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PRICE WORK SHEET
The following estimated quantities provided for the base and each option year. Contractors shall complete this section and submit with the offers in addition to completing Section B.4, SCHEDULE OF SERVICES AND PRICE.
BASE YEAR: October 1, 2020 through September 30, 2021
| ITEM NUMBER /DESCRIPTION OF SERVICES |
| EST |
QUANTITY
| UNIT |
| UNIT PRICE |
| ESTIMATED |
AMOUNT
0001 Single Vision Eyeglasses (Frames and Lenses)
| 0001-A: Plastic Lenses |
| 40,400 |
| Pair |
| $ |
| $ |
| 0001-B: Poly Carbonate Lenses |
| 27,970 |
| Pair |
| $ |
| $ |
| 0001-C: Glass Lenses |
| 210 |
| Pair |
| $ |
| $ |
0002 Progressive Eyeglasses Frames and Lenses
| 0002-A: Plastic Lenses |
| 15,200 |
| Pair |
| $ |
| $ |
| 0002-B: Poly Carbonate Lenses |
| 16,520 |
| Pair |
| $ |
| $ |
| 0002-C: Glass Lenses |
| 210 |
| Pair |
| $ |
| $ |
0003 Bifocal Eyeglasses (Frames and Lenses)
| 0003-A: Plastic Lenses |
| 26,700 |
| Pair |
| $ |
| $ |
| 0003-B: Poly Carbonate Lenses |
| 22,700 |
| Pair |
| $ |
| $ |
| 0003-C: Glass Lenses |
| 210 |
| Pair |
| $ |
| $ |
0004 Trifocal Eyeglasses Frames and Lenses)
| 0004-A: Plastic Lenses |
| 2,690 |
| Pair |
| $ |
| $ |
| 0004-B: Poly Carbonate Lenses |
| 3,920 |
| Pair |
| $ |
| $ |
| 0004-C: Glass Lenses |
| 210 |
| Pair |
| $ |
| $ |
Additional Pricing List:
0005 Oversized Eyeglasses (Frames and Lenses)
| Over Frame Measurement of 58 |
| 180 |
| Pair |
| $ |
| $ |
| 0006-A: Frame Only |
| 960 |
| Each |
| $ |
| $ |
| 0006-B: Tint |
| 5,250 |
| Pair |
| $ |
| $ |
| 0006-C: Polarized |
| 400 |
| Pair |
| $ |
| $ |
| 0006-D: Photochromatic |
| 35,520 |
| Pair |
| $ |
| $ |
| 0006-E: Prism |
| 800 |
| Each |
| $ |
| $ |
| 0006-F: Slab-Off |
| 8 |
| Each |
| $ |
| $ |
| 0006-G: Aspheric Lenticular |
| 8 |
| Pair |
| $ |
| $ |
| 0006-H: Double Desegment PSR |
| 8 |
| Pair |
| $ |
| $ |
| ITEM NUMBER /DESCRIPTION OF SERVICES |
| EST |
QUANTITY
| UNIT |
| UNIT PRICE |
| ESTIMATED |
| 0006-I: Anti Reflective Coating |
| 14,200 |
| Pair |
| $ |
| $ |
| 0006-J: Executive Bifocal Lenses |
| 8 |
| Pair |
| $ |
| $ |
| 0006-K(1): High Index 1.60 |
| 8,540 |
| Pair |
| $ |
| $ |
| 0006-K(2): High Index 1.67 |
| 4,500 |
| Pair |
| $ |
| $ |
| 0006-L: Flat Top Bifocal Lenses 35 |
| 200 |
| Pair |
| $ |
| $ |
| 0006-M: Flat Top (FT) Trifocal Lenses 8X35 |
| 300 |
| Pair |
| $ |
| $ |
| 0006-N: Roll and Polish |
| 400 |
| Pair |
| $ |
| $ |
| 0006-O: Sports Bands |
| 8 |
| Pair |
| $ |
| $ |
| 0006-P: Side Shields |
| 8 |
| Pair |
