Price Worksheet - Tucson.xlsx

XLSX spreadsheet 27 KB Posted

Attached to
6835--Med Gas Base Plus Four
Solicitation number
36C26227Q0053
Issued by

About this file

This is a Price Worksheet for RFQ 36C26227Q0053, a solicitation for medical gases, rental, and ancillary services at the Department of Veterans Affairs (VA) Tucson facility under Veterans Integrated Service Network 22. The worksheet serves as the offeror's pricing workbook and is designated as SDVOSB set-aside for open market competition, requiring all offers to be submitted by Service-Disabled Veteran-Owned Small Businesses (SDVOSBs).

The pricing structure encompasses 23 gas and liquid nitrogen line items covering compressed air, carbon dioxide, helium, nitrogen, nitrous oxide, oxygen (including aluminum tank variants and MRI-specific options), argon, lung diffusion gas, and liquid nitrogen for dewars and research applications. Offerors must provide unit prices for the base period (11/16/2026–11/15/2027) and four option years through 11/15/2031, with all pricing to be all-inclusive with no separate charges for hazmat, fuel, delivery, or tracking. The ancillary services pricing section includes 39 line items addressing cylinder rentals (E, H, 220, and H 218 cylinders) on a daily basis, emergency delivery services requiring 24/7 response within 2 hours with delivery within 4 hours for each gas type and size, hydrostatic testing for VA-owned cylinders and dewars, and loss of use (LOU) compensation for replacement cylinders. Estimated annual quantities range from 12 to 2,400 cylinder-years for gases and up to 150,380 daily rental units for E cylinders. All five periods (base plus four option years) are evaluated together for total pricing consideration.

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PRICE WORKSHEET | RFQ 36C26227Q0053
Re-generated from Section B.2 only. Section B.3 is excluded.
PurposeOfferor pricing workbook for SAVAHCS medical gases, rental, and ancillary services.
Blue fontOfferor inputs.
Orange cellsGovernment evaluation assumptions; blanks remain unevaluated.
Emergency deliveryPriced separately by each gas type and size, using one EA line for each listed Section B.2 gas item.
Pricing basisGas prices are all-inclusive; no separate hazmat, fuel, delivery, or tracking surcharge.
EvaluationAll five periods are added. Enter numeric zero only when affirmatively no charge.
Source control36C26227Q0053.docx, Section B.2 and Annexes A-C. B.3 ignored.

RFQ 36C26227Q0053 | Revised Price Worksheet | B.3 excluded Page &P of &N

Offeror Information

OFFEROR INFORMATION
Complete all blue-font fields and return with the quote.
Legal Business Name
Address
City / State / ZIP
UEI
CAGE Code
Business Size / SDVOSB Status
Point of Contact
Telephone
Email
Quote Date
Price Valid Through
Authorized Signer / Title

