Attachment D.1 Gases and Cylinders Price List REVISED.xlsx
XLSX spreadsheet 34 KB Posted
- Attached to
- Medical Gases and Cylinders
- Solicitation number
- 36C25726Q0323
About this file
This is a pricing template for medical gases and cylinders to be supplied to the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 17 under solicitation 36C25726Q0323. The price list covers a base year plus four option years, with contractors required to populate unit prices and calculate extended totals for each line item.
The gases and cylinders section includes ten product line items for the base year and each option year, encompassing medical-grade air (K cylinder, 25 units), nitrogen gaseous (K cylinder, 32 units), nitrous oxide (K cylinder, 32 units), oxygen gaseous (K cylinder, 50 units), medical oxygen (E cylinder, 80 units), specialized lung diffusion gas mixtures in both K and E sizes (4 and 1 units respectively), and carbon dioxide products in E and K sizes with aluminum siphon variants (8 and 1 units respectively). The rentals section contains ten corresponding refill line items with higher estimated quantities, ranging from 1 to 140 cylinder units depending on the product type. Additional line items address hydrostatic testing of government-furnished equipment and emergency delivery fees. All unit prices and total prices appear as placeholder values in this template, requiring contractor submission of actual pricing. The identical structure repeats for Option Years 1 through 4, with supplementary government-furnished equipment specifications listed separately for each contract period, including lung diffusion gas mixtures in E size (8 units) and nitrous oxide in E size (3 units).
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25726Q0323 0004.pdf | ||
| 36C25726Q0323 0003.pdf | ||
| 36C25726Q0323 0002.pdf | ||
| 36C25726Q0323 0001.pdf | ||
| Copy of D.1 Gases and Cylinders Price List.xlsx | XLSX spreadsheet | |
| 36C25726Q0323 SOLICITATION.pdf |
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Text version
Base Year Base Year
| LINE ITEM | DESCRIPTION | SIZE | ESTIMATED QTY | UNIT | UNIT PRICE | TOTAL |
| GASES | ||||||
| 0001 | AI USP200, AIR MEDICAL GRADE | K | 25 | CY | $ - 0 | |
| 0002 | NI NF200, NITROGEN GASEOUS | K | 32 | CY | $ - 0 | |
| 0003 | NS USP56, NITROUS OXIDE | K | 32 | CY | $ - 0 | |
| 0004 | OX USP200, OXYGEN, GASEOUS | K | 50 | CY | $ - 0 | |
| 0005 | OX USPEA, OXYGEN, MEDICAL | E | 80 | CY | $ - 0 | |
| 0006 | Z04NI6852003016, LUNG DIFFUSION: 0.3 % CM/ 10% HE/21% OX/BAL NI | K | 4 | CY | $ - 0 | |
| 0007 | CD USPEA, CARBON DIOXIDE USPEA CGA 940 | E | 8 | CY | $ - 0 | |
| 0008 | CARBON DIOXIDE ALUMINUM W/ SIPHON | K | 1 | CY | $ - 0 | |
| 0009 | DLCO Gas Mixture: (0.3%+0,03 Methane (CH4), 0.3%+0,03% Carbon Monoxide (CO), 21% Oxygen (O2), Balanced Nitrogen (N2), 1% accuracy, medical grade); Size "E" | E | 1 | CY | $ - 0 | |
