36C26119Q0300-001.pdf

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EBUS/VATS Thoracic Surgical Equipment Lease
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36C26119Q0300
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36C26119Q0300 SECTION B -- PRICE COST SCHEDULE OF SUPPLIES AND SERVICES.pdf

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36C26119Q0300

SECTION B – PRICE COST SCHEDULE OF SUPPLIES AND SERVICES

Below are the Schedules for one (1) base year, option year one (1), and option year two (2). The manufacturer of the items below is Olympus America, Inc. Please complete the matrixes below. Completed matrixes should be included with quote(s).

1. BASE PERIOD: TO

Item Number Item Description Quantity Unit Unit Price Extended Price

1 BF-1TH190 EEIII HD Therapeutic Bronchoscope (EBUS Equipment) 5 MO

2 BF-UC180F-A BF-UC180F-A Ultrasound Bronchoscope (EBUS Equipment) 5 MO

3 CV-190 EVIS Exera III Video Processor (EBUS Equipment) 1 MO

4 CLV-190 EVIS Exera III Light Source (EBUS Equipment) 1 MO

5 EU-ME2 Universal Ultrasound Processor (EBUS Equipment) 1 MO

6 MAJ-1430 Videoscope Cable Evis Exera II (EBUS Equipment) 1 MO

7 MAJ-1657 Side Keyboard Tray For EU-ME2 Keyboard (EBUS Equipment) 1 MO

8 MAJ-1663 EUS Arm Mount Kit WM-P2 (EBUS Equipment) 1 MO

9 MAJ-1711 EUS-ME1 Keyboard Remote Cable (EBUS Equipment) 2 MO

10 MAJ-1720 Probe Driving Unit For All Probes (EBUS Equipment) 1 MO

11 MAJ-1918 Remote Cable Peripheral Device 1.8M (EBUS Equipment) 1 MO

12 MAJ-1951 SDI Cable 2.5M (EBUS Equipment) 3 MO 13 MAJ-679 EU-M30S Footswitch

(EBUS Equipment) 1 MO

14 MAJ-683 Probe Driver Arm (EBUS Equipment) 1 MO 15 UM-BS20-26R-3(E) Ultrasonic Probe 228

(EBUS Equipment) 2 MO

16 UM-S20-17S Ultrasonic Probe

17 UM-S20-20R-3 Ultrasonic Probe

18 UPDR-80MD Sony Dye Sub. LETR w/ 12’ USB (EBUS Equipment) 2 MO

19 MAJ-854 Remote Cable CV-160 For SVR Prin

20 3D-TOWER-KIT-4K3D:CV-190(2)CLV, 3DV,

3DScope, 31” 4K3DMon, C (VATS equipment)

1 MO

21 LTF-190-10-3D 3D Deflectable Videoscope (VATS equipment) 4 MO

22 LTF-S190-5 EndoEye Flex 5 HD Videoscope (VATS equipment) 5 MO

23 LMD-X310ST LMD-X310ST 31 inch 4K/3D Sony Monitor

2 MO

24 MAJ-2056 Detachable Cable For EUS&EBUS S (VATS equipment) 2 MO

25 MAJ-172 INS Tray For LTF (VATS equipment) 5 MO

26 KIT-BF-190 Tray (VATS equipment) 5 MO

27 13839 Aptimax Sterrad Sterilization Tray

28 99240 Aptimax Sterrad Ster. Tray Holder (VATS equipment) 1 MO

29 OL-0015-10 Tall Heavy Roll Stand For 32" Monitor LM (VATS equipment) 1 MO

30 MAJ-2016 3G-SDI Cable 8.5 M (VATS equipment) 1 MO

31 MAJ-1948 Communication Cable 1.8M (VATS equipment) 1 MO

32 MAJ-1919 Remote Cable For CV-CV

33 MAJ-438 VCR Remote Control CAB LE FOR OT (VATS equipment) 2 MO

34 K10021769 WM-NP2 GI CO2 Standard Set (VATS equipment) 1 MO

MAJ-1664 Nurses Control Panel Arm-Long (VATS equipment) 2 MO

MAJ-1985 Cylinder Hose With Switch Over (VATS equipment) 1 MO

MAJ-604 Remote Cable For Connection (VATS equipment) 1 MO

OL-0015-21 4 Outlet PWR Strip+Cable Cleat (VATS equipment) 1 MO

BKM-31G 3D Glasses Sony Clip On Style (VATS equipment) 10 MO

BKM-30G 3D Glasses Sony Frame Style (VATS equipment) 10 MO

Total Extended Price Per Month: $

Total Extended Price Per Year: $

The period of performance for the base year is from the date of award through to the end of one (1) year. (Date to be inserted at time of award.)