RFQ 36C26227Q0053 | Revised Price Worksheet | B.3 excluded Page &P of &N

Gas Pricing

GAS AND LIQUID NITROGEN PRICING
Estimated quantities are from Section B.2 Annex B. Enter unit prices in blue-font cells.
LineService AreaProduct DescriptionSize / Connection# Contractor Furnished# VA FurnishedEst. Monthly UsageUOMEst. Annual QtyBase Unit Price
11/16/2026 - 11/15/2027Base ExtendedOption Year 1 Unit Price
11/16/2027 - 11/15/2028Option Year 1 ExtendedOption Year 2 Unit Price
11/16/2028 - 11/15/2029Option Year 2 ExtendedOption Year 3 Unit Price
11/16/2029 - 11/15/2030Option Year 3 ExtendedOption Year 4 Unit Price
11/16/2030 - 11/15/2031Option Year 4 Extended5-Year Evaluated TotalPricing Status
1Sitewide / SCMAir, Compressed, CGA Type 1, MedicalE1208CY96MISSING PRICE
2Sitewide / SCMAir, Compressed, CGA Type 1, MedicalH201CY12MISSING PRICE
3Sitewide / SCMCarbon Dioxide, Medicinal, Grade AH03210CY120MISSING PRICE
4Sitewide / SCMHeliumH3010CY120MISSING PRICE
5Sitewide / SCMNitrogen GaseousH182012CY144MISSING PRICE
6Sitewide / SCMNitrous OxideF021CY12MISSING PRICE
7Sitewide / SCMNitrous Oxide, 8-inch ODG031CY12MISSING PRICE
8Sitewide / SCMOxygen, GaseousE042CY24MISSING PRICE
9Sitewide / SCMOxygen, GaseousH12128CY96MISSING PRICE
10Sitewide / SCMOxygen, Gaseous (Aluminum Tank)E4000200CY2400MISSING PRICE
11Sitewide / SCMOxygen, Gaseous (Aluminum Tank), MRI-specific; contractor-provided MRI-conditional valves and regulatorsE043CY36MISSING PRICE
12Sitewide / SCM100% Carbon DioxideG 42803221CY252MISSING PRICE
13Sitewide / SCMArgon, High Purity grade220201CY12MISSING PRICE
14Sitewide / SCMHelium, 99.999% PurityH 218606CY72MISSING PRICE
15Sitewide / SCMLung Diffusion Gas Certified: 0.3% CO, 0.3% CH4, 21% O2, balance N2Size 200 / H602CY24MISSING PRICE
16Sitewide / SCMNitrogen, Ultrapure, Purity 99.999%230201CY12MISSING PRICE
17Sitewide / SCMHelium 80%, Oxygen 20%H302CY24MISSING PRICE
18Sitewide / SCMLiquid Nitrogen for VA-owned dewars ((6) 30 L and (2) 50 L)25 Liter08100LI1200MISSING PRICE
19Research ServicesR/S SHIELD LN2175 L011.5CY/DEWAR18MISSING PRICE
20Research ServicesR/S SHIELD LN2 (CRYOVATS)230 L28028CY336MISSING PRICE
21Research ServicesR/S VABBB LN2185 L202CY24MISSING PRICE
22Research ServicesR/S PCASE CO2200 / CGA 320010.1666666667CY2MISSING PRICE
23Research ServicesR/S PCASE O2200 / CGA 540010.1666666667CY2MISSING PRICE
TOTAL GAS PRICING$0.00$0.00$0.00$0.00$0.00$0.00

