Attachment B - Schedule update 2.xlsx

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6830--Special; VISN 23 Medical Gases
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36C26320Q0540
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VHAPM_819.7004_Attach_1_Tiered_Cascading_Set_Aside_Decision_Document2_SBLx.pdf PDF
36C26320Q0540 A0003_1.docx DOCX document
36C26320Q0540 A0003.pdf PDF
VENDOR QA 2.pdf PDF
36C26320Q0540 A0002_1.docx DOCX document
36C26320Q0540 A0002.pdf PDF
Attachment B - Schedule updated.xlsx XLSX spreadsheet
36C26320Q0540 A0001_1.docx DOCX document
VENDOR QA.pdf PDF
36C26320Q0540 A0001.pdf PDF
Attachment B - Schedule of Items.xlsx XLSX spreadsheet
Attachment A - Facility Locations.pdf PDF
36C26320Q0540_1.docx DOCX document
36C26320Q0540.pdf PDF
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COMBINED SCHEDULE

CLIN#Item descriptionESTIMATED QUANTITYUNITPRICE PER
0001Oxygen, USP, 15CF, D, Aluminum11CY
0002Oxygen, USP, 25CF, E5052CY
0003Nitrogen, NF, 230CF, G32CY
0004Nitrogen, NF, Liquid, Liter4202CY
0005Carbon Dioxide, USP, 50#175CY
0006Carbon Dioxide, USP, E307CY
0007Argon, R4031CY
0008Mixed Gas, .3% CO, .3% CH4, 21% O2, Bal N2, G9CY
0009Acetylene 50lbs9CY
0010ACETYLENE SIZE B7CY
0011Acetylene D Cylinder5CY
0012Air Compressed, CGA Type 1, Medical, Size H Cylinder2CY
0013Air USP Size 3001CY
0014Air Compressed, CGA Type 1, Medical, Size E Cylinder16CY
0015INM 25% CD/AR 3001CY
0016Argon UHP Grade 5.0 Size 3002CY
0017Argon, Size 300 cylinder10CY
0018Argon, E cylinder2EA
0019Carbon Dioxide 200 CGA 320 Tank product (used to refill station owned tank)89CY
0020GAS, CARBON DIOXIDE, K CYLINDER265CY
0021Carbon Dioxide, Medicinal Grade A, Size G Cylinder17CY
0022Carbon Dioxide, Medicinal Grade A, Size E Cylinder848CY
0023Helium, Size K Cylinder2CY
0024Helium, 99.99 Purity H218 Cylinder6CY
0025Helium High Purity/Hi Pressure 6000 PSI, size 200 (99.995%)6CY
0026Helium, Industrial, Size K, 6000 psi14CY
0027Liquid Helium, 100 Liter Portable7CY
002825% ARGON/BAL NITROGEN, SIZE 300 STEEL CYL12CY
0029CYL Nitrogen High Purity 300 CGA 580134CY
0030Nitrogen K Cylander 224 CF139CY
0031Liquid Nitrogen, 160 Liter Cylinder180CY
0032Liquid Nitrogen, low pressure, tank on wheels, 230 Liter Cylinder120CY
0033LIQ NITROGEN, LOW PRESSURE, TANK ON WHEELS, 230 LITER CYL21CY
0034Liquid Nitrogen, 10 Litre Cylinder8CY
0035Liquid Nitrogen, 25 Litre Cylinder133CY
0036Liquid Nitrogen, (BULK) Tank Refilled at Loading Dock4LTR
0037MEDICAL NITROGEN SIZE 3002CY
0038AIR ZERO 300 CGA 5908CY
0039Nitrous Oxide K Cylinder65CY
0040CYL Nitrous Oxide USP 20 LBS20CY
0041NITROUS OXIDE, 6 LBS, E CYLINDER36CY
0042Nitrous Oxide, Size G Cylinder54CY
0043Oxygen, Industrial 2002CY
0044Oxygen UDP Liquid 160LT230 PSI20CY
0045Oxygen Medical, Size H Cylinder39CY
0046Oxygen, Medicinal, Size E Cylinder1590CY
0047Oxygen, Gaseous, Size E Aluminum Tank10980CY
0048E Size, MRI Compatible30CY
0049Oxygen Gas, E Size (walkabout)10705CY
0050Industrial Propane 100 LBs2CY
0051Oxygen, USP, 15CF, D, Aluminum1CY
0052Oxygen, USP, G6CY
0053Oxygen, USP, 125CF1CY
0054Cyl Rent Nitrogen, NF, 230CF, G16CY
0055Cyl Rent 70% HE, 30% O2, USP, G2292CY
0056Cyl Rent Compressed Air, USP, 233CF360CY
0057Cyl Rent Nitrous Oxide, USP, G720CY
0058Cyl Rent 10% Hydrogen, 10% CO2, Bal N2, Sz 200720CY
0059Cyl Rent .3% CO, .3% CH4, 21% O2, Bal N2, G924CY
0060Research 6.0 Grade Hydrogen, Size 300 Cylinder, CGA-3503CY
0061CB 10% CD/21% OX/BAL NI SIZE 200 CYL CGA 50012CY
0062Spec Mix Gas: 5% CO2, 20% O2, bal NI (Size H)12CY
0063(GFE) CB 4% CD/ 16% OX/ NI E C/O12CY
0064Lung Diffusion: 3% Gas Certified, 3% Carbon Monoxide, 3% Methane, 21% Oxygen, Balance Nitrogen, Size H175 Cylinder16CY
0065Lung Diffusion: 3% Gas Certified, 0.3% Carbon Monoxide, 0.3% Methane, 21% Oxygen, Balance Nitrogen, Size E Cylinder9CY
0066LUNG DF NIT-CO .3%-METH .3%20CY
0067CBG NIT-OXY 26% PS E8CY
0068OXYGEN K2CY
0069STARGON ARG-CO2 8%-OXY 2% S3CY
0070NIT-CO2 4%-OXY 16% PS E8CY
0071Testing for New Government Owned Cylinders acquired after the start of the contract
4CY
0072GAS CYLINDERS: Sizes A,B,C,D, & E charged monthly18748CY
0073GAS CYLINDERS: Sizes Other than A,B,C,D, & E charged monthly5916CY
0074Liquid Containers (Portable) less than 160 Liter Capacity charged monthly148CY
0075Liquid Containers (Portable) greater than 160 Liter Capacity charged monthly341CY
0076Walk-O2-Bout Size E Cylinder charged monthly10705CY
0077Walk-O2-Bout Size E Cylinder MRI charged monthly30CY
0078Emergency Fee EstimateYR
0079Cylinder Repair Estimate (2% med gas cost)YR