UHI-4 & Foot Pedal UHI-4 with MAJ-1939 and 72-00162-0 Kit (VATS equipment) 1 MO

IS50060 Accutouch 19 Inch White ELO (VATS equipment) 2 MO

18LH Scopelocker Laminate W/HEPA (VATS equipment) 1 MO

IS40950 nStream GX Single Channel HD- SDI (VATS equipment)

LockerKeyLess Keyless Entry Option For Scopelocker Cab (VATS equipment)

LockerEUS ChanlDry Optional EUS Holder

5 MO

Maintenance And Repair Services For All Leased Equipment

48 Taxes For All Leased Equipment 1 MO

2. OPTION YEAR ONE (1): TO

Item Number Item Description

Quantity Unit Unit Price Extended Price

1 BF-1TH190 EEIII HD Therapeutic Bronchoscope (EBUS Equipment) 5 MO

2 BF-UC180F-A BF-UC180F-A Ultrasound Bronchoscope (EBUS Equipment) 5 MO

3 CV-190 EVIS Exera III Video Processor (EBUS Equipment) 1 MO

4 CLV-190 EVIS Exera III Light Source (EBUS Equipment) 1 MO

5 EU-ME2 Universal Ultrasound Processor (EBUS Equipment) 1 MO

6 MAJ-1430 Videoscope Cable Evis Exera II (EBUS Equipment) 1 MO

7 MAJ-1657 Side Keyboard Tray For EU-ME2 Keyboard (EBUS Equipment) 1 MO

8 MAJ-1663 EUS Arm Mount Kit WM-P2 (EBUS Equipment) 1 MO

9 MAJ-1711 EUS-ME1 Keyboard Remote Cable (EBUS Equipment) 2 MO

10 MAJ-1720 Probe Driving Unit For All Probes (EBUS Equipment) 1 MO

11 MAJ-1918 Remote Cable Peripheral Device 1.8M (EBUS Equipment) 1 MO

12 MAJ-1951 SDI Cable 2.5M (EBUS Equipment) 3 MO 13 MAJ-679 EU-M30S Footswitch

(EBUS Equipment) 1 MO

14 MAJ-683 Probe Driver Arm (EBUS Equipment)

1 MO

(EBUS Equipment)

USB (EBUS Equipment)

2 MO

19 MAJ-854 Remote Cable CV-160 For SVR Prin (EBUS Equipment) 2 MO

20 3D-TOWER-KIT-4K3D:CV-190(2)CLV, 3DV,

3DScope, 31” 4K3DMon, C

22 LTF-S190-5 EndoEye Flex 5 HD Videoscope (VATS equipment) 5 MO

23 LMD-X310ST LMD-X310ST 31 inch 4K/3D Sony Monitor

24 MAJ-2056 Detachable Cable For EUS&EBUS S (VATS equipment) 2 MO

(VATS equipment) 5 MO

26 KIT-BF-190 Tray (VATS equipment)

28 99240 Aptimax Sterrad Ster. Tray Holder (VATS equipment) 1 MO

29 OL-0015-10 Tall Heavy Roll Stand For 32" Monitor LM (VATS equipment) 1 MO

30 MAJ-2016 3G-SDI Cable 8.5 M (VATS equipment) 1 MO

31 MAJ-1948 Communication Cable 1.8M (VATS equipment) 1 MO

32 MAJ-1919 Remote Cable For CV-CV

OT (VATS equipment) 2 MO

34 K10021769 WM-NP2 GI CO2 Standard Set (VATS equipment) 1 MO

MAJ-1664 Nurses Control Panel Arm-Long (VATS equipment) 2 MO

MAJ-1985 Cylinder Hose With Switch Over (VATS equipment) 1 MO

MAJ-604 Remote Cable For Connection (VATS equipment) 1 MO

OL-0015-21 4 Outlet PWR Strip+Cable Cleat (VATS equipment) 1 MO

BKM-31G 3D Glasses Sony Clip On Style

The period of performance for option year one (1) is from the end of the base period through to the end of one (1) year, if the option is exercised. (Date to be inserted at time of award.)

