The file's text, extracted by GovTribe without its formatting.
5. PROJECT NUMBER (if applicable)
CODE
7. ADMINISTERED BY
2. AMENDMENT/MODIFICATION NUMBER
CODE
6. ISSUED BY
8. NAME AND ADDRESS OF CONTRACTOR
4. REQUISITION/PURCHASE REQ. NUMBER
3. EFFECTIVE DATE
9A. AMENDMENT OF SOLICITATION NUMBER
9B. DATED
PAGE OF PAGES
10A. MODIFICATION OF CONTRACT/ORDER NUMBER
10B. DATED
BPA NO.
1. CONTRACT ID CODE
FACILITY CODE
CODE
Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:
The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers
E. IMPORTANT:
is extended,
(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.
12. ACCOUNTING AND APPROPRIATION DATA
(REV. 11/2016)
is required to sign this document and return ___________ copies to the issuing office.
is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.
15C. DATE SIGNED
B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).
RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.
C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
D. OTHER
Contractor
16C. DATE SIGNED
14. DESCRIPTION OF AMENDMENT/MODIFICATION
16B. UNITED STATES OF AMERICA
Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.
15A. NAME AND TITLE OF SIGNER
16A. NAME AND TITLE OF CONTRACTING OFFICER
15B. CONTRACTOR/OFFEROR
STANDARD FORM 30
PREVIOUS EDITION NOT USABLE
Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)
(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)
(If required)
(SEE ITEM 11)
(SEE ITEM 13)
(X)
CHECK
ONE
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,
IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
(Signature of person authorized to sign) (Signature of Contracting Officer) N/A Department of Veterans Affairs Commodities & Services Acquisition Svc (003B6E) 555 Corporate Circle Golden
CO
80401-5621 Department of Veterans Affairs Commodities & Services Acquisition Svc (003B6E) 555 Corporate Circle Golden
CO
80401-5621 To all Offerors/Bidders
36C79121R0008 10-01-2021
X x x x Amendment 0002 to Solicitation 36C79121R0008 revises and incorporates the following:
1.Revised Price Schedule; 2.Revised Price Proposal Evaluation Criteria 3.Revises Past Performance Criteria 4. Removes and Incorporates Clause 5. Revises Tech Refresh and Product Recall language. See attachment for revisions and incorporations. See Q&A document as well. Please acknowledge receipt of this amendment by completing option (a) in box 11 above.
All other solicitation language, terms, conditions, and provisions remain the same.
This amendment extends the proposal due date to October 25, 2021, 1300 MTN Star M. Yeo Contracting Officer
CONTINUATION PAGE
5. PROJECT NUMBER (if applicable)
CODE
7. ADMINISTERED BY
2. AMENDMENT/MODIFICATION NUMBER
CODE
6. ISSUED BY
8. NAME AND ADDRESS OF CONTRACTOR
4. REQUISITION/PURCHASE REQ. NUMBER
3. EFFECTIVE DATE
9A. AMENDMENT OF SOLICITATION NUMBER
9B. DATED
PAGE OF PAGES
10A. MODIFICATION OF CONTRACT/ORDER NUMBER
10B. DATED
BPA NO.
1. CONTRACT ID CODE
FACILITY CODE
CODE
Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:
The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers
E. IMPORTANT:
is extended
(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.
12. ACCOUNTING AND APPROPRIATION DATA
(REV. 11/2016)
is required to sign this document and return ___________ copies to the issuing office.
is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.
15C. DATE SIGNED
B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).
RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.
C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
D. OTHER
Contractor
16C. DATE SIGNED
14. DESCRIPTION OF AMENDMENT/MODIFICATION
16B. UNITED STATES OF AMERICA
Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.
15A. NAME AND TITLE OF SIGNER
16A. NAME AND TITLE OF CONTRACTING OFFICER
15B. CONTRACTOR/OFFEROR
STANDARD FORM 30
PREVIOUS EDITION NOT USABLE
Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)
(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)
(If required)
(SEE ITEM 11)
(SEE ITEM 13)
(X)
CHECK
ONE
13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,
IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
(Signature of person authorized to sign) (Signature of Contracting Officer) N/A Department of Veterans Affairs Commodities & Services Acquisition Svc (003B6E) 555 Corporate Circle Golden CO 80401-5621 Department of Veterans Affairs Commodities & Services Acquisition Svc (003B6E) 555 Corporate Circle Golden CO 80401-5621 To all Offerors/Bidders
36C79121R0008 09-09-2021
X x X
X Amendment 000 to Solicitation 36C79121R0008 revises and incorporates the following:
1.
Revised Price Schedule; 2.Revised Price Proposal Evaluation Criteria 3.Revises Past Performance Criteria 4. Removes and add
Incorporate Clause 5.Revises Tech Refresh and Product Recall language. See attachment for revisions and incorporations.
See Q&A document as well.
Please acknowledge receipt of this amendment by completing option (a) in box 11 above.
See Q&A document as well.
All other solicitation language, terms, conditions, and provisions remain the same.
This amendment extends the proposal due date to October 25, 2021, 1300 MTN Star M. Yeo Contracting Officer
CONTINUATION PAGE
Amendment 0002 to 36C79121R0008 | Amending the following in the Pricing Schedule pages 17- 33.
1. Removed “with modem” from the IVR (1-2b, 2-2b, etc.) and Web Browser (1-13, 2-13, etc.).
2. Added new CLN for modem as separate optional line item 1-27, 2-27, etc.
3. Corrected line-item numbering in year 6 for lines -6, -7, and -8.
Pricing Schedule: (old) “Base Year One – Pricing Schedule
A Schedule with Required (R) and Optional (O) line items follows:
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Monthly Fee (per patient |
/MO)
Estimated Monthly Quantity*
| 1-1 |
| N/A |
| General Service Fee*** Only GSF 1-1a or 1-1b will be awarded per vendor |
| 3.1.C |
| 1-1a |
| R |
| General Service Fee – |
Hosted on premise of VA 3.1.C
Data Center
/MO
| 1-1b |
| R |
| General Service Fee – Hosted on VA Enterprise Cloud |
| 3.1.C |
/MO
18,000
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Unit Price (per item) |
| Estimated Yearly Quantity* |
PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms
| 1-2a |
| 2/3R |
| Platform - Hub with Cellular & POTS capability |
| 3.1.B |
| $ |
| $ |
| 22,500 |
| 1-2b |
| 2/3R |
| Platform – IVR with Modem |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 12,250 |
| 1-2c |
| 2/3R |
| Platform - Mobile App |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 1,250 |
PERIPHERALS
| 1-3 |
| R |
| Pedometer |
| 3.1.B |
| $ |
| $ |
| 1,750 |
| 1-4 |
| R |
| Spirometer |
| 3.1.B |
| $ |
| $ |
| 100 |
| 1-5 |
| R |
| Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters |
| 3.1.B |
| $ |
| $ |
| 7,250 |
| 1-6 |
| R |
| Manuals/User guides |
| 3.4.C |
| $ |
| $ |
| 3914 |
| 1-7 |
| R |
| Set up guide |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 1-8 |
| R |
| New/initial Vendor developed DMP and implementation |
| 3.2.A |
| $ |
| $ |
| 1 |
PERIPHERALS (Offerors must price the following ONLY IF the proposed PLATFORM IS NOT COMPATIBLE WITH VA PROVIDED PERIPHERALS**)
| 1-9 |
| R** |
| Digital Weight Scale |
| 3.1.B |
| $ |
| $ |
| 12,500 |
| 1-10 |
| R** |
| Electronic Digital Blood Pressure Monitor (predominantly Medium sized used) |
| 3.1.B |
| $ |
| $ |
| 29,500 |
| 1-11 |
| R** |
| Electronic Thermometer – Non-Bluetooth |
| 3.1.B |
| $ |
| $ |
| 1,000 |
| 1-12 |
| R** |
| Pulse Oximeter – Non- Bluetooth |
| 3.1.B |
| $ |
| $ |
| 5,500 |
OPTIONAL ITEMS
| 1-13 |
| O |
| Platform – Web Browser w/modem |
| 3.1.B |
| $ |
| $ |
| 250 |
| 1-14 |
| O |
| Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub) |
| 3.1.B |
| $ |
| $ |
| 1,000 |
| 1-15 |
| O |
| Platform – Mobile Device – Cellular Connectivity |
| 3.1.B |
| $ |
| $ |
| 360 |
| 1-16 |
| O |
| Telephone extension cord |
| N/A |
| $ |
| $ |
| 3,914 |
| 1-17 |
| O |
| Telephone adapter |
| N/A |
| $ |
| $ |
| 3,914 |
| 1-18 |
| O |
| AC Power cord |
| N/A |
| $ |
| $ |
| 4,166 |
| 1-19 |
| O |
| Scale Carpet Cups |
| N/A |
| $ |
| $ |
| 1,800 |
| 1-20 |
| O |
| Peripheral – Electronic Stethoscope (for Video Hub only) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 1-21 |
| O |
| Peripheral – Electro Cardio Graph (ECG) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 1-22 |
| O |
| Peripheral – Bariatric Scale |
| 3.1.B |
| $ |
| $ |
| 63 |
| 1-23 |
| O |
| Peripheral – Health & Fitness Tracker (for daily wear/use) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 1-24 |
| O |
| Peripheral – Talking Weight Scale |
| 3.1.B |
| $ |
| $ |
| 250 |
| 1-25 |
| O |
| Peripheral – Coagulation Monitoring Device |
| 3.1.B |
| $ |
| $ |
| 63 |
| 1-26 |
| O |
| Peripheral – Continuous - Blood Glucose adaptor/cable |
| 3.1.B |
| $ |
| $ |
| 250 |
* Quantities are for evaluation purposes only, and reflect one-fourth of the current total estimated quantity.
** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 1-9 thru 1- 12) but not both.
***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read entire section).
Base Year Two – Pricing Schedule
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Monthly Fee (per patient |
/MO)
Estimated Monthly Quantity*
| 2-1 |
| N/A |
| General Service Fee*** Only GSF 2-1a or 2-1b will be awarded per |
vendor 3.1.C
| 2-1a |
| R |
| General Service Fee – |
Hosted on premise of VA Data Center 3.1.C
/MO
18,180
| 2-1b |
| R |
| General Service Fee – Hosted on VA Enterprise Cloud |
| 3.1.C |
18,180
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Unit Price (per item) |
| Estimated Yearly Quantity* |
PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms
| 2-2a |
| 2/3R |
| Platform - Hub with Cellular & POTS capability |
| 3.1.B |
| $ |
| $ |
| 11,250 |
| 2-2b |
| 2/3R |
| Platform – IVR with Modem |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 6,250 |
| 2-2c |
| 2/3R |
| Platform - Mobile App |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 1,250 |
PERIPHERALS
| 2-3 |
| R |
| Pedometer |
| 3.1.B |
| $ |
| $ |
| 875 |
| 2-4 |
| R |
| Spirometer |
| 3.1.B |
| $ |
| $ |
| 25 |
| 2-5 |
| R |
| Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters |
| 3.1.B |
| $ |
| $ |
| 3,750 |
| 2-6 |
| R |
| Manuals/user guides |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 2-7 |
| R |
| Set up guide |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 2-8 |
| R |
| New/initial Vendor developed DMP and implementation |
| 3.2.A |
| $ |
| $ |
| 1 |
PERIPHERALS (Offerors must price the following ONLY IF PLATFORM IS NOT COMPATIBLE WITH VA PROVIDED PERIPHERALS**)
| 2-9 |
| R** |
| Digital Weight Scale (Regular) |
| 3.1.B |
| $ |
| $ |
| 6,250 |
| 2-10 |
| R** |
| Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used) |
| 3.1.B |
| $ |
| $ |
| 14,750 |
| 2-11 |
| R** |
| Electronic Thermometer – non-Bluetooth |
| 3.1.B |
| $ |
| $ |
| 500 |
| 2-12 |
| R** |
| Pulse Oximeter – non- Bluetooth |
| 3.1.B |
| $ |
| $ |
| 2,750 |
OPTIONAL ITEMS
| 2-13 |
| O |
| Platform – Browser w/modem |
| 3.1.B |
| $ |
| $ |
| 6,250 |
| 2-14 |
| O |
| Platform – Video Hub – POTS & Cellular connectivity |
| 3.1.B |
| $ |
| $ |
| 500 |
(vendor provided Video Hub)
| 2-15 |
| O |
| Platform – Mobile Device – Cellular Connectivity |
| 3.1.B |
| $ |
| $ |
| 180 |
| 2-16 |
| O |
| Telephone extension cord |
| N/A |
| $ |
| $ |
| 3,914 |
| 2-17 |
| O |
| Telephone adapter |
| N/A |
| $ |
| $ |
| 3,914 |
| 2-18 |
| O |
| AC Power cord |
| N/A |
| $ |
| $ |
| 4,166 |
| 2-19 |
| O |
| Scale Carpet Cups |
| N/A |
| $ |
| $ |
| 1,800 |
| 2-20 |
| O |
| Peripheral – Electronic Stethoscope (for Video Hub only) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 2-21 |
| O |
| Peripheral – Electro Cardio Graph (ECG) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 2-22 |
| O |
| Peripheral – Bariatric Scale |
| 3.1.B |
| $ |
| $ |
| 63 |
| 2-23 |
| O |
| Peripheral – Health & Fitness Tracker (for daily wear/use) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 2-24 |
| O |
| Peripheral – Talking Weight Scale |
| 3.1.B |
| $ |
| $ |
| 250 |
| 2-25 |
| O |
| Peripheral – Coagulation Monitoring Device |
| 3.1.B |
| $ |
| $ |
| 63 |
| 2-26 |
| O |
| Peripheral – Continuous Blood Glucose Monitor |
| 3.1.B |
| $ |
| $ |
| 250 |
* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.
** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 2-9 thru 2- 12) but not both.
***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read entire section).
Year Three – Option Period 1 Pricing Schedule
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Monthly Fee (per patient |
/MO)
Estimated Monthly Quantity*
| 3-1 |
| N/A |
| General Service Fee*** Only GSF 3-1a or 3- 1b will be awarded |
per vendor
| 3-1a |
| R |
| General Service Fee – |
Hosted on premise of VA Data Center 3.1.C
/MO
18,362
| 3-1b |
| R |
| General Service Fee – Hosted on VA Enterprise Cloud |
| 3.1.C |
18,362
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Unit Price (per item) |
| Estimated Yearly Quantity* |
PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms
| 3-2a |
| 2/3R |
| Platform - Hub with Cellular & POTS capability |
| 3.1.B |
| $ |
| $ |
| 11,250 |
| 3-2b |
| 2/3R |
| Platform – IVR with Modem |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 6,357 |
| 3-2c |
| 2/3R |
| Platform - Mobile App |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 1,250 |
PERIPHERALS
| 3-3 |
| R |
| Pedometer |
| 3.1.B |
| $ |
| $ |
| 875 |
| 3-4 |
| R |
| Spirometer |
| 3.1.B |
| $ |
| $ |
| 25 |
| 3-5 |
| R |
| Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters |
| 3.1.B |
| $ |
| $ |
| 3,750 |
| 3-6 |
| R |
| Manuals/user guides |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 3-7 |
| R |
| Set up guide |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 3-8 |
| R |
| New/initial Vendor developed DMP and implementation |
| 3.2.A |
| $ |
| $ |
| 1 |
PERIPHERALS (Offerors must price the following ONLY IF the proposed PLATFORM IS NOT COMPATIBLE WITH VA PROVIDED PERIPHERALS**)
| 3-9 |
| R** |
| Digital Weight Scale (Regular) |
| 3.1.B |
| $ |
| $ |
| 6,250 |
| 3-10 |
| R** |
| Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used) |
| 3.1.B |
| $ |
| $ |
| 14,750 |
| 3-11 |
| R** |
| Electronic Thermometer |
– non-Bluetooth
| 3-12 |
| R** |
| Pulse Oximeter – non- Bluetooth |
| 3.1.B |
| $ |
| $ |
| 2,750 |
OPTIONAL ITEMS
| 3-13 |
| O |
| Platform – Browser w/modem |
| 3.1.B |
| $ |
| $ |
| 6,357 |
| 3-14 |
| O |
| Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub) |
| 3.1.B |
| $ |
| $ |
| 575 |
| 3-15 |
| O |
| Platform – Mobile Device |
– Cellular Connectivity
| 3-16 |
| O |
| Telephone extension cord |
| N/A |
| $ |
| $ |
| 3,914 |
| 3-17 |
| O |
| Telephone adapter |
| N/A |
| $ |
| $ |
| 3,914 |
| 3-18 |
| O |
| AC Power cord |
| N/A |
| $ |
| $ |
| 4,166 |
| 3-19 |
| O |
| Scale Carpet Cups |
| N/A |
| $ |
| $ |
| 1,800 |
| 3-20 |
| O |
| Peripheral – Electronic Stethoscope (for Video Hub only) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 3-21 |
| O |
| Peripheral – Electro Cardio Graph (ECG) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 3-22 |
| O |
| Peripheral – Bariatric Scale |
| 3.1.B |
| $ |
| $ |
| 63 |
| 3-23 |
| O |
| Peripheral – Health & Fitness Tracker (for daily wear/use) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 3-24 |
| O |
| Peripheral – Talking Weight Scale |
| 3.1.B |
| $ |
| $ |
| 250 |
| 3-25 |
| O |
| Peripheral – Coagulation Monitoring Device |
| 3.1.B |
| $ |
| $ |
| 63 |
| 3-26 |
| O |
| Peripheral – Continuous Blood Glucose Monitor |
| 3.1.B |
| $ |
| $ |
| 250 |
* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.
** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 3-9 thru 3- 12) but not both.
***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read entire section).
Year Four – Option Period 2 Pricing Schedule
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Monthly Fee (per patient |
/MO)
Estimated Monthly Quantity*
| 4-1 |
| R |
| General Service Fee*** Only GSF 4-1a or 4-1b will be awarded per |
| 4-1a |
| R |
| General Service Fee – |
Hosted on premise of VA Data Center 3.1.C
/MO
18,545
| 4-1b |
| R |
| General Service Fee – Hosted on VA Enterprise Cloud |
| 3.1.C |
18,545
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Unit Price (per item) |
| Estimated Yearly Quantity* |
PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms
| 4-2a |
| 2/3R |
| Platform - Hub with Cellular & POTS capability |
| 3.1.B |
| $ |
| $ |
| 11,250 |
| 4-2b |
| 2/3R |
| Platform – IVR with Modem |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 6,384 |
| 4-2c |
| 2/3R |
| Platform - Mobile App |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 1,250 |
PERIPHERALS
| 4-3 |
| R |
| Pedometer |
| 3.1.B |
| $ |
| $ |
| 875 |
| 4-4 |
| R |
| Spirometer |
| 3.1.B |
| $ |
| $ |
| 25 |
| 4-5 |
| R |
| Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters |
| 3.1.B |
| $ |
| $ |
| 3,750 |
| 4-6 |
| R |
| Manuals/user guides |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 4-7 |
| R |
| Set up guide |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 4-8 |
| R |
| New/initial Vendor developed DMP and implementation |
| 3.2.A |
| $ |
| $ |
| 1 |
PERIPHERALS (Offerors must price the following ONLY IF PLATFORM IS NOT COMPATIBLE WITH VA PROVIDED PERIPHERALS**)
| 4-9 |
| R** |
| Digital Weight Scale (Regular) |
| 3.1.B |
| $ |
| $ |
| 6,250 |
| 4-10 |
| R** |
| Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used) |
| 3.1.B |
| $ |
| $ |
| 14,750 |
| 4-11 |
| R** |
| Electronic Thermometer – non-Bluetooth |
| 3.1.B |
| $ |
| $ |
| 500 |
| 4-12 |
| R** |
| Pulse Oximeter – non- Bluetooth |
| 3.1.B |
| $ |
| $ |
| 2,750 |
OPTIONAL ITEMS
| 4-13 |
| O |
| Platform – Browser |
| 3.1.B |
| $ |
| $ |
| 6,384 |
w/modem
| 4-14 |
| O |
| Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub) |
| 3.1.B |
| $ |
| $ |
| 661 |
| 4-15 |
| O |
| Platform – Mobile Device – Cellular Connectivity |
| 3.1.B |
| $ |
| $ |
| 250 |
| 4-16 |
| O |
| Telephone extension cord |
| N/A |
| $ |
| $ |
| 3,914 |
| 4-17 |
| O |
| Telephone adapter |
| N/A |
| $ |
| $ |
| 3,914 |
| 4-18 |
| O |
| AC Power cord |
| N/A |
| $ |
| $ |
| 4,166 |
| 4-19 |
| O |
| Scale Carpet Cups |
| N/A |
| $ |
| $ |
| 1,800 |
| 4-20 |
| O |
| Peripheral – Electronic Stethoscope (for Video Hub only) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 4-21 |
| O |
| Peripheral – Electro Cardio Graph (ECG) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 4-22 |
| O |
| Peripheral – Bariatric Scale |
| 3.1.B |
| $ |
| $ |
| 63 |
| 4-23 |
| O |
| Peripheral – Health & Fitness Tracker (for daily wear/use) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 4-24 |
| O |
| Peripheral – Talking Weight Scale |
| 3.1.B |
| $ |
| $ |
| 250 |
| 4-25 |
| O |
| Peripheral – Coagulation Monitoring Device |
| 3.1.B |
| $ |
| $ |
| 63 |
| 4-26 |
| O |
| Peripheral – Continuous Blood Glucose Monitor |
| 3.1.B |
| $ |
| $ |
| 250 |
* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.
** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 4-9 thru 4- 12) but not both.
***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read entire section).
Year Five – Option Period 3 Pricing Schedule
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Monthly Fee (per patient |
/MO)
Estimated Monthly Quantity*
| 5-1 |
| R |
| General Service Fee*** Only GSF 5-1a or 5-1b will be awarded per vendor |
| 5-1a |
| R |
| General Service Fee – Hosted |
on premise of VA Data Center 3.1.C
/MO
18,731
| 5-1b |
| R |
| General Service Fee – Hosted on VA Enterprise Cloud |
| 3.1.C |
18,731
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Unit Price (per item) |
| Estimated Yearly Quantity* |
PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms
| 5-2a |
| 2/3R |
| Platform - Hub with Cellular & POTS capability |
| 3.1.B |
| $ |
| $ |
| 11,250 |
| 5-2b |
| 2/3R |
| Platform – IVR with Modem |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 6,470 |
| 5-2c |
| 2/3R |
| Platform - Mobile App |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 1,250 |
PERIPHERALS
| 5-3 |
| R |
| Pedometer |
| 3.1.B |
| $ |
| $ |
| 875 |
| 5-4 |
| R |
| Spirometer |
| 3.1.B |
| $ |
| $ |
| 25 |
| 5-5 |
| R |
| Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters |
| 3.1.B |
| $ |
| $ |
| 3,750 |
| 5-6 |
| R |
| Manuals/user guides |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 5-7 |
| R |
| Set up guide |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 5-8 |
| R |
| New/initial Vendor developed DMP and implementation |
| 3.2.A |
| $ |
| $ |
| 1 |
PERIPHERALS (Offerors must price the following ONLY IF PLATFORM IS NOT COMPATIBLE WITH VA PROVIDED PERIPHERALS**)
| 5-9 |
| R** |
| Digital Weight Scale (Regular) |
| 3.1.B |
| $ |
| $ |
| 6,250 |
| 5-10 |
| R** |
| Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used) |
| 3.1.B |
| $ |
| $ |
| 14,750 |
| 5-11 |
| R** |
| Electronic Thermometer – non- Bluetooth |
| 3.1.B |
| $ |
| $ |
| 500 |
| 5-12 |
| R** |
| Pulse Oximeter – non-Bluetooth |
| 3.1.B |
| $ |
| $ |
| 2,750 |
OPTIONAL ITEMS
| 5-13 |
| O |
| Platform – Browser w/modem |
| 3.1.B |
| $ |
| $ |
| 6,470 |
| 5-14 |
| O |
| Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub) |
| 3.1.B |
| $ |
| $ |
| 1,510 |
| 5-15 |
| O |
| Platform – Mobile Device – Cellular Connectivity |
| 3.1.B |
| $ |
| $ |
| 250 |
| 5-16 |
| O |
| Telephone extension cord |
| N/A |
| $ |
| $ |
| 3,914 |
| 5-17 |
| O |
| Telephone adapter |
| N/A |
| $ |
| $ |
| 3,914 |
| 5-18 |
| O |
| AC Power cord |
| N/A |
| $ |
| $ |
| 4,166 |
| 5-19 |
| O |
| Scale Carpet Cups |
| N/A |
| $ |
| $ |
| 1,800 |
| 5-20 |
| O |
| Peripheral – Electronic Stethoscope (for Video Hub only) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 5-21 |
| O |
| Peripheral – Electro Cardio Graph (ECG) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 5-22 |
| O |
| Peripheral – Bariatric Scale |
| 3.1.B |
| $ |
| $ |
| 63 |
| 5-23 |
| O |
| Peripheral – Health & Fitness Tracker (for daily wear/use) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 5-24 |
| O |
| Peripheral – Talking Weight Scale |
| 3.1.B |
| $ |
| $ |
| 250 |
| 5-25 |
| O |
| Peripheral – Coagulation Monitoring Device |
| 3.1.B |
| $ |
| $ |
| 63 |
| 5-26 |
| O |
| Peripheral – Continuous Blood Glucose Monitor |
| 3.1.B |
| $ |
| $ |
| 250 |
* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.
** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 5-9 thru 5- 12) but not both.
***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read entire section).
Year Six – Option Period 4 Pricing Schedule
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Monthly Fee (per patient |
/MO)
Estimated Monthly Quantity*
| 6-1 |
| R |
| General Service Fee*** Only GSF 6-1a or 6-1b will be awarded per vendor |
| 6-1a |
| R |
| General Service Fee – Hosted |
on premise of VA Data Center 3.1.C
/MO
18,918
| 6-1b |
| R |
| General Service Fee – Hosted on VA Enterprise Cloud |
| 3.1.C |
18,918
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Unit Price (per item) |
| Estimated Yearly Quantity* |
PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms
| 6-2a |
| 2/3R |
| Platform - Hub with Cellular & POTS capability |
| 3.1.B |
| $ |
| $ |
| 11,250 |
| 6-2b |
| 2/3R |
| Platform – IVR with Modem |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 6,544 |
| 6-2c |
| 2/3R |
| Platform - Mobile App |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 1,250 |
PERIPHERALS
| 6-3 |
| R |
| Pedometer |
| 3.1.B |
| $ |
| $ |
| 875 |
| 6-4 |
| R |
| Spirometer |
| 3.1.B |
| $ |
| $ |
| 25 |
| 6-5 |
| R |
| Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters |
| 3.1.B |
| $ |
| $ |
| 3,750 |
| 6-6 |
| R |
| Manuals/user guides |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 6-7 |
| R |
| Set up guide |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 6-8 |
| R |
| New/initial Vendor developed DMP and implementation |
| 3.2.A |
| $ |
| $ |
| 1 |
PERIPHERALS (Offerors must price the following ONLY IF PLATFORM IS NOT COMPATIBLE WITH VA PROVIDED PERIPHERALS**)
| 6-9 |
| R** |
| Digital Weight Scale (Regular) |
| 3.1.B |
| $ |
| $ |
| 6,250 |
| 6-10 |
| R** |
| Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used) |
| 3.1.B |
| $ |
| $ |
| 14,750 |
| 6-11 |
| R** |
| Electronic Thermometer – non- Bluetooth |
| 3.1.B |
| $ |
| $ |
| 500 |
| 6-12 |
| R** |
| Pulse Oximeter – non-Bluetooth |
| 3.1.B |
| $ |
| $ |
| 2,750 |
OPTIONAL ITEMS
| 6-13 |
| O |
| Platform – Browser w/modem |
| 3.1.B |
| $ |
| $ |
| 6,544 |
| 6-14 |
| O |
| Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub) |
| 3.1.B |
| $ |
| $ |
| 875 |
| 6-15 |
| O |
| Platform – Mobile Device – Cellular Connectivity |
| 3.1.B |
| $ |
| $ |
| 250 |
| 6-16 |
| O |
| Telephone extension cord |
| N/A |
| $ |
| $ |
| 3,914 |
| 6-17 |
| O |
| Telephone adapter |
| N/A |
| $ |
| $ |
| 3,914 |
| 6-18 |
| O |
| AC Power cord |
| N/A |
| $ |
| $ |
| 4,166 |
| 6-19 |
| O |
| Scale Carpet Cups |
| N/A |
| $ |
| $ |
| 1,800 |
| 6-20 |
| O |
| Peripheral – Electronic Stethoscope (for Video Hub only) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 6-21 |
| O |
| Peripheral – Electro Cardio Graph (ECG) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 6-22 |
| O |
| Peripheral – Bariatric Scale |
| 3.1.B |
| $ |
| $ |
| 63 |
| 6-23 |
| O |
| Peripheral – Health & Fitness Tracker (for daily wear/use) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 6-24 |
| O |
| Peripheral – Talking Weight Scale |
| 3.1.B |
| $ |
| $ |
| 250 |
| 6-25 |
| O |
| Peripheral – Coagulation Monitoring Device |
| 3.1.B |
| $ |
| $ |
| 63 |
| 6-26 |
| O |
| Peripheral – Continuous Blood Glucose Monitor |
| 3.1.B |
| $ |
| $ |
| 250 |
* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.
** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 6-9 thru 6- 12) but not both.
***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read entire section).
Year Seven –Option Period 5 Pricing Schedule
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Monthly Fee (per patient |
/MO)
Estimated Monthly Quantity*
| 7-1 |
| R |
| General Service Fee*** Only GSF 7-1a or 7-1b will be awarded per vendor |
| 7-1a |
| R |
| General Service Fee – Hosted |
on premise of VA Data Center 3.1.C
/MO
19,107
| 7-1b |
| R |
| General Service Fee – Hosted on VA Enterprise Cloud |
| 3.1.C |
19,107
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Unit Price (per item) |
| Estimated Yearly Quantity* |
PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms
| 7-2a |
| 2/3R |
| Platform - Hub with Cellular & POTS capability |
| 3.1.B |
| $ |
| $ |
| 11,250 |
| 7-2b |
| 2/3R |
| Platform – IVR with Modem |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 6,602 |
| 7-2c |
| 2/3R |
| Platform - Mobile App |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 1,250 |
PERIPHERALS
| 7-3 |
| R |
| Pedometer |
| 3.1.B |
| $ |
| $ |
| 875 |
| 7-4 |
| R |
| Spirometer |
| 3.1.B |
| $ |
| $ |
| 25 |
| 7-5 |
| R |
| Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters |
| 3.1.B |
| $ |
| $ |
| 3,750 |
| 7-6 |
| R |
| Manuals/user guides |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 7-7 |
| R |
| Set up guide |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 7-8 |
| R |
| New/initial Vendor developed DMP and implementation |
| 3.2.A |
| $ |
| $ |
| 1 |
PERIPHERALS (Offerors must price the following ONLY IF PLATFORM IS NOT COMPATIBLE WITH VA PROVIDED PERIPHERALS**)
| 7-9 |
| R** |
| Digital Weight Scale (Regular) |
| 3.1.B |
| $ |
| $ |
| 6,250 |
| 7-10 |
| R** |
| Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used) |
| 3.1.B |
| $ |
| $ |
| 14,750 |
| 7-11 |
| R** |
| Electronic Thermometer – non- Bluetooth |
| 3.1.B |
| $ |
| $ |
| 500 |
| 7-12 |
| R** |
| Pulse Oximeter – non-Bluetooth |
| 3.1.B |
| $ |
| $ |
| 2,750 |
OPTIONAL ITEMS
| 7-13 |
| O |
| Platform – Browser w/modem |
| 3.1.B |
| $ |
| $ |
| 6,602 |
| 7-14 |
| O |
| Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub) |
| 3.1.B |
| $ |
| $ |
| 1,006 |
| 7-15 |
| O |
| Platform – Mobile Device – Cellular Connectivity |
| 3.1.B |
| $ |
| $ |
| 250 |
| 7-16 |
| O |
| Telephone extension cord |
| N/A |
| $ |
| $ |
| 3,914 |
| 7-17 |
| O |
| Telephone adapter |
| N/A |
| $ |
| $ |
| 3,914 |
| 7-18 |
| O |
| AC Power cord |
| N/A |
| $ |
| $ |
| 4,166 |
| 7-19 |
| O |
| Scale Carpet Cups |
| N/A |
| $ |
| $ |
| 1,800 |
| 7-20 |
| O |
| Peripheral – Electronic Stethoscope (for Video Hub only) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 7-21 |
| O |
| Peripheral – Electro Cardio Graph (ECG) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 7-22 |
| O |
| Peripheral – Bariatric Scale |
| 3.1.B |
| $ |
| $ |
| 63 |
| 7-23 |
| O |
| Peripheral – Health & Fitness Tracker (for daily wear/use) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 7-24 |
| O |
| Peripheral – Talking Weight Scale |
| 3.1.B |
| $ |
| $ |
| 250 |
| 7-25 |
| O |
| Peripheral – Coagulation Monitoring Device |
| 3.1.B |
| $ |
| $ |
| 63 |
| 7-26 |
| O |
| Peripheral – Continuous Blood Glucose Monitor |
| 3.1.B |
| $ |
| $ |
| 250 |
* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.
** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 7-9 thru 7- 12) but not both.
***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read entire section).
Year Eight – Option Period 6 Pricing Schedule
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Monthly Fee (per patient |
/MO)
Estimated Monthly Quantity*
| 8-1 |
| R |
| General Service Fee*** Only GSF 8-1a or 8-1b will be awarded per vendor |
| 8-1a |
| R |
| General Service Fee – Hosted |
on premise of VA Data Center 3.1.C
/MO
19,299
| 8-1b |
| R |
| General Service Fee – Hosted on VA Enterprise Cloud |
| 3.1.C |
19,299
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Unit Price (per item) |
| Estimated Yearly Quantity* |
PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms
| 8-2a |
| 2/3R |
| Platform - Hub with Cellular & POTS capability |
| 3.1.B |
| $ |
| $ |
| 11,250 |
| 8-2b |
| 2/3R |
| Platform – IVR with Modem |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 6,642 |
| 8-2c |
| 2/3R |
| Platform - Mobile App |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 1,250 |
PERIPHERALS
| 8-3 |
| R |
| Pedometer |
| 3.1.B |
| $ |
| $ |
| 875 |
| 8-4 |
| R |
| Spirometer |
| 3.1.B |
| $ |
| $ |
| 25 |
| 8-5 |
| R |
| Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters |
| 3.1.B |
| $ |
| $ |
| 3,750 |
| 8-6 |
| R |
| Manuals/user guides |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 8-7 |
| R |
| Set up guide |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 8-8 |
| R |
| New/initial Vendor developed DMP and implementation |
| 3.2.A |
| $ |
| $ |
| 1 |
PERIPHERALS (Offerors must price the following ONLY IF PLATFORM IS NOT COMPATIBLE WITH VA PROVIDED PERIPHERALS**)
| 8-9 |
| R** |
| Digital Weight Scale (Regular) |
| 3.1.B |
| $ |
| $ |
| 6,250 |
| 8-10 |
| R** |
| Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used) |
| 3.1.B |
| $ |
| $ |
| 14,750 |
| 8-11 |
| R** |
| Electronic Thermometer – non- Bluetooth |
| 3.1.B |
| $ |
| $ |
| 500 |
| 8-12 |
| R** |
| Pulse Oximeter – non-Bluetooth |
| 3.1.B |
| $ |
| $ |
| 2,750 |
OPTIONAL ITEMS
| 8-13 |
| O |
| Platform – Browser w/modem |
| 3.1.B |
| $ |
| $ |
| 6,642 |
| 8-14 |
| O |
| Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub) |
| 3.1.B |
| $ |
| $ |
| 1,157 |
| 8-15 |
| O |
| Platform – Mobile Device – |
| 3.1.B |
| $ |
| $ |
| 250 |
Cellular Connectivity
| 8-16 |
| O |
| Telephone extension cord |
| N/A |
| $ |
| $ |
| 3,914 |
| 8-17 |
| O |
| Telephone adapter |
| N/A |
| $ |
| $ |
| 3,914 |
| 8-18 |
| O |
| AC Power cord |
| N/A |
| $ |
| $ |
| 4,166 |
| 8-19 |
| O |
| Scale Carpet Cups |
| N/A |
| $ |
| $ |
| 1,800 |
| 8-20 |
| O |
| Peripheral – Electronic Stethoscope (for Video Hub only) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 8-21 |
| O |
| Peripheral – Electro Cardio Graph (ECG) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 8-22 |
| O |
| Peripheral – Bariatric Scale |
| 3.1.B |
| $ |
| $ |
| 63 |
| 8-23 |
| O |
| Peripheral – Health & Fitness Tracker (for daily wear/use) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 8-24 |
| O |
| Peripheral – Talking Weight Scale |
| 3.1.B |
| $ |
| $ |
| 250 |
| 8-25 |
| O |
| Peripheral – Coagulation Monitoring Device |
| 3.1.B |
| $ |
| $ |
| 63 |
| 8-26 |
| O |
| Peripheral – Continuous Blood Glucose Monitor |
| 3.1.B |
| $ |
| $ |
| 250 |
* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.
** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 8-9 thru 8- 12) but not both.
***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read entire section).”
Amended Pricing Schedule to be incorporated into contract: (new) “Base Year One – Pricing Schedule
A Schedule with Required (R) and Optional (O) line items follows:
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Monthly Fee (per patient |
/MO)
Estimated Monthly Quantity*
| 1-1 |
| N/A |
| General Service Fee*** Only GSF 1-1a or 1-1b will be awarded per vendor |
| 3.1.C |
| 1-1a |
| R |
| General Service Fee – |
Hosted on premise of VA Data Center 3.1.C
/MO
18,000
| 1-1b |
| R |
| General Service Fee – Hosted on VA Enterprise Cloud |
| 3.1.C |
18,000
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Unit Price (per item) |
| Estimated Yearly Quantity* |
PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms
| 1-2a |
| 2/3R |
| Platform - Hub with Cellular & POTS capability |
| 3.1.B |
| $ |
| $ |
| 22,500 |
| 1-2b |
| 2/3R |
| Platform – IVR |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 12,250 |
| 1-2c |
| 2/3R |
| Platform - Mobile App |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 1,250 |
PERIPHERALS
| 1-3 |
| R |
| Pedometer |
| 3.1.B |
| $ |
| $ |
| 1,750 |
| 1-4 |
| R |
| Spirometer |
| 3.1.B |
| $ |
| $ |
| 100 |
| 1-5 |
| R |
| Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters |
| 3.1.B |
| $ |
| $ |
| 7,250 |
| 1-6 |
| R |
| Manuals/User guides |
| 3.4.C |
| $ |
| $ |
| 3914 |
| 1-7 |
| R |
| Set up guide |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 1-8 |
| R |
| New/initial Vendor developed DMP and implementation |
| 3.2.A |
| $ |
| $ |
| 1 |
PERIPHERALS (Offerors must price the following ONLY IF the proposed PLATFORM IS NOT COMPATIBLE WITH VA PROVIDED PERIPHERALS**)
| 1-9 |
| R** |
| Digital Weight Scale |
| 3.1.B |
| $ |
| $ |
| 12,500 |
| 1-10 |
| R** |
| Electronic Digital Blood Pressure Monitor (predominantly Medium sized used) |
| 3.1.B |
| $ |
| $ |
| 29,500 |
| 1-11 |
| R** |
| Electronic Thermometer – Non-Bluetooth |
| 3.1.B |
| $ |
| $ |
| 1,000 |
| 1-12 |
| R** |
| Pulse Oximeter – Non- Bluetooth |
| 3.1.B |
| $ |
| $ |
| 5,500 |
OPTIONAL ITEMS
| 1-13 |
| O |
| Platform – Web Browser |
| 3.1.B |
| $ |
| $ |
| 250 |
| 1-14 |
| O |
| Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub) |
| 3.1.B |
| $ |
| $ |
| 1,000 |
| 1-15 |
| O |
| Platform – Mobile Device – Cellular Connectivity |
| 3.1.B |
| $ |
| $ |
| 360 |
| 1-16 |
| O |
| Telephone extension cord |
| N/A |
| $ |
| $ |
| 3,914 |
| 1-17 |
| O |
| Telephone adapter |
| N/A |
| $ |
| $ |
| 3,914 |
| 1-18 |
| O |
| AC Power cord |
| N/A |
| $ |
| $ |
| 4,166 |
| 1-19 |
| O |
| Scale Carpet Cups |
| N/A |
| $ |
| $ |
| 1,800 |
| 1-20 |
| O |
| Peripheral – Electronic Stethoscope (for Video Hub only) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 1-21 |
| O |
| Peripheral – Electro Cardio Graph (ECG) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 1-22 |
| O |
| Peripheral – Bariatric Scale |
| 3.1.B |
| $ |
| $ |
| 63 |
| 1-23 |
| O |
| Peripheral – Health & Fitness Tracker (for daily wear/use) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 1-24 |
| O |
| Peripheral – Talking Weight Scale |
| 3.1.B |
| $ |
| $ |
| 250 |
| 1-25 |
| O |
| Peripheral – Coagulation Monitoring Device |
| 3.1.B |
| $ |
| $ |
| 63 |
| 1-26 |
| O |
| Peripheral – Continuous - Blood Glucose adaptor/cable |
| 3.1.B |
| $ |
| $ |
| 250 |
| 1-27 |
| O |
| Modem (for use with IVR or web browser) |
| N/A |
| $ |
| $ |
| 12,250 |
* Quantities are for evaluation purposes only, and reflect one-fourth of the current total estimated quantity.
** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 1-9 thru 1- 12) but not both.
***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read entire section).
Base Year Two – Pricing Schedule
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Monthly Fee (per patient |
/MO)
Estimated Monthly Quantity*
| 2-1 |
| N/A |
| General Service Fee*** Only GSF 2-1a or 2-1b will be awarded per |
3.1.C
| 2-1a |
| R |
| General Service Fee – |
Hosted on premise of VA Data Center 3.1.C
/MO
18,180
| 2-1b |
| R |
| General Service Fee – Hosted on VA Enterprise Cloud |
| 3.1.C |
18,180
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Unit Price (per item) |
| Estimated Yearly Quantity* |
PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms
| 2-2a |
| 2/3R |
| Platform - Hub with Cellular & POTS capability |
| 3.1.B |
| $ |
| $ |
| 11,250 |
| 2-2b |
| 2/3R |
| Platform – IVR |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 6,250 |
| 2-2c |
| 2/3R |
| Platform - Mobile App |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 1,250 |
PERIPHERALS
| 2-3 |
| R |
| Pedometer |
| 3.1.B |
| $ |
| $ |
| 875 |
| 2-4 |
| R |
| Spirometer |
| 3.1.B |
| $ |
| $ |
| 25 |
| 2-5 |
| R |
| Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters |
| 3.1.B |
| $ |
| $ |
| 3,750 |
| 2-6 |
| R |
| Manuals/user guides |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 2-7 |
| R |
| Set up guide |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 2-8 |
| R |
| New/initial Vendor developed DMP and implementation |
| 3.2.A |
| $ |
| $ |
| 1 |
PERIPHERALS (Offerors must price the following ONLY IF PLATFORM IS NOT COMPATIBLE WITH VA PROVIDED PERIPHERALS**)
| 2-9 |
| R** |
| Digital Weight Scale (Regular) |
| 3.1.B |
| $ |
| $ |
| 6,250 |
| 2-10 |
| R** |
| Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used) |
| 3.1.B |
| $ |
| $ |
| 14,750 |
| 2-11 |
| R** |
| Electronic Thermometer – non-Bluetooth |
| 3.1.B |
| $ |
| $ |
| 500 |
| 2-12 |
| R** |
| Pulse Oximeter – non- Bluetooth |
| 3.1.B |
| $ |
| $ |
| 2,750 |
OPTIONAL ITEMS
| 2-13 |
| O |
| Platform – Browser |
| 3.1.B |
| $ |
| $ |
| 6,250 |
| 2-14 |
| O |
| Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub) |
| 3.1.B |
| $ |
| $ |
| 500 |
| 2-15 |
| O |
| Platform – Mobile Device – Cellular Connectivity |
| 3.1.B |
| $ |
| $ |
| 180 |
| 2-16 |
| O |
| Telephone extension cord |
| N/A |
| $ |
| $ |
| 3,914 |
| 2-17 |
| O |
| Telephone adapter |
| N/A |
| $ |
| $ |
| 3,914 |
| 2-18 |
| O |
| AC Power cord |
| N/A |
| $ |
| $ |
| 4,166 |
| 2-19 |
| O |
| Scale Carpet Cups |
| N/A |
| $ |
| $ |
| 1,800 |
| 2-20 |
| O |
| Peripheral – Electronic Stethoscope (for Video Hub only) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 2-21 |
| O |
| Peripheral – Electro Cardio Graph (ECG) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 2-22 |
| O |
| Peripheral – Bariatric Scale |
| 3.1.B |
| $ |
| $ |
| 63 |
| 2-23 |
| O |
| Peripheral – Health & Fitness Tracker (for daily wear/use) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 2-24 |
| O |
| Peripheral – Talking Weight Scale |
| 3.1.B |
| $ |
| $ |
| 250 |
| 2-25 |
| O |
| Peripheral – Coagulation Monitoring Device |
| 3.1.B |
| $ |
| $ |
| 63 |
| 2-26 |
| O |
| Peripheral – Continuous Blood Glucose Monitor |
| 3.1.B |
| $ |
| $ |
| 250 |
| 2-27 |
| O |
| Modem (for use with IVR or web browser) |
| N/A |
| $ |
| $ |
| 6,250 |
* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.
** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 2-9 thru 2- 12) but not both.
***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read entire section).
Year Three – Option Period 1 Pricing Schedule
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Monthly Fee (per patient |
/MO)
Estimated Monthly Quantity*
| 3-1 |
| N/A |
| General Service Fee*** Only GSF 3-1a or 3- 1b will be awarded |
per vendor
| 3-1a |
| R |
| General Service Fee – |
Hosted on premise of VA Data Center 3.1.C
/MO
18,362
| 3-1b |
| R |
| General Service Fee – Hosted on VA Enterprise Cloud |
| 3.1.C |
18,362
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Unit Price (per item) |
| Estimated Yearly Quantity* |
PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms
| 3-2a |
| 2/3R |
| Platform - Hub with Cellular & POTS capability |
| 3.1.B |
| $ |
| $ |
| 11,250 |
| 3-2b |
| 2/3R |
| Platform – IVR |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 6,357 |
| 3-2c |
| 2/3R |
| Platform - Mobile App |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 1,250 |
PERIPHERALS
| 3-3 |
| R |
| Pedometer |
| 3.1.B |
| $ |
| $ |
| 875 |
| 3-4 |
| R |
| Spirometer |
| 3.1.B |
| $ |
| $ |
| 25 |
| 3-5 |
| R |
| Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters |
| 3.1.B |
| $ |
| $ |
| 3,750 |
| 3-6 |
| R |
| Manuals/user guides |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 3-7 |
| R |
| Set up guide |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 3-8 |
| R |
| New/initial Vendor developed DMP and implementation |
| 3.2.A |
| $ |
| $ |
| 1 |
PERIPHERALS (Offerors must price the following ONLY IF the proposed PLATFORM IS NOT COMPATIBLE WITH VA PROVIDED PERIPHERALS**)
| 3-9 |
| R** |
| Digital Weight Scale (Regular) |
| 3.1.B |
| $ |
| $ |
| 6,250 |
| 3-10 |
| R** |
| Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used) |
| 3.1.B |
| $ |
| $ |
| 14,750 |
| 3-11 |
| R** |
| Electronic Thermometer |
– non-Bluetooth
| 3-12 |
| R** |
| Pulse Oximeter – non- Bluetooth |
| 3.1.B |
| $ |
| $ |
| 2,750 |
OPTIONAL ITEMS
| 3-13 |
| O |
| Platform – Browser |
| 3.1.B |
| $ |
| $ |
| 6,357 |
| 3-14 |
| O |
| Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub) |
| 3.1.B |
| $ |
| $ |
| 575 |
| 3-15 |
| O |
| Platform – Mobile Device |
– Cellular Connectivity
| 3-16 |
| O |
| Telephone extension cord |
| N/A |
| $ |
| $ |
| 3,914 |
| 3-17 |
| O |
| Telephone adapter |
| N/A |
| $ |
| $ |
| 3,914 |
| 3-18 |
| O |
| AC Power cord |
| N/A |
| $ |
| $ |
| 4,166 |
| 3-19 |
| O |
| Scale Carpet Cups |
| N/A |
| $ |
| $ |
| 1,800 |
| 3-20 |
| O |
| Peripheral – Electronic Stethoscope (for Video Hub only) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 3-21 |
| O |
| Peripheral – Electro Cardio Graph (ECG) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 3-22 |
| O |
| Peripheral – Bariatric Scale |
| 3.1.B |
| $ |
| $ |
| 63 |
| 3-23 |
| O |
| Peripheral – Health & Fitness Tracker (for daily wear/use) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 3-24 |
| O |
| Peripheral – Talking Weight Scale |
| 3.1.B |
| $ |
| $ |
| 250 |
| 3-25 |
| O |
| Peripheral – Coagulation Monitoring Device |
| 3.1.B |
| $ |
| $ |
| 63 |
| 3-26 |
| O |
| Peripheral – Continuous Blood Glucose Monitor |
| 3.1.B |
| $ |
| $ |
| 250 |
| 3-27 |
| O |
| Modem (for use with IVR or web browser) |
| N/A |
| $ |
| $ |
| 6,357 |
* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.
** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 3-9 thru 3- 12) but not both.
***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read entire section).
Year Four – Option Period 2 Pricing Schedule
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Monthly Fee (per patient |
/MO)
Estimated Monthly Quantity*
| 4-1 |
| R |
| General Service Fee*** Only GSF 4-1a or 4-1b will be awarded per |
| 4-1a |
| R |
| General Service Fee – |
Hosted on premise of VA Data Center 3.1.C
/MO
18,545
| 4-1b |
| R |
| General Service Fee – Hosted on VA Enterprise Cloud |
| 3.1.C |
18,545
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Unit Price (per item) |
| Estimated Yearly Quantity* |
PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms
| 4-2a |
| 2/3R |
| Platform - Hub with Cellular & POTS capability |
| 3.1.B |
| $ |
| $ |
| 11,250 |
| 4-2b |
| 2/3R |
| Platform – IVR |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 6,384 |
| 4-2c |
| 2/3R |
| Platform - Mobile App |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 1,250 |
PERIPHERALS
| 4-3 |
| R |
| Pedometer |
| 3.1.B |
| $ |
| $ |
| 875 |
| 4-4 |
| R |
| Spirometer |
| 3.1.B |
| $ |
| $ |
| 25 |
| 4-5 |
| R |
| Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters |
| 3.1.B |
| $ |
| $ |
| 3,750 |
| 4-6 |
| R |
| Manuals/user guides |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 4-7 |
| R |
| Set up guide |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 4-8 |
| R |
| New/initial Vendor developed DMP and implementation |
| 3.2.A |
| $ |
| $ |
| 1 |
PERIPHERALS (Offerors must price the following ONLY IF PLATFORM IS NOT COMPATIBLE WITH VA PROVIDED PERIPHERALS**)
| 4-9 |
| R** |
| Digital Weight Scale (Regular) |
| 3.1.B |
| $ |
| $ |
| 6,250 |
| 4-10 |
| R** |
| Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used) |
| 3.1.B |
| $ |
| $ |
| 14,750 |
| 4-11 |
| R** |
| Electronic Thermometer – non-Bluetooth |
| 3.1.B |
| $ |
| $ |
| 500 |
| 4-12 |
| R** |
| Pulse Oximeter – non- Bluetooth |
| 3.1.B |
| $ |
| $ |
| 2,750 |
OPTIONAL ITEMS
| 4-13 |
| O |
| Platform – Browser |
| 3.1.B |
| $ |
| $ |
| 6,384 |
| 4-14 |
| O |
| Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub) |
| 3.1.B |
| $ |
| $ |
| 661 |
| 4-15 |
| O |
| Platform – Mobile Device – Cellular Connectivity |
| 3.1.B |
| $ |
| $ |
| 250 |
| 4-16 |
| O |
| Telephone extension cord |
| N/A |
| $ |
| $ |
| 3,914 |
| 4-17 |
| O |
| Telephone adapter |
| N/A |
| $ |
| $ |
| 3,914 |
| 4-18 |
| O |
| AC Power cord |
| N/A |
| $ |
| $ |
| 4,166 |
| 4-19 |
| O |
| Scale Carpet Cups |
| N/A |
| $ |
| $ |
| 1,800 |
| 4-20 |
| O |
| Peripheral – Electronic Stethoscope (for Video Hub only) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 4-21 |
| O |
| Peripheral – Electro Cardio Graph (ECG) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 4-22 |
| O |
| Peripheral – Bariatric Scale |
| 3.1.B |
| $ |
| $ |
| 63 |
| 4-23 |
| O |
| Peripheral – Health & Fitness Tracker (for daily wear/use) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 4-24 |
| O |
| Peripheral – Talking Weight Scale |
| 3.1.B |
| $ |
| $ |
| 250 |
| 4-25 |
| O |
| Peripheral – Coagulation Monitoring Device |
| 3.1.B |
| $ |
| $ |
| 63 |
| 4-26 |
| O |
| Peripheral – Continuous Blood Glucose Monitor |
| 3.1.B |
| $ |
| $ |
| 250 |
| 4-27 |
| O |
| Modem (for use with IVR or web browser) |
| N/A |
| $ |
| $ |
| 6,384 |
* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.
** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 4-9 thru 4- 12) but not both.
***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read entire section).
Year Five – Option Period 3 Pricing Schedule
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Monthly Fee (per patient |
/MO)
Estimated Monthly Quantity*
| 5-1 |
| R |
| General Service Fee*** Only GSF 5-1a or 5-1b will be awarded per vendor |
| 5-1a |
| R |
| General Service Fee – Hosted |
on premise of VA Data Center 3.1.C
/MO
18,731
| 5-1b |
| R |
| General Service Fee – Hosted on VA Enterprise Cloud |
| 3.1.C |
18,731
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Unit Price (per item) |
| Estimated Yearly Quantity* |
PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms
| 5-2a |
| 2/3R |
| Platform - Hub with Cellular & POTS capability |
| 3.1.B |
| $ |
| $ |
| 11,250 |
| 5-2b |
| 2/3R |
| Platform – IVR |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 6,470 |
| 5-2c |
| 2/3R |
| Platform - Mobile App |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 1,250 |
PERIPHERALS
| 5-3 |
| R |
| Pedometer |
| 3.1.B |
| $ |
| $ |
| 875 |
| 5-4 |
| R |
| Spirometer |
| 3.1.B |
| $ |
| $ |
| 25 |
| 5-5 |
| R |
| Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters |
| 3.1.B |
| $ |
| $ |
| 3,750 |
| 5-6 |
| R |
| Manuals/user guides |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 5-7 |
| R |
| Set up guide |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 5-8 |
| R |
| New/initial Vendor developed DMP and implementation |
| 3.2.A |
| $ |
| $ |
| 1 |
PERIPHERALS (Offerors must price the following ONLY IF PLATFORM IS NOT COMPATIBLE WITH VA PROVIDED PERIPHERALS**)
| 5-9 |
| R** |
| Digital Weight Scale (Regular) |
| 3.1.B |
| $ |
| $ |
| 6,250 |
| 5-10 |
| R** |
| Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used) |
| 3.1.B |
| $ |
| $ |
| 14,750 |
| 5-11 |
| R** |
| Electronic Thermometer – non- Bluetooth |
| 3.1.B |
| $ |
| $ |
| 500 |
| 5-12 |
| R** |
| Pulse Oximeter – non-Bluetooth |
| 3.1.B |
| $ |
| $ |
| 2,750 |
OPTIONAL ITEMS
| 5-13 |
| O |
| Platform – Browser |
| 3.1.B |
| $ |
| $ |
| 6,470 |
| 5-14 |
| O |
| Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub) |
| 3.1.B |
| $ |
| $ |
| 1,510 |
| 5-15 |
| O |
| Platform – Mobile Device – Cellular Connectivity |
| 3.1.B |
| $ |
| $ |
| 250 |
| 5-16 |
| O |
| Telephone extension cord |
| N/A |
| $ |
| $ |
| 3,914 |
| 5-17 |
| O |
| Telephone adapter |
| N/A |
| $ |
| $ |
| 3,914 |
| 5-18 |
| O |
| AC Power cord |
| N/A |
| $ |
| $ |
| 4,166 |
| 5-19 |
| O |
| Scale Carpet Cups |
| N/A |
| $ |
| $ |
| 1,800 |
| 5-20 |
| O |
| Peripheral – Electronic Stethoscope (for Video Hub only) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 5-21 |
| O |
| Peripheral – Electro Cardio Graph (ECG) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 5-22 |
| O |
| Peripheral – Bariatric Scale |
| 3.1.B |
| $ |
| $ |
| 63 |
| 5-23 |
| O |
| Peripheral – Health & Fitness Tracker (for daily wear/use) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 5-24 |
| O |
| Peripheral – Talking Weight Scale |
| 3.1.B |
| $ |
| $ |
| 250 |
| 5-25 |
| O |
| Peripheral – Coagulation Monitoring Device |
| 3.1.B |
| $ |
| $ |
| 63 |
| 5-26 |
| O |
| Peripheral – Continuous Blood Glucose Monitor |
| 3.1.B |
| $ |
| $ |
| 250 |
| 5-27 |
| O |
| Modem (for use with IVR or web browser) |
| N/A |
| $ |
| $ |
| 6,470 |
* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.
** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 5-9 thru 5- 12) but not both.
***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read entire section).”
Year Six – Option Period 4 Pricing Schedule
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Monthly Fee (per patient |
/MO)
Estimated Monthly Quantity*
| 6-1 |
| R |
| General Service Fee*** Only GSF 6-1a or 6-1b will be awarded per vendor |
| 6-1a |
| R |
| General Service Fee – Hosted |
on premise of VA Data Center 3.1.C
/MO
18,918
| 6-1b |
| R |
| General Service Fee – Hosted on VA Enterprise Cloud |
| 3.1.C |
18,918
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Unit Price (per item) |
| Estimated Yearly Quantity* |
PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms
| 6-2a |
| 2/3R |
| Platform - Hub with Cellular & POTS capability |
| 3.1.B |
| $ |
| $ |
| 11,250 |
| 6-2b |
| 2/3R |
| Platform – IVR |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 6,544 |
| 6-2c |
| 2/3R |
| Platform - Mobile App |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 1,250 |
PERIPHERALS
| 6-3 |
| R |
| Pedometer |
| 3.1.B |
| $ |
| $ |
| 875 |
| 6-4 |
| R |
| Spirometer |
| 3.1.B |
| $ |
| $ |
| 25 |
| 6-5 |
| R |
| Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters |
| 3.1.B |
| $ |
| $ |
| 3,750 |
| 6-6 |
| R |
| Manuals/user guides |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 6-7 |
| R |
| Set up guide |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 6-8 |
| R |
| New/initial Vendor developed DMP and implementation |
| 3.2.A |
| $ |
| $ |
| 1 |
PERIPHERALS (Offerors must price the following ONLY IF PLATFORM IS NOT COMPATIBLE WITH VA PROVIDED PERIPHERALS**)
| 6-9 |
| R** |
| Digital Weight Scale (Regular) |
| 3.1.B |
| $ |
| $ |
| 6,250 |
| 6-10 |
| R** |
| Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used) |
| 3.1.B |
| $ |
| $ |
| 14,750 |
| 6-11 |
| R** |
| Electronic Thermometer – non- Bluetooth |
| 3.1.B |
| $ |
| $ |
| 500 |
| 6-12 |
| R** |
| Pulse Oximeter – non-Bluetooth |
| 3.1.B |
| $ |
| $ |
| 2,750 |
OPTIONAL ITEMS
| 6-13 |
| O |
| Platform – Browser |
| 3.1.B |
| $ |
| $ |
| 6,544 |
| 6-14 |
| O |
| Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub) |
| 3.1.B |
| $ |
| $ |
| 875 |
| 6-15 |
| O |
| Platform – Mobile Device – Cellular Connectivity |
| 3.1.B |
| $ |
| $ |
| 250 |
| 6-16 |
| O |
| Telephone extension cord |
| N/A |
| $ |
| $ |
| 3,914 |
| 6-17 |
| O |
| Telephone adapter |
| N/A |
| $ |
| $ |
| 3,914 |
| 6-18 |
| O |
| AC Power cord |
| N/A |
| $ |
| $ |
| 4,166 |
| 6-19 |
| O |
| Scale Carpet Cups |
| N/A |
| $ |
| $ |
| 1,800 |
| 6-20 |
| O |
| Peripheral – Electronic Stethoscope (for Video Hub only) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 6-21 |
| O |
| Peripheral – Electro Cardio Graph (ECG) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 6-22 |
| O |
| Peripheral – Bariatric Scale |
| 3.1.B |
| $ |
| $ |
| 63 |
| 6-23 |
| O |
| Peripheral – Health & Fitness Tracker (for daily wear/use) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 6-24 |
| O |
| Peripheral – Talking Weight Scale |
| 3.1.B |
| $ |
| $ |
| 250 |
| 6-25 |
| O |
| Peripheral – Coagulation Monitoring Device |
| 3.1.B |
| $ |
| $ |
| 63 |
| 6-26 |
| O |
| Peripheral – Continuous Blood Glucose Monitor |
| 3.1.B |
| $ |
| $ |
| 250 |
| 6-27 |
| O |
| Modem (for use with IVR or web browser) |
| N/A |
| $ |
| $ |
| 6,554 |
* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.
** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 6-9 thru 6- 12) but not both.
***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read entire section).
Year Seven –Option Period 5 Pricing Schedule
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Monthly Fee (per patient |
/MO)
Estimated Monthly Quantity*
| 7-1 |
| R |
| General Service Fee*** Only GSF 7-1a or 7-1b will be awarded per vendor |
| 7-1a |
| R |
| General Service Fee – Hosted |
on premise of VA Data Center 3.1.C
/MO
19,107
| 7-1b |
| R |
| General Service Fee – Hosted on VA Enterprise Cloud |
| 3.1.C |
19,107
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
| Manufacturer’s Suggested Retail Price (MSRP) |
| Unit Price (per item) |
| Estimated Yearly Quantity* |
PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms
| 7-2a |
| 2/3R |
| Platform - Hub with Cellular & POTS capability |
| 3.1.B |
| $ |
| $ |
| 11,250 |
| 7-2b |
| 2/3R |
| Platform – IVR |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 6,602 |
| 7-2c |
| 2/3R |
| Platform - Mobile App |
| 3.1.B |
| Yes / No |
| Included in GSF |
| 1,250 |
PERIPHERALS
| 7-3 |
| R |
| Pedometer |
| 3.1.B |
| $ |
| $ |
| 875 |
| 7-4 |
| R |
| Spirometer |
| 3.1.B |
| $ |
| $ |
| 25 |
| 7-5 |
| R |
| Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters |
| 3.1.B |
| $ |
| $ |
| 3,750 |
| 7-6 |
| R |
| Manuals/user guides |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 7-7 |
| R |
| Set up guide |
| 3.4.C |
| $ |
| $ |
| 3,914 |
| 7-8 |
| R |
| New/initial Vendor developed DMP and implementation |
| 3.2.A |
| $ |
| $ |
| 1 |
PERIPHERALS (Offerors must price the following ONLY IF PLATFORM IS NOT COMPATIBLE WITH VA PROVIDED PERIPHERALS**)
| 7-9 |
| R** |
| Digital Weight Scale (Regular) |
| 3.1.B |
| $ |
| $ |
| 6,250 |
| 7-10 |
| R** |
| Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used) |
| 3.1.B |
| $ |
| $ |
| 14,750 |
| 7-11 |
| R** |
| Electronic Thermometer – non- Bluetooth |
| 3.1.B |
| $ |
| $ |
| 500 |
| 7-12 |
| R** |
| Pulse Oximeter – non-Bluetooth |
| 3.1.B |
| $ |
| $ |
| 2,750 |
OPTIONAL ITEMS
| 7-13 |
| O |
| Platform – Browser |
| 3.1.B |
| $ |
| $ |
| 6,602 |
| 7-14 |
| O |
| Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub) |
| 3.1.B |
| $ |
| $ |
| 1,006 |
| 7-15 |
| O |
| Platform – Mobile Device – Cellular Connectivity |
| 3.1.B |
| $ |
| $ |
| 250 |
| 7-16 |
| O |
| Telephone extension cord |
| N/A |
| $ |
| $ |
| 3,914 |
| 7-17 |
| O |
| Telephone adapter |
| N/A |
| $ |
| $ |
| 3,914 |
| 7-18 |
| O |
| AC Power cord |
| N/A |
| $ |
| $ |
| 4,166 |
| 7-19 |
| O |
| Scale Carpet Cups |
| N/A |
| $ |
| $ |
| 1,800 |
| 7-20 |
| O |
| Peripheral – Electronic Stethoscope (for Video Hub only) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 7-21 |
| O |
| Peripheral – Electro Cardio Graph (ECG) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 7-22 |
| O |
| Peripheral – Bariatric Scale |
| 3.1.B |
| $ |
| $ |
| 63 |
| 7-23 |
| O |
| Peripheral – Health & Fitness Tracker (for daily wear/use) |
| 3.1.B |
| $ |
| $ |
| 250 |
| 7-24 |
| O |
| Peripheral – Talking Weight Scale |
| 3.1.B |
| $ |
| $ |
| 250 |
| 7-25 |
| O |
| Peripheral – Coagulation Monitoring Device |
| 3.1.B |
| $ |
| $ |
| 63 |
| 7-26 |
| O |
| Peripheral – Continuous Blood Glucose Monitor |
| 3.1.B |
| $ |
| $ |
| 250 |
| 7-27 |
| O |
| Modem (for use with IVR or web browser) |
| N/A |
| $ |
| $ |
| 6,602 |
* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.
** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 7-9 thru 7- 12) but not both.
***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read entire section).
Year Eight – Option Period 6 Pricing Schedule
| Line Item |
| Req or Opt |
| Description |
| Ref. Sec. |
This is the start of the file's text. The full file is on GovTribe.