| 0010 | DLCO Gas Mixture: (0.3%+0,03 Methane (CH4), 0.3%+0,03% Carbon Monoxide (CO), 21% Oxygen (O2), Balanced Nitrogen (N2), 1% accuracy, medical grade); Size "K" | K | 4 | CY | $ - 0 | |
| RENTALS | ||||||
| 0011 | AI USP200, AIR MEDICAL GRADE "K" REFILL | K | 65 | CY | $ - 0 | |
| 0012 | NI NF200, NITROGEN GASEOUS "K" REFILL H | K | 20 | CY | $ - 0 | |
| 0013 | NS USP56, NITROUS OXIDE "K" REFILL | K | 20 | CY | $ - 0 | |
| 0014 | OX USP200, OXYGEN, GASEOUS "K" REFILL | K | 60 | CY | $ - 0 | |
| 0015 | OX USPEA, OXYGEN, MEDICAL "E" REFILL | E | 140 | CY | $ - 0 | |
| 0016 | Z04NI6852003016, LUNG DIFFUSION: 0.3 % CM/ 10% HE/21% OX/BAL NI, SIZE "K" | K | 4 | CY | $ - 0 | |
| 0017 | CD USPEA, CARBON DIOXIDE USPEA CGA 940 | E | 16 | CY | $ - 0 | |
| 0018 | CARBON DIOXIDE ALUMINUM W/ SIPHON | K | 1 | CY | $ - 0 | |
| 0019 | DLCO Gas Mixture: (0.3%+0,03 Methane (CH4), 0.3%+0,03% Carbon Monoxide (CO), 21% Oxygen (O2), Balanced Nitrogen (N2), 1% accuracy, medical grade); Size "E" | E | 1 | CY | $ - 0 | |
| 0020 | DLCO Gas Mixture: (0.3%+0,03 Methane (CH4), 0.3%+0,03% Carbon Monoxide (CO), 21% Oxygen (O2), Balanced Nitrogen (N2), 1% accuracy, medical grade); Size "K" | K | 4 | CY | $ - 0 | |
| TESTING AND EMERGENCY ITEMS | ||||||
| 0021 | Hydrostatic Testing of GFE | N/A | 1 | EA | $ - 0 | |
| 0022 | Emergency Delivery Fee | N/A | 1 | EA | $ - 0 | |
| Total Base | $ - 0 |
| (GFE) | |||
| Z04NI6852003016, LUNG DIFFUSION: 0.3 % CM/ 10% HE/21% OX/BAL NI, SIZE "E" | E | 8 | CY |
| NS USPE, NITROUS OXIDE SIZE "E" | E | 3 | CY |
Option Year 1 Option Year 1
| LINE ITEM | DESCRIPTION | SIZE | ESTIMATED QTY | UNIT | UNIT PRICE | TOTAL |
| GASES | ||||||
| 1001 | AI USP200, AIR MEDICAL GRADE | K | 25 | CY | $ - 0 | |
| 1002 | NI NF200, NITROGEN GASEOUS | K | 32 | CY | $ - 0 | |
| 1003 | NS USP56, NITROUS OXIDE | K | 32 | CY | $ - 0 | |
| 1004 | OX USP200, OXYGEN, GASEOUS | K | 50 | CY | $ - 0 | |
| 1005 | OX USPEA, OXYGEN, MEDICAL | E | 80 | CY | $ - 0 | |
| 1006 | Z04NI6852003016, LUNG DIFFUSION: 0.3 % CM/ 10% HE/21% OX/BAL NI | K | 4 | CY | $ - 0 | |
| 1007 | CD USPEA, CARBON DIOXIDE USPEA CGA 940 | E | 8 | CY | $ - 0 | |
| 1008 | CARBON DIOXIDE ALUMINUM W/ SIPHON | K | 1 | CY | $ - 0 | |
| 1009 | DLCO Gas Mixture: (0.3%+0,03 Methane (CH4), 0.3%+0,03% Carbon Monoxide (CO), 21% Oxygen (O2), Balanced Nitrogen (N2), 1% accuracy, medical grade); Size "E" | E | 1 | CY | $ - 0 | |
| 1010 | DLCO Gas Mixture: (0.3%+0,03 Methane (CH4), 0.3%+0,03% Carbon Monoxide (CO), 21% Oxygen (O2), Balanced Nitrogen (N2), 1% accuracy, medical grade); Size "K" | K | 4 | CY | $ - 0 | |
| RENTALS | ||||||
| 1011 | AI USP200, AIR MEDICAL GRADE "K" REFILL | K | 65 | CY | $ - 0 | |
| 1012 | NI NF200, NITROGEN GASEOUS "K" REFILL H | K | 20 | CY | $ - 0 | |