| $ |
| $ |
| 0006-Q: Titanium |
| 4,440 |
| Each |
| $ |
| $ |
| 0007 R: Opaque, Frosted, Black, or Balance Lenses |
| 1000 |
| Each |
| $ |
| $ |
| 0007-S: Trivex (Add on to Base Plastic Lenses) |
| 1000 |
| Pair |
| $ |
| $ |
OPTION YEAR I: October 1, 2021 through September 30, 2022
| ITEM NUMBER /DESCRIPTION OF SERVICES |
| EST |
QUANTITY
| UNIT |
| UNIT PRICE |
| ESTIMATED |
1001 Single Vision Eyeglasses (Frames and Lenses)
| 1001-A: Plastic Lenses |
| 40,400 |
| Pair |
| $ |
| $ |
| 1001-B: Poly Carbonate Lenses |
| 27,970 |
| Pair |
| $ |
| $ |
| 1001-C: Glass Lenses |
| 210 |
| Pair |
| $ |
| $ |
1002 Progressive Eyeglasses Frames and Lenses
| 1002-A: Plastic Lenses |
| 15,200 |
| Pair |
| $ |
| $ |
| 1002-B: Poly Carbonate Lenses |
| 16,520 |
| Pair |
| $ |
| $ |
| 1002-C: Glass Lenses |
| 210 |
| Pair |
| $ |
| $ |
1003 Bifocal Eyeglasses (Frames and Lenses)
| 1003-A: Plastic Lenses |
| 26,700 |
| Pair |
| $ |
| $ |
| 1003-B: Poly Carbonate Lenses |
| 22,700 |
| Pair |
| $ |
| $ |
| 1004-C: Glass Lenses |
| 210 |
| Pair |
| $ |
| $ |
1004 Trifocal Eyeglasses Frames and Lenses)
| 1004-A: Plastic Lenses |
| 2,690 |
| Pair |
| $ |
| $ |
| 1004-B: Poly Carbonate Lenses |
| 3,920 |
| Pair |
| $ |
| $ |
| 1004-D: Glass Lenses |
| 210 |
| Pair |
| $ |
| $ |
Additional Pricing List:
| ITEM NUMBER /DESCRIPTION OF SERVICES |
| EST |
QUANTITY
| UNIT |
| UNIT PRICE |
| ESTIMATED |
1005 Oversized Eyeglasses (Frames and Lenses)
| Over Frame Measurement of 58 |
| 180 |
| Pair |
| $ |
| $ |
| 1006-A: Frame Only |
| 960 |
| Each |
| $ |
| $ |
| 1006-B: Tint |
| 5,250 |
| Pair |
| $ |
| $ |
| 1006-C: Polarized |
| 400 |
| Pair |
| $ |
| $ |
| 1006-D: Photochromatic |
| 35,520 |
| Pair |
| $ |
| $ |
| 1006-E: Prism |
| 800 |
| Each |
| $ |
| $ |
| 1006-F: Slab-Off |
| 8 |
| Each |
| $ |
| $ |
| 1006-G: Aspheric Lenticular |
| 8 |
| Pair |
| $ |
| $ |
| 1006-H: Double Desegment PSR |
| 8 |
| Pair |
| $ |
| $ |
| 1006-I: Anti Reflective Coating |
| 14,200 |
| Pair |
| $ |
| $ |
| 1006-J: Executive Bifocal Lenses |
| 8 |
| Pair |
| $ |
| $ |
| 1006-K(1): High Index 1.60 |
| 8,540 |
| Pair |
| $ |
| $ |
| 1006-K(2): High Index 1.67 |
| 4,500 |
| Pair |
| $ |
| $ |
| 1006-L: Flat Top Bifocal Lenses 35 |
| 200 |
| Pair |
| $ |
| $ |
| 1006-M: Flat Top (FT) Trifocal Lenses 8X35 |
| 300 |
| Pair |
| $ |
| $ |
| 1006-N: Roll and Polish |
| 400 |
| Pair |
| $ |
| $ |
| 1006-O: Sports Bands |
| 8 |
| Pair |
| $ |
| $ |
| 1006-P: Side Shields |
| 8 |
| Pair |
| $ |
| $ |
| 1006-Q: Titanium |
| 4,440 |
| Each |
| $ |
