Attachment_2_Pricing_Sheet.xlsx
XLSX spreadsheet 58 KB Posted
- Solicitation number
- 70Z02324RHSWL0001
About this file
This document is a Pricing Sheet Enclosure 2 that is part of a federal contract opportunity solicitation issued by the United States Coast Guard (USCG) for customized dental services and appliances. The Pricing Sheet lists over 300 dental items and services across various categories such as fixed and removable prosthodontics, implant-based restorations, composite restorations, and orthodontic services. The contract will be a firm fixed price, total small business set-aside with a base period and four option periods. Offerors must propose pricing for each item and service listed in the Pricing Sheet. The overall contract will conform to FAR Part 12 and FAR Subpart 13.5 requirements. The solicitation number is 70Z02324RHSWL0001 and the place of performance will be at the awarded contractor's facility.
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Enclosure 2 Pricing Sheet
Enclosure 2: Pricing Sheet
| Base Period | Option Period 1 | Option Period 2 | Option Period 3 | Option Period 4 | |||||||||
| Contract Line Item Number (CLIN) | Description | Per Period QTY | Unit of Issue | Unit Price | Ext. Price | Unit Price | Ext. Price | Unit Price | Ext. Price | Unit Price | Ext. Price | Unit Price | Ext. Price |
| FIXED/REMOVABLE PROSTHODONTICS AND ADDITIONAL ITEMS | |||||||||||||
| 0001/X001 | Metal Ceramics | ||||||||||||
| Porcelain Fused to High Noble Metal | 50 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| Porcelain Fused to High Noble Metal Bridge | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| Captek (High Noble Gold) Crown | 35 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| Captek Bridge (High Noble Gold) Bridge, per unit | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| Porcelain Labial Margin | 30 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| Porcelain 360 Margin | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| Cast Veneer/Metal Occlusal | 50 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| Cut and Cast Shallow RExt | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| Maryland Bridge - Anterior | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| Maryland Bridge - Posterior | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| Metal Thimble (Telescope) | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| Milled Telescope Coping | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| Milled Lingual Bar | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| Milled Lingual Arm | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| Milled in Lock | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| Noble Crown (High Palladium) | 335 |
tc={F384F64F-A961-419E-A223-71FE524F45F8}: [Threaded comment]
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Comment:
| This should be 30 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| Porcelain Fused to Noble Metal Bridge | 30 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| Porcelain Only | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 0002/X002 | Metal Free | |||||||
| Porcelain Fused to Zirconium Oxide Core, Cementable Crown | 70 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Porcelain Fused to Zirconium Oxide Core, Cementable Bridge | 35 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Full Contour Zirconia Crown | 110 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| e.max inlay/onlay | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| e.max crown (stain technique) | 60 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| e.max crown (cut back/layer technique) | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| e.max veneer (stain technique) | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| e.max veneer (cut back/layer technique) | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Empress Cosmo Post | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Empress Inlay/Onlay | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Empress Exthetic Crown (stain technique) | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Empress Exthetic Crown (cutback/layer technique) | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Empress Exthetic Veneer (stain technique) | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Empress Exthetic Veneer (cutback/layer technique) | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Feldspathic Crown | 1 |
tc={1B0310C3-EB21-4F38-8D83-10760FA98599}: [Threaded comment]
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| 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Feldspathic Veneer | 1 |
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| 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| Procera Zirconia (for posterior single units) | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||
| Procera Alumina (for anterior single units) | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 0003/X003 | Full Metal | |||||||
| Gold Crowns and Bridges per unit | 100 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Gold Inlay | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Gold Onlay | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Gold Post, separate | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Gold Post, attached | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Full Gold Crown (Noble) | 80 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Full Gold Bridge (Noble) | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 0004/X004 | Additional Services | |||||||
| Diagnostic Wax-Up, Occlusal, per tooth | 115 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Diagnostic Wax-Up, Exthetic, per tooth | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Acrylic Temporary, per tooth | 15 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Acrylic Temporary, per tooth, with reinforcement | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Transfer or Reduction Coping | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Pin, Pour, and Mount (doctor to trim dies) | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
REMOVABLE PROSTHODONTICS
| 0005/X005 | Full Dentures | |||||||
| Set Up and Process | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Custom Tray | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Bite Rim | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 0006/X006 | Partial Dentures | |||||||
| Premium Chrome Framework (Vitallium 2000 or Wironium) | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Set Up and Process | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Altered Cast | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Wrought Wire Clasp | 60 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Flipper/Treatment Partial | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Flipper, One or Two Teeth | 40 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Each Additional Tooth | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Wire Clasp | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 0007/X007 | Partial Add-Ons | |||||||
| Backing for Facing | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Boxing for Tube Tooth | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Occlusal Onlay | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Metal Dummy | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| A-P Bar | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Kennedy Bar | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Lingual Plate | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| D.E. Hinge | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Swing-Lock | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Crown Fitted Under Partial (additional charge) | 50 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Clasp Index System | 25 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 0008/X008 | Removables | |||||||