| 1013 | NS USP56, NITROUS OXIDE "K" REFILL | K | 20 | CY | $ - 0 | |
| 1014 | OX USP200, OXYGEN, GASEOUS "K" REFILL | K | 60 | CY | $ - 0 | |
| 1015 | OX USPEA, OXYGEN, MEDICAL "E" REFILL | E | 140 | CY | $ - 0 | |
| 1016 | Z04NI6852003016, LUNG DIFFUSION: 0.3 % CM/ 10% HE/21% OX/BAL NI, SIZE "K" | K | 4 | CY | $ - 0 | |
| 1017 | CD USPEA, CARBON DIOXIDE USPEA CGA 940 | E | 16 | CY | $ - 0 | |
| 1018 | CARBON DIOXIDE ALUMINUM W/ SIPHON | K | 1 | CY | $ - 0 | |
| 1019 | DLCO Gas Mixture: (0.3%+0,03 Methane (CH4), 0.3%+0,03% Carbon Monoxide (CO), 21% Oxygen (O2), Balanced Nitrogen (N2), 1% accuracy, medical grade); Size "E" | E | 1 | CY | $ - 0 | |
| 1020 | DLCO Gas Mixture: (0.3%+0,03 Methane (CH4), 0.3%+0,03% Carbon Monoxide (CO), 21% Oxygen (O2), Balanced Nitrogen (N2), 1% accuracy, medical grade); Size "K" | K | 4 | CY | $ - 0 | |
| TESTING AND EMERGENCY ITEMS | ||||||
| 1021 | Hydrostatic Testing of GFE | N/A | 1 | EA | $ - 0 | |
| 1022 | Emergency Delivery Fee | N/A | 1 | EA | $ - 0 | |
| Total OY1 | $ - 0 |
| (GFE) | |||
| Z04NI6852003016, LUNG DIFFUSION: 0.3 % CM/ 10% HE/21% OX/BAL NI, SIZE "E" | E | 8 | CY |
| NS USPE, NITROUS OXIDE SIZE "E" | E | 3 | CY |
Option Year 2 Option Year 2
| LINE ITEM | DESCRIPTION | SIZE | ESTIMATED QTY | UNIT | UNIT PRICE | TOTAL |
| GASES | ||||||
| 2001 | AI USP200, AIR MEDICAL GRADE | K | 25 | CY | $ - 0 | |
| 2002 | NI NF200, NITROGEN GASEOUS | K | 32 | CY | $ - 0 | |
| 2003 | NS USP56, NITROUS OXIDE | K | 32 | CY | $ - 0 | |
| 2004 | OX USP200, OXYGEN, GASEOUS | K | 50 | CY | $ - 0 | |
| 2005 | OX USPEA, OXYGEN, MEDICAL | E | 80 | CY | $ - 0 | |
| 2006 | Z04NI6852003016, LUNG DIFFUSION: 0.3 % CM/ 10% HE/21% OX/BAL NI | K | 4 | CY | $ - 0 | |
| 2007 | CD USPEA, CARBON DIOXIDE USPEA CGA 940 | E | 8 | CY | $ - 0 | |
| 2008 | CARBON DIOXIDE ALUMINUM W/ SIPHON | K | 1 | CY | $ - 0 | |
| 2009 | DLCO Gas Mixture: (0.3%+0,03 Methane (CH4), 0.3%+0,03% Carbon Monoxide (CO), 21% Oxygen (O2), Balanced Nitrogen (N2), 1% accuracy, medical grade); Size "E" | E | 1 | CY | $ - 0 | |
| 2010 | DLCO Gas Mixture: (0.3%+0,03 Methane (CH4), 0.3%+0,03% Carbon Monoxide (CO), 21% Oxygen (O2), Balanced Nitrogen (N2), 1% accuracy, medical grade); Size "K" | K | 4 | CY | $ - 0 | |
| RENTALS | ||||||
| 2011 | AI USP200, AIR MEDICAL GRADE "K" REFILL | K | 65 | CY | $ - 0 | |
| 2012 | NI NF200, NITROGEN GASEOUS "K" REFILL H | K | 20 | CY | $ - 0 | |
| 2013 | NS USP56, NITROUS OXIDE "K" REFILL | K | 20 | CY | $ - 0 | |
| 2014 | OX USP200, OXYGEN, GASEOUS "K" REFILL | K | 60 | CY | $ - 0 | |
| 2015 | OX USPEA, OXYGEN, MEDICAL "E" REFILL | E | 140 | CY | $ - 0 | |
| 2016 | Z04NI6852003016, LUNG DIFFUSION: 0.3 % CM/ 10% HE/21% OX/BAL NI, SIZE "K" | K | 4 | CY | $ - 0 | |
| 2017 | CD USPEA, CARBON DIOXIDE USPEA CGA 940 | E | 16 | CY | $ - 0 | |