CLINS RENUMBERED PER SITE. USE COMBINED SCHEDULE TAB IF OFFERRING 1 FLAT PRICE FOR EACH STATION.

Schedule B - St. Cloud

CLIN#Item descriptionPRICE PERUNITST. CLOUD ESTIMATED ANNUAL DEMAND
0001Carbon Dioxide, Medicinal Grade A, Size E CylinderCY150
0002Liquid Nitrogen, 10 Litre CylinderCY8
0003NITROUS OXIDE, 6 LBS, E CYLINDERCY6
0004Oxygen UDP Liquid 160LT230 PSICY20
0005Oxygen, Gaseous, Size E Aluminum TankCY7800
0006E Size, MRI CompatibleCY20
0007Lung Diffusion: 3% Gas Certified, 0.3% Carbon Monoxide, 0.3% Methane, 21% Oxygen, Balance Nitrogen, Size E CylinderCY3
0008GAS CYLINDERS: Sizes A,B,C,D, & E charged monthlyCY7959
0009Liquid Containers (Portable) less than 160 Liter Capacity charged monthlyCY8
0010Liquid Containers (Portable) greater than 160 Liter Capacity charged monthlyCY20
0011Walk-O2-Bout Size E Cylinder MRI charged monthlyCY20

Schedule B - Fargo

CLIN#Item descriptionPRICE PERUNITFARGO ESTIMATED ANNUAL DEMAND
0001Oxygen, USP, 25CF, ECY1600
0002Nitrogen, NF, 230CF, GCY20
0003Nitrogen, NF, Liquid, LiterCY250
0004Carbon Dioxide, USP, 50#CY5
0005Mixed Gas, .3% CO, .3% CH4, 21% O2, Bal N2, GCY5
0006Air Compressed, CGA Type 1, Medical, Size E CylinderCY4
0007INM 25% CD/AR 300CY1
0008Carbon Dioxide 200 CGA 320 Tank product (used to refill station owned tank)CY5
0009Carbon Dioxide, Medicinal Grade A, Size G CylinderCY5
0010Carbon Dioxide, Medicinal Grade A, Size E CylinderCY2
0011Nitrous Oxide, Size G CylinderCY15
0012GAS CYLINDERS: Sizes A,B,C,D, & E charged monthlyCY1606
0013GAS CYLINDERS: Sizes Other than A,B,C,D, & E charged monthlyCY45