| Hard Night Guard | 150 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Hard Night Guard with Soft Liner | 175 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Eclipse Heat and Seat Night Guard Classic | 24 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Eclipse Heat and Seat Night Guard Hard Face | 35 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Eclipse Heat and Seat Night Guard Custom Fit | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Essix Appliance | 55 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Nesbitt Complete | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| FRS Nesbitt (includes teeth) | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Lucitone FRS (includes set-up, finish, and teeth) | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Silicone Gasket | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Thermo-Flex Clasp | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Bleaching Tray | 30 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Surgical Stint | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Sportsguard - Light | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Sportsguard - Medium | 30 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Sportsguard - Heavy | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Silent Nite Sleep Appliance | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Soft Night Guard | 35 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Elastic Mandibular Advancement (EMA) | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| T.A.P. Sleep Apnea Appliance | 35 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| IMPAK Nightguard | 60 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 0009/X009 | Implant Base RExtorations | |||||||
| Soft Tissue Model | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Implant Labor Standard | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Implant Labor Complex | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Surgical Stint | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Atlantis Custom Abutment Titanium | 15 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Atlantis Custom Abutment Titanium – Gold Hue | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Atlantis Custom Abutment Zirconia | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Biomet 3i Encode Abutment - Titanium | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Biomet 3i Encode Abutment - Zirconia | 1 |
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| 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Procera Titanium Abutment | 1 |
tc={B14F48CB-687B-444B-A913-711479E171D6}: [Threaded comment]
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Comment:
| 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Procera Zirconia Abutment | 1 |
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| This should be 30 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||||
| Straumann Etkon Abutment- Titanium | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| Straumann Etkon Abutment- Zirconia | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| Custom Threaded Abutment | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| Duralay Jig for Implant Positioning | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| Custom Implant Tray | 24 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| Noble Biocare Abutment | 1 |
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| 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||||||
| Abutment Labor (Standard) | 20 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| Abutment Labor (Complex) | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 0010/X010 | Composite RExtorations | |||||||
| Composite Crown | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Composite Bridge | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Composite Inlay/Onlay | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 0011/X011 | Miscellaneous | |||||||
| Acrylic Laminate Veneer | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Acrylic Facing | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Omnivac Stint | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Model Mount - Plastic Articulator | 55 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Etch Maryland Bridge (for re-etches and return from try-ins only) | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Snore Guard | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Weld | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Laser Welding | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Relines and Repairs | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Tin Plating | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Provide Abutment | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Gingihue Post | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Zireal Post | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Immediate Occlusal Loading (IOL) Abutment | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Conical Abutment | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Standard Abutment | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Locator Abutment | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Nociceptive Trigeminal Inhibitory (NTI) Appliance | 15 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| 0012/X012 | Orthodontic Services | |||||||
| “C” Clasps Soldered to Labial Bow | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| 3-Way Expansion Screw | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Acrylic Added to Labial Arch | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Acrylic Plate | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Acrylic Spacer | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Adams Clasp | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Anterior Bite Plate | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Articulated Study Model | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Band and Loop Space Maintainer | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Banded Palatal Expander | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Bands | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Bi-HeliX | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Bilateral Molar Distalizer | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Bionator to Close (No Midline screw) | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Bionator to Close (One Midline screw) | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Bionator to Open (No Midline screw) | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Bionator to Open (One Midline screw) | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Bluegrass Roller | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Bonded Lingual Retainer | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Bonded Lingual Retainer (Braided Wire) | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Bonded Lingual Retainer (Round Wire) | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Bonded Lingual Retainer (Twisted Wire) | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Bonded Palatal Expander | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Buccal Tube Clasp | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Cantilever Herbst | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Cetlin Distalizing Spring | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Ortho Study Models | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Cuspid to Cuspid Adapted Labial Arch | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Cuspid to Cuspid Automatic Labial Arch | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Cuspid to Cuspid Flat Wire Labial Arch | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Cuspid to Cuspid Labial Arch | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Custom Fit Band | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Dewey | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Diastama Closing Spring | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Distal Jet | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Distal Shoe | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Double Helix Spring | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Double Tube | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Double Tube with Hook | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Expansion Arch | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Expansion Screw | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Fan Type Banded Palatal Expander | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Fan Type Expansion Screw | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Finger Clasp | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Finger Spring | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Fixed Bite Plate | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Fixed Lower Expansion Appliance | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Fixed Upper/Removable Lower Herbst | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Flip Lock Advancement Shims | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Flip Lock Herbst Kit | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Flip Lock Lower Arm | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Flip Lock Pivot | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Flip Lock Upper Left Arm | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Flip Lock Upper Right Arm | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Frankel II | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Grummons (All Metal Pendex) | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Haas Palatal Expander | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Habit Crib | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Hawley Retainer with “C” Clasps | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Hawley Retainer with Adams Clasp | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Hawley Retainer with Arrow Clasps | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Hawley Retainer with Ball Clasps | 30 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Hawley Retainer with Modified “C” Clasp | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Hawley Retainer with No Clasp | 25 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Hawley Retainer with Occlusal RExts | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Herbst | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Hook | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Inman Aligner Standard | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Inman Aligner with Expansion | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Inman Diastama | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Inman Diastama with Retractable Bow | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Jasper Jumper | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Kois Deprogramer | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Lingual Arch | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Lingual Arch with Adjustment Loop | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Lingual Sheath | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| 6031E Lingual Tube | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Lip Bumper | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Lip Bumper with Acrylic Pads | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Lower Schwarz | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Lower Three Way Sagittal | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Modified Hawley Retainer with Adams Clasp | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Modified Spring Aligner | 10 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| NAM Appliance | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Nance | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Nord Flange | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| One Tooth Expansion Screw | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Orthopedic Corrector to Close (2) | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Orthopedic Corrector to Close (3) | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Orthopedic Corrector to Open (2) | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Orthopedic Corrector to Open (3) | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Overlapping Habit Cribs | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Overlapping Spring | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Palatal Thumb Habit Crib | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Pendex | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Pendulum | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Pontic Added to Appliance | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Quad Helix | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Removable Lingual Arch | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Removable Lower Herbst | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Removable Nance | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Removable Quad Helix | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Space Closing Screw | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Space Regainer | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Spring Aligner | 5 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Spring Aligner with Adams Clasps | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Spring Aligner with Mushroom Spring | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Spring Aligner with Occlusal RExts | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Spring Aligner with Wire Extension | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Standard Rapid Palatal Expander | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Step Down Lingual Arch | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Step Down Lingual Arch with Adjust | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Thumb Thrust Appliance | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Tongue Spinner | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Tongue Thrust and Tongue Habit Appliance | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Tongue Habit Appliance | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Transpalatal Nance | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Trim Study Model | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| True Love Acrylic Color | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Twin Block | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Unilateral Molar Distalizer | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Upper Schwarz | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Upper Three Way Sagittal | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Upper Two Way Sagittal | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| W-Arch | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Wrap Around Hawley Retainer | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Wrap Around Hawley Retainer with Clasp | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Wrap Around Labial Arch | 1 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |
| Duplication of Models | 800 | Each | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Vendors may use this Enclosure 2 spreadsheet or create their own. If a vendor creates it's own pricing document, it must contain at least the information contained in the Enclosure 2 spreadsheet. Enter the proposed price for each item in columns G, I, K, M, and O. Columns H, J, L, N, and P will self-calculate. Row 296 will self-calculate. Do not modify the spreadsheet other than entering proposed pricing into columns G, I, K, M, and O. Vendors are responsible for their pricing information; the government is not responsible for pricing errors caused by either the government Enclosure 2 or vendor supplied price document. | ||||||||||||
| Base | $0.00 | OPT 1 | $0.00 | OPT 2 | $0.00 | OPT 3 | $0.00 | OPT 4 | $0.00 | Total Contract Price | $0.00 |
| Ext Price = Extended Price |
| CLIN X001 = Option CLINs |
Enclosure 2
File details come from the government source that posted it. Updated .