| $ |
| 1006 R: Opaque, Frosted, Black, or Balance Lenses |
| 1000 |
| Each |
| $ |
| $ |
| 1006-S: Trivex (Add on to Base Plastic Lenses) |
| 1000 |
| Pair |
| $ |
| $ |
OPTION YEAR II: October 1, 2022 through September 30, 2023
| ITEM NUMBER /DESCRIPTION OF SERVICES |
| EST |
QUANTITY
| UNIT |
| UNIT PRICE |
| ESTIMATED |
2001 Single Vision Eyeglasses (Frames and Lenses)
| 2001-A: Plastic Lenses |
| 40,400 |
| Pair |
| $ |
| $ |
| 2001-B: Poly Carbonate Lenses |
| 27,970 |
| Pair |
| $ |
| $ |
| 2001-D: Glass Lenses |
| 210 |
| Pair |
| $ |
| $ |
2002 Progressive Eyeglasses Frames and Lenses
| 2002-A: Plastic Lenses |
| 15,200 |
| Pair |
| $ |
| $ |
| 2002-B: Poly Carbonate Lenses |
| 16,520 |
| Pair |
| $ |
| $ |
| 2002-C: Glass Lenses |
| 210 |
| Pair |
| $ |
| $ |
| ITEM NUMBER /DESCRIPTION OF SERVICES |
| EST |
QUANTITY
| UNIT |
| UNIT PRICE |
| ESTIMATED |
2003 Bifocal Eyeglasses (Frames and Lenses)
| 2003-A: Plastic Lenses |
| 26,700 |
| Pair |
| $ |
| $ |
| 2003-B: Poly Carbonate Lenses |
| 22,700 |
| Pair |
| $ |
| $ |
| 2003-C: Glass Lenses |
| 210 |
| Pair |
| $ |
| $ |
2004 Trifocal Eyeglasses Frames and Lenses)
| 2004-A: Plastic Lenses |
| 2,690 |
| Pair |
| $ |
| $ |
| 2004-B: Poly Carbonate Lenses |
| 3,920 |
| Pair |
| $ |
| $ |
| 2004-C: Glass Lenses |
| 210 |
| Pair |
| $ |
| $ |
Additional Pricing List:
2005 Oversized Eyeglasses (Frames and Lenses)
| Over Frame Measurement of 58 |
| 180 |
| Pair |
| $ |
| $ |
| 2006-A: Frame Only |
| 960 |
| Each |
| $ |
| $ |
| 2006-B: Tint |
| 5,250 |
| Pair |
| $ |
| $ |
| 2006-C: Polarized |
| 400 |
| Pair |
| $ |
| $ |
| 2006-D: Photochromatic |
| 35,520 |
| Pair |
| $ |
| $ |
| 2006-E: Prism |
| 800 |
| Each |
| $ |
| $ |
| 2006-F: Slab-Off |
| 8 |
| Each |
| $ |
| $ |
| 2006-G: Aspheric Lenticular |
| 8 |
| Pair |
| $ |
| $ |
| 2006-H: Double Desegment PSR |
| 8 |
| Pair |
| $ |
| $ |
| 2006-I: Anti Reflective Coating |
| 14,200 |
| Pair |
| $ |
| $ |
| 2006-J: Executive Bifocal Lenses |
| 8 |
| Pair |
| $ |
| $ |
| 2006-K(1): High Index 1.60 |
| 8,540 |
| Pair |
| $ |
| $ |
| 2006-K(2): High Index 1.67 |
| 4,500 |
| Pair |
| $ |
| $ |
| 2006-L: Flat Top Bifocal Lenses 35 |
| 200 |
| Pair |
| $ |
| $ |
| 2006-M: Flat Top (FT) Trifocal Lenses 8X35 |
| 300 |
| Pair |
| $ |
| $ |
| 2006-N: Roll and Polish |
| 400 |
| Pair |
| $ |
| $ |
| 2006-O: Sports Bands |
| 8 |
| Pair |
| $ |
| $ |
| 2006-P: Side Shields |
| 8 |
| Pair |
| $ |
| $ |
| 2006-Q: Titanium |
| 4,440 |
| Each |
| $ |
| $ |
| 2006 R: Opaque, Frosted, Black, or Balance Lenses |