RFQ 36C26227Q0053 | Revised Price Worksheet | B.3 excluded Page &P of &N

Ancillary Pricing

RENTAL AND ANCILLARY SERVICE PRICING
Emergency delivery is itemized by gas type and size. Orange quantity cells remain Government evaluation assumptions.
LineCategoryContainer Type / ServicePricing UOMBasis / RequirementEvaluated Annual QtyBase Unit PriceBase ExtendedOption Year 1 Unit PriceOption Year 1 ExtendedOption Year 2 Unit PriceOption Year 2 ExtendedOption Year 3 Unit PriceOption Year 3 ExtendedOption Year 4 Unit PriceOption Year 4 Extended5-Year Evaluated TotalPricing Status
24Cylinder RentalE cylinderDYDaily rental; default quantity = 412 contractor-furnished containers x 365 days150380MISSING PRICE
25Cylinder RentalH cylinderDYDaily rental; default quantity = 44 contractor-furnished containers x 365 days16060MISSING PRICE
26Cylinder Rental220 cylinderDYDaily rental; default quantity = 2 contractor-furnished containers x 365 days730MISSING PRICE
27Cylinder RentalH 218 cylinderDYDaily rental; default quantity = 6 contractor-furnished containers x 365 days2190MISSING PRICE
28Emergency DeliveryAir, Compressed, CGA Type 1, Medical | EEA24/7 response; response within 2 hours and delivery within 4 hours when ordered. Separate emergency rate by gas type and size.1MISSING PRICE
29Emergency DeliveryAir, Compressed, CGA Type 1, Medical | HEA24/7 response; response within 2 hours and delivery within 4 hours when ordered. Separate emergency rate by gas type and size.1MISSING PRICE
30Emergency DeliveryCarbon Dioxide, Medicinal, Grade A | HEA24/7 response; response within 2 hours and delivery within 4 hours when ordered. Separate emergency rate by gas type and size.1MISSING PRICE
31Emergency DeliveryHelium | HEA24/7 response; response within 2 hours and delivery within 4 hours when ordered. Separate emergency rate by gas type and size.1MISSING PRICE
32Emergency DeliveryNitrogen Gaseous | HEA24/7 response; response within 2 hours and delivery within 4 hours when ordered. Separate emergency rate by gas type and size.1MISSING PRICE
33Emergency DeliveryNitrous Oxide | FEA24/7 response; response within 2 hours and delivery within 4 hours when ordered. Separate emergency rate by gas type and size.1MISSING PRICE
34Emergency DeliveryNitrous Oxide, 8-inch OD | GEA24/7 response; response within 2 hours and delivery within 4 hours when ordered. Separate emergency rate by gas type and size.1MISSING PRICE
35Emergency DeliveryOxygen, Gaseous | EEA24/7 response; response within 2 hours and delivery within 4 hours when ordered. Separate emergency rate by gas type and size.1MISSING PRICE
36Emergency DeliveryOxygen, Gaseous | HEA24/7 response; response within 2 hours and delivery within 4 hours when ordered. Separate emergency rate by gas type and size.1MISSING PRICE
37Emergency DeliveryOxygen, Gaseous (Aluminum Tank) | EEA24/7 response; response within 2 hours and delivery within 4 hours when ordered. Separate emergency rate by gas type and size.1MISSING PRICE
38Emergency DeliveryOxygen, Gaseous (Aluminum Tank), MRI-specific; contractor-provided MRI-conditional valves and regulators | EEA24/7 response; response within 2 hours and delivery within 4 hours when ordered. Separate emergency rate by gas type and size.1MISSING PRICE
39Emergency Delivery100% Carbon Dioxide | G 428EA24/7 response; response within 2 hours and delivery within 4 hours when ordered. Separate emergency rate by gas type and size.1MISSING PRICE
40Emergency DeliveryArgon, High Purity grade | 220EA24/7 response; response within 2 hours and delivery within 4 hours when ordered. Separate emergency rate by gas type and size.1MISSING PRICE
41Emergency DeliveryHelium, 99.999% Purity | H 218EA24/7 response; response within 2 hours and delivery within 4 hours when ordered. Separate emergency rate by gas type and size.1MISSING PRICE
42Emergency DeliveryLung Diffusion Gas Certified: 0.3% CO, 0.3% CH4, 21% O2, balance N2 | Size 200 / HEA24/7 response; response within 2 hours and delivery within 4 hours when ordered. Separate emergency rate by gas type and size.1MISSING PRICE
43Emergency DeliveryNitrogen, Ultrapure, Purity 99.999% | 230EA24/7 response; response within 2 hours and delivery within 4 hours when ordered. Separate emergency rate by gas type and size.1MISSING PRICE
44Emergency DeliveryHelium 80%, Oxygen 20% | HEA24/7 response; response within 2 hours and delivery within 4 hours when ordered. Separate emergency rate by gas type and size.1MISSING PRICE
45Emergency DeliveryLiquid Nitrogen for VA-owned dewars ((6) 30 L and (2) 50 L) | 25 LiterEA24/7 response; response within 2 hours and delivery within 4 hours when ordered. Separate emergency rate by gas type and size.1MISSING PRICE
46Emergency DeliveryR/S SHIELD LN2 | 175 LEA24/7 response; response within 2 hours and delivery within 4 hours when ordered. Separate emergency rate by gas type and size.1MISSING PRICE
47Emergency DeliveryR/S SHIELD LN2 (CRYOVATS) | 230 LEA24/7 response; response within 2 hours and delivery within 4 hours when ordered. Separate emergency rate by gas type and size.1MISSING PRICE
48Emergency DeliveryR/S VABBB LN2 | 185 LEA24/7 response; response within 2 hours and delivery within 4 hours when ordered. Separate emergency rate by gas type and size.1MISSING PRICE
49Emergency DeliveryR/S PCASE CO2 | 200 / CGA 320EA24/7 response; response within 2 hours and delivery within 4 hours when ordered. Separate emergency rate by gas type and size.1MISSING PRICE
50Emergency DeliveryR/S PCASE O2 | 200 / CGA 540EA24/7 response; response within 2 hours and delivery within 4 hours when ordered. Separate emergency rate by gas type and size.1MISSING PRICE
51Hydrostatic TestingVA-owned E cylinderEATesting as requested; written result per cylinder1MISSING PRICE
52Hydrostatic TestingVA-owned F cylinderEATesting as requested; written result per cylinder1MISSING PRICE
53Hydrostatic TestingVA-owned G / G 428 cylinderEATesting as requested; written result per cylinder1MISSING PRICE
54Hydrostatic TestingVA-owned H cylinderEATesting as requested; written result per cylinder1MISSING PRICE
55Hydrostatic TestingVA-owned 175 L dewarEATesting as requested; written result per container1MISSING PRICE
56Hydrostatic TestingVA-owned 200 cylinderEATesting as requested; written result per cylinder1MISSING PRICE
57Hydrostatic TestingVA-owned 25 / 30 / 50 L dewarEATesting as requested; written result per container1MISSING PRICE
58LOUE cylinderEAReplacement value less allocable rental paid; separate PO after CO agreement1MISSING PRICE
59LOUH cylinderEAReplacement value less allocable rental paid; separate PO after CO agreement1MISSING PRICE
60LOUF cylinderEAReplacement value less allocable rental paid; separate PO after CO agreement1MISSING PRICE
61LOUG / G 428 cylinderEAReplacement value less allocable rental paid; separate PO after CO agreement1MISSING PRICE
62LOU220 / 230 cylinderEAReplacement value less allocable rental paid; separate PO after CO agreement1MISSING PRICE
TOTAL ANCILLARY PRICING$0.00$0.00$0.00$0.00