| 2018 | CARBON DIOXIDE ALUMINUM W/ SIPHON | K | 1 | CY | $ - 0 | |
| 2019 | DLCO Gas Mixture: (0.3%+0,03 Methane (CH4), 0.3%+0,03% Carbon Monoxide (CO), 21% Oxygen (O2), Balanced Nitrogen (N2), 1% accuracy, medical grade); Size "E" | E | 1 | CY | $ - 0 | |
| 2020 | DLCO Gas Mixture: (0.3%+0,03 Methane (CH4), 0.3%+0,03% Carbon Monoxide (CO), 21% Oxygen (O2), Balanced Nitrogen (N2), 1% accuracy, medical grade); Size "K" | K | 4 | CY | $ - 0 | |
| TESTING AND EMERGENCY ITEMS | ||||||
| 2021 | Hydrostatic Testing of GFE | N/A | 1 | EA | $ - 0 | |
| 2022 | Emergency Delivery Fee | N/A | 1 | EA | $ - 0 | |
| Total OY2 | $ - 0 |
| (GFE) | |||
| Z04NI6852003016, LUNG DIFFUSION: 0.3 % CM/ 10% HE/21% OX/BAL NI, SIZE "E" | E | 8 | CY |
| NS USPE, NITROUS OXIDE SIZE "E" | E | 3 | CY |
Option Year 3 Option Year 3
| LINE ITEM | DESCRIPTION | SIZE | ESTIMATED QTY | UNIT | UNIT PRICE | TOTAL |
| GASES | ||||||
| 3001 | AI USP200, AIR MEDICAL GRADE | K | 25 | CY | $ - 0 | |
| 3002 | NI NF200, NITROGEN GASEOUS | K | 32 | CY | $ - 0 | |
| 3003 | NS USP56, NITROUS OXIDE | K | 32 | CY | $ - 0 | |
| 3004 | OX USP200, OXYGEN, GASEOUS | K | 50 | CY | $ - 0 | |
| 3005 | OX USPEA, OXYGEN, MEDICAL | E | 80 | CY | $ - 0 | |
| 3006 | Z04NI6852003016, LUNG DIFFUSION: 0.3 % CM/ 10% HE/21% OX/BAL NI | K | 4 | CY | $ - 0 | |
| 3007 | CD USPEA, CARBON DIOXIDE USPEA CGA 940 | E | 8 | CY | $ - 0 | |
| 3008 | CARBON DIOXIDE ALUMINUM W/ SIPHON | K | 1 | CY | $ - 0 | |
| 3009 | DLCO Gas Mixture: (0.3%+0,03 Methane (CH4), 0.3%+0,03% Carbon Monoxide (CO), 21% Oxygen (O2), Balanced Nitrogen (N2), 1% accuracy, medical grade); Size "E" | E | 1 | CY | $ - 0 | |
| 3010 | DLCO Gas Mixture: (0.3%+0,03 Methane (CH4), 0.3%+0,03% Carbon Monoxide (CO), 21% Oxygen (O2), Balanced Nitrogen (N2), 1% accuracy, medical grade); Size "K" | K | 4 | CY | $ - 0 | |
| RENTALS | ||||||
| 3011 | AI USP200, AIR MEDICAL GRADE "K" REFILL | K | 65 | CY | $ - 0 | |
| 3012 | NI NF200, NITROGEN GASEOUS "K" REFILL H | K | 20 | CY | $ - 0 | |
| 3013 | NS USP56, NITROUS OXIDE "K" REFILL | K | 20 | CY | $ - 0 | |
| 3014 | OX USP200, OXYGEN, GASEOUS "K" REFILL | K | 60 | CY | $ - 0 | |
| 3015 | OX USPEA, OXYGEN, MEDICAL "E" REFILL | E | 140 | CY | $ - 0 | |
| 3016 | Z04NI6852003016, LUNG DIFFUSION: 0.3 % CM/ 10% HE/21% OX/BAL NI, SIZE "K" | K | 4 | CY | $ - 0 | |
| 3017 | CD USPEA, CARBON DIOXIDE USPEA CGA 940 | E | 16 | CY | $ - 0 | |
| 3018 | CARBON DIOXIDE ALUMINUM W/ SIPHON | K | 1 | CY | $ - 0 | |
| 3019 | DLCO Gas Mixture: (0.3%+0,03 Methane (CH4), 0.3%+0,03% Carbon Monoxide (CO), 21% Oxygen (O2), Balanced Nitrogen (N2), 1% accuracy, medical grade); Size "E" | E | 1 | CY | $ - 0 | |
| 3020 | DLCO Gas Mixture: (0.3%+0,03 Methane (CH4), 0.3%+0,03% Carbon Monoxide (CO), 21% Oxygen (O2), Balanced Nitrogen (N2), 1% accuracy, medical grade); Size "K" | K | 4 | CY | $ - 0 | |