Schedule B - Sioux Falls

CLIN#Item descriptionPRICE PERUNITSIOUX FALLS ESTIMATED ANNUAL DEMAND
0001Oxygen, USP, 15CF, D, AluminumCY1
0002Oxygen, USP, 25CF, ECY2512
0003Nitrogen, NF, 230CF, GCY4
0004Nitrogen, NF, Liquid, LiterCY352
0005Carbon Dioxide, USP, 50#CY16
0006Carbon Dioxide, USP, ECY121
0007Argon, R40CY1
0008Mixed Gas, .3% CO, .3% CH4, 21% O2, Bal N2, GCY4
0009Argon, E cylinderEA2
0010Liquid Nitrogen, (BULK) Tank Refilled at Loading DockLTR364dewar fill rate, Sioux Falls is estimating that they’ll need approximately 72 fills annually.
0011Oxygen, USP, 15CF, D, AluminumCY1
0012Oxygen, USP, GCY1
0013Oxygen, USP, 125CFCY1
0014Cyl Rent Nitrogen, NF, 230CF, GCY16
0015Cyl Rent 70% HE, 30% O2, USP, GCY1020
0016Cyl Rent Compressed Air, USP, 233CFCY360
0017Cyl Rent Nitrous Oxide, USP, GCY720
0018Cyl Rent 10% Hydrogen, 10% CO2, Bal N2, Sz 200CY720
0019Cyl Rent .3% CO, .3% CH4, 21% O2, Bal N2, GCY720
0020Testing for New Government Owned Cylinders acquired after the start of the contract
CY4
0021GAS CYLINDERS: Sizes A,B,C,D, & E charged monthlyCY2637
0022GAS CYLINDERS: Sizes Other than A,B,C,D, & E charged monthlyCY3205

Schedule B - Black Hills

CLIN#Item descriptionPRICE PERUNITBLACK HILLS ESTIMATED ANNUAL DEMAND
0001Oxygen, USP, 15CF, D, AluminumCY10
0002Carbon Dioxide, USP, 50#CY2
0003Carbon Dioxide, USP, ECY2
0004Acetylene 50lbsCY5
0005ACETYLENE SIZE BCY5
0006Acetylene D CylinderCY5
0007Argon, Size 300 cylinderCY10
0008Carbon Dioxide, Medicinal Grade A, Size G CylinderCY12
0009Carbon Dioxide, Medicinal Grade A, Size E CylinderCY86
0010Nitrogen K Cylander 224 CFCY10
0011Liquid Nitrogen, 25 Litre CylinderCY133
0012CYL Nitrous Oxide USP 20 LBSCY12
0013Oxygen, Gaseous, Size E Aluminum TankCY3036
0014E Size, MRI CompatibleCY10
0015GAS CYLINDERS: Sizes A,B,C,D, & E charged monthlyCY3144
0016GAS CYLINDERS: Sizes Other than A,B,C,D, & E charged monthlyCY44
0017Liquid Containers (Portable) less than 160 Liter Capacity charged monthlyCY133
0018Walk-O2-Bout Size E Cylinder MRI charged monthlyCY10

Schedule B - NWI

CLIN#Item descriptionPRICE PERUNITNWI ESTIMATED ANNUAL DEMAND
0001Nitrogen, NF, 230CF, GCY8
0002Nitrogen, NF, Liquid, LiterCY3600
0003Carbon Dioxide, USP, 50#CY56
0004Argon, R40CY30
0005Acetylene 50lbsCY4
0006Air USP Size 300CY1
0007GAS, CARBON DIOXIDE, K CYLINDERCY265
0008Helium, Size K CylinderCY2
0009Helium, 99.99 Purity H218 CylinderCY6
0010CYL Nitrogen High Purity 300 CGA 580CY12
0011AIR ZERO 300 CGA 590CY8
0012NITROUS OXIDE, 6 LBS, E CYLINDERCY30
0013Oxygen, Industrial 200CY2
0014Oxygen Medical, Size H CylinderCY12
0015Oxygen, Medicinal, Size E CylinderCY1560
0016Oxygen, Gaseous, Size E Aluminum TankCY144
0017Research 6.0 Grade Hydrogen, Size 300 Cylinder, CGA-350CY3
0018Lung Diffusion: 3% Gas Certified, 3% Carbon Monoxide, 3% Methane, 21% Oxygen, Balance Nitrogen, Size H175 CylinderCY16
0019GAS CYLINDERS: Sizes A,B,C,D, & E charged monthlyCY1734
0020GAS CYLINDERS: Sizes Other than A,B,C,D, & E charged monthlyCY391