| 1000 |
| Each |
| $ |
| $ |
| 2006-S: Trivex (Add on to Base Plastic Lenses) |
| 1000 |
| Pair |
| $ |
| $ |
OPTION YEAR III: October 1, 2023 through September 30, 2024
| ITEM NUMBER /DESCRIPTION OF SERVICES |
| EST |
QUANTITY
| UNIT |
| UNIT PRICE |
| ESTIMATED |
3001 Single Vision Eyeglasses (Frames and Lenses)
| 3001-A: Plastic Lenses |
| 40,400 |
| Pair |
| $ |
| $ |
| 3001-B: Poly Carbonate Lenses |
| 27,970 |
| Pair |
| $ |
| $ |
| 3001-C: Glass Lenses |
| 210 |
| Pair |
| $ |
| $ |
3002 Progressive Eyeglasses Frames and Lenses
| 3002-A: Plastic Lenses |
| 15,200 |
| Pair |
| $ |
| $ |
| 3002-B: Poly Carbonate Lenses |
| 16,520 |
| Pair |
| $ |
| $ |
| 3002-C: Glass Lenses |
| 210 |
| Pair |
| $ |
| $ |
3003 Bifocal Eyeglasses (Frames and Lenses)
| 3003-A: Plastic Lenses |
| 26,700 |
| Pair |
| $ |
| $ |
| 3003-B: Poly Carbonate Lenses |
| 22,700 |
| Pair |
| $ |
| $ |
| 3003-C: Glass Lenses |
| 210 |
| Pair |
| $ |
| $ |
3004 Trifocal Eyeglasses Frames and Lenses)
| 3004-A: Plastic Lenses |
| 2,690 |
| Pair |
| $ |
| $ |
| 3004-B: Poly Carbonate Lenses |
| 3,920 |
| Pair |
| $ |
| $ |
| 3004-C: Glass Lenses |
| 210 |
| Pair |
| $ |
| $ |
Additional Pricing List:
3005 -Oversized Eyeglasses (Frames and Lenses)
| Over Frame Measurement of 58 |
| 180 |
| Pair |
| $ |
| $ |
| 3006-A: Frame Only |
| 960 |
| Each |
| $ |
| $ |
| 3006-B: Tint |
| 5,250 |
| Pair |
| $ |
| $ |
| 3006-C: Polarized |
| 400 |
| Pair |
| $ |
| $ |
| 3006-D: Photochromatic |
| 35,520 |
| Pair |
| $ |
| $ |
| 3006-E: Prism |
| 800 |
| Each |
| $ |
| $ |
| 3006-F: Slab-Off |
| 8 |
| Each |
| $ |
| $ |
| 3006-G: Aspheric Lenticular |
| 8 |
| Pair |
| $ |
| $ |
| 3006-H: Double Desegment PSR |
| 8 |
| Pair |
| $ |
| $ |
| 3006-I: Anti Reflective Coating |
| 14,200 |
| Pair |
| $ |
| $ |
| 3006-J: Executive Bifocal Lenses |
| 8 |
| Pair |
| $ |
| $ |
| 3006-K(1): High Index 1.60 |
| 8,540 |
| Pair |
| $ |
| $ |
| 3006-K(2): High Index 1.67 |
| 4,500 |
| Pair |
| $ |
| $ |
| 3006-L: Flat Top Bifocal Lenses 35 |
| 200 |
| Pair |
| $ |
| $ |
| 3006-M: Flat Top (FT) Trifocal Lenses 8X35 |
| 300 |
| Pair |
| $ |
| $ |
| 3006-N: Roll and Polish |
| 400 |
| Pair |
| $ |
| $ |
| ITEM NUMBER /DESCRIPTION OF SERVICES |
| EST |
QUANTITY
| UNIT |
| UNIT PRICE |
| ESTIMATED |
| 3006-O: Sports Bands |
| 8 |
| Pair |
| $ |
| $ |
| 3006-P: Side Shields |
| 8 |
| Pair |
| $ |
| $ |
| 3006-Q: Titanium |
| 4,440 |
| Each |
| $ |
| $ |
| 3006 R: Opaque, Frosted, Black, or Balance Lenses |
| 1000 |
| Each |
| $ |
| $ |
