Attachment 6 - Sample Task Order 8 March 2020.xlsx

XLSX spreadsheet 12 KB Posted

Attached to
VISN 17 HOME OXYGEN SERVICE CONTRACT
Solicitation number
36C25719R0027
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Text version

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

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