4. IGCE BLANKEndoscopies.pdf

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Attached to
Provide Preventive Maintenance for Aquilion Prime Fast Whole Body CT Scanner at CRSU.
Solicitation number
75H71221Q00015_IHS1419710
Issued by

About this file

This solicitation requests quotations for annual preventative maintenance, system upgrades and emergency repair services for an Aquilion Prime Fast Whole Body CT Scanner. The required services are for the Medical Imaging Department located at the Colorado River Service Unit Parker Indian Health Center in Parker, Arizona. Quotations are due by June 13, 2021 and should be submitted to nestor.noble@ihs.gov with the subject title "75H71221Q00010 - Annual Preventative Maintenance Aquilion Prime - Parker Indian Health Center". The period of performance includes one base year and four option years, from June 15, 2021 to June 14, 2026. This opportunity is set aside for small businesses and issued by the Department of Health and Human Services Indian Health Service.

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4. IGCE BLANKEndoscopies.xls5/1/20203:17 PM

PROJECT TITLE:

Detailed Price Summary

Contract Line Item Description Base and (4) Option Years Quantity Unit Unit Price Total Price Quantity Unit Unit Price Total Price Quantity Unit Unit Price Total Price Quantity Unit

Endoscopes - OR 12.00 MO #VALUE! 12.00 MO #VALUE! #VALUE! 12.00 MO #VALUE! #VALUE! 12.00 MO

-$ #REF! #REF! #REF! #REF!

Full Service: PMs, Repairs, Replace Parts, -$ #REF! #REF! #REF! #REF!

Loaner, Freight Fee, Labor and Travel -$ #REF! #REF! #REF! #REF!

-$ #REF! #REF! #REF! #REF!

**This is a new requistion to establish -$ #REF! #REF! #REF! #REF!

a service agreement. -$ #REF! #REF! #REF! #REF!

-$ #REF! #REF! #REF! #REF!

-$ #REF! #REF! #REF! #REF!

-$ #REF! #REF! #REF! #REF!

Line Item Subtotal #VALUE! #VALUE! #VALUE!

Intallation Cost Travel -$ -$ -$ Shipping -$ -$ -$ Total Cost #VALUE! #VALUE! #VALUE!

Total Estimated Yearly Values #VALUE! #VALUE! #VALUE!

TOTAL ESTIMATED VALUE OF

CONTRACT

Option Year Two Optio

Note: This template can be modified based on the contract type (i.e. Firm Fixed Price, Time and Materials, and Cost Reimburesment)

#VALUE!

Base Period Option Year One

IGCE

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