| 3002-S: Trivex (Add on to Base Plastic Lenses) |
| 1000 |
| Pair |
| $ |
| $ |
OPTION YEAR IV: October 1, 2024 through September 30, 2025
| ITEM NUMBER /DESCRIPTION OF SERVICES |
| EST |
QUANTITY
| UNIT |
| UNIT PRICE |
| ESTIMATED |
4001 Single Vision Eyeglasses (Frames and Lenses)
| 4001-A: Plastic Lenses |
| 40,400 |
| Pair |
| $ |
| $ |
| 4001-B: Poly Carbonate Lenses |
| 27,970 |
| Pair |
| $ |
| $ |
| 4001-C: Glass Lenses |
| 210 |
| Pair |
| $ |
| $ |
4002 Progressive Eyeglasses Frames and Lenses
| 4002-A: Plastic Lenses |
| 15,200 |
| Pair |
| $ |
| $ |
| 4002-B: Poly Carbonate Lenses |
| 16,520 |
| Pair |
| $ |
| $ |
| 4002-C: Glass Lenses |
| 210 |
| Pair |
| $ |
| $ |
4003 Bifocal Eyeglasses (Frames and Lenses)
| 4003-A: Plastic Lenses |
| 26,700 |
| Pair |
| $ |
| $ |
| 4003-B: Poly Carbonate Lenses |
| 22,700 |
| Pair |
| $ |
| $ |
| 4004-C: Glass Lenses |
| 210 |
| Pair |
| $ |
| $ |
4004 Trifocal Eyeglasses Frames and Lenses)
| 4004-A: Plastic Lenses |
| 2,690 |
| Pair |
| $ |
| $ |
| 4004-B: Poly Carbonate Lenses |
| 3,920 |
| Pair |
| $ |
| $ |
| 4004-C: Glass Lenses |
| 210 |
| Pair |
| $ |
| $ |
Additional Pricing List:
4005- Oversized Eyeglasses (Frames and Lenses)
| Over Frame Measurement of 58 |
| 180 |
| Pair |
| $ |
| $ |
| 4006-A: Frame Only |
| 960 |
| Each |
| $ |
| $ |
| 4006-B: Tint |
| 5,250 |
| Pair |
| $ |
| $ |
| 4006-C: Polarized |
| 400 |
| Pair |
| $ |
| $ |
| 4006-D: Photochromatic |
| 35,520 |
| Pair |
| $ |
| $ |
| 4006-E: Prism |
| 800 |
| Each |
| $ |
| $ |
| ITEM NUMBER /DESCRIPTION OF SERVICES |
| EST |
QUANTITY
| UNIT |
| UNIT PRICE |
| ESTIMATED |
| 4006-F: Slab-Off |
| 8 |
| Each |
| $ |
| $ |
| 4006-G: Aspheric Lenticular |
| 8 |
| Pair |
| $ |
| $ |
| 4006-H: Double Desegment PSR |
| 8 |
| Pair |
| $ |
| $ |
| 4006-I: Anti Reflective Coating |
| 14,200 |
| Pair |
| $ |
| $ |
| 4006-J: Executive Bifocal Lenses |
| 8 |
| Pair |
| $ |
| $ |
| 4006-K(1): High Index 1.60 |
| 8,540 |
| Pair |
| $ |
| $ |
| 4006-K(2): High Index 1.67 |
| 4,500 |
| Pair |
| $ |
| $ |
| 4006-L: Flat Top Bifocal Lenses 35 |
| 200 |
| Pair |
| $ |
| $ |
| 4006-M: Flat Top (FT) Trifocal Lenses 8X35 |
| 300 |
| Pair |
| $ |
| $ |
| 4006-N: Roll and Polish |
| 400 |
| Pair |
| $ |
| $ |
| 4006-O: Sports Bands |
| 8 |
| Pair |
| $ |
| $ |
| 4006-P: Side Shields |
| 8 |
| Pair |
| $ |
| $ |
| 4006-Q: Titanium |
| 4,440 |
| Each |
| $ |
| $ |
| 4007 R: Opaque, Frosted, Black, or Balance Lenses |
| 1000 |
| Each |
| $ |
| $ |
| 4007-S: Trivex (Add on to Base Plastic Lenses) |
| 1000 |
| Pair |
| $ |
| $ |
