparison will be made with all like stations received.

Attachment 6 36C25719R0027-0001 Page 1 of 1

March 8, 2020

File details come from the government source that posted it. Updated .