| TESTING AND EMERGENCY ITEMS | ||||||
| 3021 | Hydrostatic Testing of GFE | N/A | 1 | EA | $ - 0 | |
| 3022 | Emergency Delivery Fee | N/A | 1 | EA | $ - 0 | |
| Total OY3 | $ - 0 |
| (GFE) | |||
| Z04NI6852003016, LUNG DIFFUSION: 0.3 % CM/ 10% HE/21% OX/BAL NI, SIZE "E" | E | 8 | CY |
| NS USPE, NITROUS OXIDE SIZE "E" | E | 3 | CY |
Option Year 4 Option Year 4
| LINE ITEM | DESCRIPTION | SIZE | ESTIMATED QTY | UNIT | UNIT PRICE | TOTAL |
| GASES | ||||||
| 4001 | AI USP200, AIR MEDICAL GRADE | K | 25 | CY | $ - 0 | |
| 4002 | NI NF200, NITROGEN GASEOUS | K | 32 | CY | $ - 0 | |
| 4003 | NS USP56, NITROUS OXIDE | K | 32 | CY | $ - 0 | |
| 4004 | OX USP200, OXYGEN, GASEOUS | K | 50 | CY | $ - 0 | |
| 4005 | OX USPEA, OXYGEN, MEDICAL | E | 80 | CY | $ - 0 | |
| 4006 | Z04NI6852003016, LUNG DIFFUSION: 0.3 % CM/ 10% HE/21% OX/BAL NI | K | 4 | CY | $ - 0 | |
| 4007 | CD USPEA, CARBON DIOXIDE USPEA CGA 940 | E | 8 | CY | $ - 0 | |
| 4008 | CARBON DIOXIDE ALUMINUM W/ SIPHON | K | 1 | CY | $ - 0 | |
| 4009 | DLCO Gas Mixture: (0.3%+0,03 Methane (CH4), 0.3%+0,03% Carbon Monoxide (CO), 21% Oxygen (O2), Balanced Nitrogen (N2), 1% accuracy, medical grade); Size "E" | E | 1 | CY | $ - 0 | |
| 4010 | DLCO Gas Mixture: (0.3%+0,03 Methane (CH4), 0.3%+0,03% Carbon Monoxide (CO), 21% Oxygen (O2), Balanced Nitrogen (N2), 1% accuracy, medical grade); Size "K" | K | 4 | CY | $ - 0 | |
| RENTALS | ||||||
| 4011 | AI USP200, AIR MEDICAL GRADE "K" REFILL | K | 65 | CY | $ - 0 | |
| 4012 | NI NF200, NITROGEN GASEOUS "K" REFILL H | K | 20 | CY | $ - 0 | |
| 4013 | NS USP56, NITROUS OXIDE "K" REFILL | K | 20 | CY | $ - 0 | |
| 4014 | OX USP200, OXYGEN, GASEOUS "K" REFILL | K | 60 | CY | $ - 0 | |
| 4015 | OX USPEA, OXYGEN, MEDICAL "E" REFILL | E | 140 | CY | $ - 0 | |
| 4016 | Z04NI6852003016, LUNG DIFFUSION: 0.3 % CM/ 10% HE/21% OX/BAL NI, SIZE "K" | K | 4 | CY | $ - 0 | |
| 4017 | CD USPEA, CARBON DIOXIDE USPEA CGA 940 | E | 16 | CY | $ - 0 | |
| 4018 | CARBON DIOXIDE ALUMINUM W/ SIPHON | K | 1 | CY | $ - 0 | |
| 4019 | DLCO Gas Mixture: (0.3%+0,03 Methane (CH4), 0.3%+0,03% Carbon Monoxide (CO), 21% Oxygen (O2), Balanced Nitrogen (N2), 1% accuracy, medical grade); Size "E" | E | 1 | CY | $ - 0 | |
| 4020 | DLCO Gas Mixture: (0.3%+0,03 Methane (CH4), 0.3%+0,03% Carbon Monoxide (CO), 21% Oxygen (O2), Balanced Nitrogen (N2), 1% accuracy, medical grade); Size "K" | K | 4 | CY | $ - 0 | |
| TESTING AND EMERGENCY ITEMS | ||||||
| 4021 | Hydrostatic Testing of GFE | N/A | 1 | EA | $ - 0 | |
| 4022 | Emergency Delivery Fee | N/A | 1 | EA | $ - 0 | |
| Total OY4 | $ - 0 |
| (GFE) | |||
| Z04NI6852003016, LUNG DIFFUSION: 0.3 % CM/ 10% HE/21% OX/BAL NI, SIZE "E" | E | 8 | CY |
| NS USPE, NITROUS OXIDE SIZE "E" | E | 3 | CY |
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