(VATS equipment) 10 MO

UHI-4 & Foot Pedal UHI-4 with MAJ-1939 and 72-00162-0 Kit (VATS equipment) 1 MO

IS50060 Accutouch 19 Inch White ELO (VATS equipment) 2 MO

18LH Scopelocker Laminate W/HEPA (VATS equipment) 1 MO

IS40950 nStream GX Single Channel HD-

LockerEUS ChanlDry Optional EUS Holder

Leased Equipment 1 MO

3. OPTION YEAR TWO (2): TO

Item Number Item Description

Quantity Unit Unit Price Extended Price

1 BF-1TH190 EEIII HD Therapeutic Bronchoscope (EBUS Equipment) 5 MO

2 BF-UC180F-A BF-UC180F-A Ultrasound Bronchoscope (EBUS Equipment) 5 MO

3 CV-190 EVIS Exera III Video Processor (EBUS Equipment) 1 MO

4 CLV-190 EVIS Exera III Light Source (EBUS Equipment) 1 MO

5 EU-ME2 Universal Ultrasound Processor (EBUS Equipment) 1 MO

6 MAJ-1430 Videoscope Cable Evis Exera II (EBUS Equipment) 1 MO

7 MAJ-1657 Side Keyboard Tray For EU-ME2 Keyboard (EBUS Equipment) 1 MO

8 MAJ-1663 EUS Arm Mount Kit WM-P2 (EBUS Equipment) 1 MO

9 MAJ-1711 EUS-ME1 Keyboard Remote Cable (EBUS Equipment) 2 MO

10 MAJ-1720 Probe Driving Unit For All Probes (EBUS Equipment) 1 MO

11 MAJ-1918 Remote Cable Peripheral Device 1.8M (EBUS Equipment) 1 MO

12 MAJ-1951 SDI Cable 2.5M (EBUS Equipment) 3 MO

13 MAJ-679 EU-M30S Footswitch (EBUS Equipment) 1 MO

14 MAJ-683 Probe Driver Arm (EBUS Equipment)

1 MO

(EBUS Equipment)

USB (EBUS Equipment) 2 MO

19 MAJ-854 Remote Cable CV-160 For SVR Prin (EBUS Equipment) 2 MO

20 3D-TOWER-KIT-4K3D:CV-190(2)CLV, 3DV,

3DScope, 31” 4K3DMon, C

22 LTF-S190-5 EndoEye Flex 5 HD Videoscope

23 LMD-X310ST LMD-X310ST 31 inch 4K/3D Sony Monitor

24 MAJ-2056 Detachable Cable For EUS&EBUS S

(VATS equipment) 5 MO

26 KIT-BF-190 Tray (VATS equipment) 5 MO

(VATS equipment) 5 MO

28 99240 Aptimax Sterrad Ster. Tray Holder (VATS equipment) 1 MO

29 OL-0015-10 Tall Heavy Roll Stand For 32" Monitor LM (VATS equipment) 1 MO

30 MAJ-2016 3G-SDI Cable 8.5 M (VATS equipment) 1 MO

31 MAJ-1948 Communication Cable 1.8M (VATS equipment) 1 MO

32 MAJ-1919 Remote Cable For CV-CV (VATS equipment) 1 MO

OT (VATS equipment) 2 MO

34 K10021769 WM-NP2 GI CO2 Standard Set (VATS equipment) 1 MO

MAJ-1664 Nurses Control Panel Arm-Long (VATS equipment) 2 MO

MAJ-1985 Cylinder Hose With Switch Over (VATS equipment) 1 MO

MAJ-604 Remote Cable For Connection (VATS equipment) 1 MO

OL-0015-21 4 Outlet PWR Strip+Cable Cleat (VATS equipment) 1 MO

BKM-31G 3D Glasses Sony Clip On Style

The period of performance for option year two (2) is from the end of option year one (1) through to the end of one (1) year, if the option is exercised. (Date to be inserted at time of award.)

(VATS equipment) 10 MO

UHI-4 & Foot Pedal UHI-4 with MAJ-1939 and 72-00162-0 Kit (VATS equipment) 1 MO

IS50060 Accutouch 19 Inch White ELO (VATS equipment) 2 MO

18LH Scopelocker Laminate W/HEPA (VATS equipment) 1 MO

IS40950 nStream GX Single Channel HD-

LockerEUS ChanlDry Optional EUS Holder (VATS equipment)

Leased Equipment 1 MO

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