Schedule B - Mpls

CLIN#Item descriptionPRICE PERUNITMPLS ESTIMATED ANNUAL DEMAND
0001Air Compressed, CGA Type 1, Medical, Size H CylinderCY2
0002Argon UHP Grade 5.0 Size 300CY2
0003Carbon Dioxide 200 CGA 320 Tank product (used to refill station owned tank)CY84
0004Carbon Dioxide, Medicinal Grade A, Size E CylinderCY600
0005Helium, Industrial, Size K, 6000 psiCY14
0006Liquid Helium, 100 Liter PortableCY7
000725% ARGON/BAL NITROGEN, SIZE 300 STEEL CYLCY12
0008CYL Nitrogen High Purity 300 CGA 580CY122
0009Nitrogen K Cylander 224 CFCY45
0010Liquid Nitrogen, low pressure, tank on wheels, 230 Liter CylinderCY120
0011LIQ NITROGEN, LOW PRESSURE, TANK ON WHEELS, 230 LITER CYL MRICY21
0012MEDICAL NITROGEN SIZE 300CY2
0013Nitrous Oxide K CylinderCY41
0014CYL Nitrous Oxide USP 20 LBSCY8
0015Nitrous Oxide, Size G CylinderCY39
0016Oxygen Medical, Size H CylinderCY27
0017Oxygen, Medicinal, Size E CylinderCY30
0018Oxygen Gas, E Size (walkabout)CY5705
0019Cyl Rent 70% HE, 30% O2, USP, GCY1272
0020Cyl Rent .3% CO, .3% CH4, 21% O2, Bal N2, GCY204
0021Lung Diffusion: 3% Gas Certified, 0.3% Carbon Monoxide, 0.3% Methane, 21% Oxygen, Balance Nitrogen, Size E CylinderCY6
0022GAS CYLINDERS: Sizes A,B,C,D, & E charged monthlyCY636
0023GAS CYLINDERS: Sizes Other than A,B,C,D, & E charged monthlyCY1931
0024Liquid Containers (Portable) less than 160 Liter Capacity charged monthlyCY7
0025Liquid Containers (Portable) greater than 160 Liter Capacity charged monthlyCY141
0026Walk-O2-Bout Size E Cylinder charged monthlyCY5705

Schedule B - Central Iowa

CLIN#Item descriptionPRICE PERUNITCENTRAL IOWA ESTIMATED ANNUAL DEMAND
0001Carbon Dioxide, USP, ECY40
0002ACETYLENE SIZE BCY2
0003Carbon Dioxide, Medicinal Grade A, Size E CylinderCY10
0004Oxygen Gas, E Size (walkabout)CY5000
0005Industrial Propane 100 LBsCY2
0006Oxygen, USP, GCY5
0007LUNG DF NIT-CO .3%-METH .3%CY8
0008CBG NIT-OXY 26% PS ECY8
0009OXYGEN KCY2
0010STARGON ARG-CO2 8%-OXY 2% SCY3
0011NIT-CO2 4%-OXY 16% PS ECY8
0012GAS CYLINDERS: Sizes A,B,C,D, & E charged monthlyCY68
0013GAS CYLINDERS: Sizes Other than A,B,C,D, & E charged monthlyCY18
0014Walk-O2-Bout Size E Cylinder charged monthlyCY5000

Schedule B - Iowa City

CLIN#Item descriptionPRICE PERUNITIOWA CITY ESTIMATED ANNUAL DEMAND
0001Oxygen, USP, 25CF, ECY940
0002Carbon Dioxide, USP, 50#CY96
0003Carbon Dioxide, USP, ECY144
0004Air Compressed, CGA Type 1, Medical, Size E CylinderCY12
0005Helium High Purity/Hi Pressure 6000 PSI, size 200 (99.995%)CY6
0006Nitrogen K Cylander 224 CFCY84
0007Liquid Nitrogen, 160 Liter CylinderCY180
0008Nitrous Oxide K CylinderCY24
0009CB 10% CD/21% OX/BAL NI SIZE 200 CYL CGA 500CY12
0010Spec Mix Gas: 5% CO2, 20% O2, bal NI (Size H)CY12
0011(GFE) CB 4% CD/ 16% OX/ NI E C/OCY12
0012LUNG DF NIT-CO .3%-METH .3%CY12
0013GAS CYLINDERS: Sizes A,B,C,D, & E charged monthlyCY964
0014GAS CYLINDERS: Sizes Other than A,B,C,D, & E charged monthlyCY282
0015Liquid Containers (Portable) greater than 160 Liter Capacity charged monthlyCY180

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