RFQ 36C26227Q0053 | Revised Price Worksheet | B.3 excluded Page &P of &N

Evaluation Summary

PRICE EVALUATION SUMMARY
Base plus all four option periods are included.
CategoryBaseOption Year 1Option Year 2Option Year 3Option Year 45-Year TotalStatus
Gas and liquid nitrogen$0.00$0.00$0.00$0.00$0.00$0.0023 missing
Rental and ancillary$0.00$0.00$0.00$0.0039 missing
TOTAL EVALUATED PRICE$0.00$0.00$0.00$0.00INCOMPLETE

RFQ 36C26227Q0053 | Revised Price Worksheet | B.3 excluded Page &P of &N

Source Notes

SOURCE AND ASSUMPTION LOG
Traceability for the revised worksheet. B.3 is not used.
Workbook ElementSourceRequirement / AssumptionTreatmentReview Status
Gas lines and usageB.2 Annex B23 gas/LN2 items and estimated monthly usageAnnual estimate = monthly x 12Imported
Emergency deliveryB.2 Section 11 + Annex BSeparately billable when Government designates emergency23 separate EA pricing lines, one per gas type and sizeGovernment review
Excluded sourceB.3User directed B.3 be ignored entirelyNo structure or quantities taken from B.3Excluded

RFQ 36C26227Q0053 | Revised Price Worksheet | B.3 excluded Page &P of &N

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