TAB 12 - 75H71025Q00073 Mobile Van Pricing Schedule Amendment.pdf

PDF 233 KB Posted

Attached to
Mobile Medical High Roof Van, Crownpoint Healthcare Facility
Solicitation number
75H71025Q00073
Issued by

About this file

This is an updated pricing schedule template for RFQ 75H71025Q00073 for a 2024 Ford Transit 250 148 EXT High Roof AWD medical van. The document adds nine new items to the pricing schedule: suspension spring upgrade, single and double step, floor-to-ceiling locking cabinets, insulation, sound dampening, swivel seats, sliding door window, electric exam bed, and microbial countertop.

The pricing schedule details the base van specifications along with required standard options categorized under exterior features (including disc brakes, gas tank, external outlets), interior equipment (10Kw power system, hydronic water system, WiFi capabilities), and medical accessories (various wall-mounted dispensers, Welch Allyn instruments). Additional sections cover finishes (vinyl flooring/walls), optional extras (tire upgrade, electric awning, StarLink WiFi), and custom options (magnetic logos, printer, medical cooler, wheelchair lift). Vendors must complete the schedule with yes/no responses and costs for each item, provide their SAM UEI number, and sign the document.

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TAB 3 - SOW.pdf PDF
TAB 12 - 75H71025Q00073 SF 14449 and Pricing Schedule.pdf PDF

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Updated Pricing Schedule

RFQ 75H71025Q00073

The following list of items are added to the “Pricing Fee Schedule” Please use the updated Pricing

Schedule to submit your RFQ 75H71025Q00073

• Suspension Spring Upgrade

• Single and Double Step

• Cabinets Floor to Ceiling cabinetry (locking)

• Insulation

• Sound Dampening

• Swivel Seats

• Sliding Door Window

• Exam bed (Electric)

• Microbial Countertop

**All other terms and provisions remain the same and in full effect.**

SECTION B – CONTINUATION OF SF-1449

PRICING FEE SCHEDULE

VAN INFORMATION

CLIN

NO.

Description Quantity Unit Price Extended

Price

1. Van – 2024 Ford Transit 250 148 EXT, High Roof AWD, Gasoline 6 cylinder, (Color) Exact or Equal may be quoted

1 Ea.

STANDARD OPTIONS INCLUDED IN BASE MODEL

Description Included -

Description

(Yes) (No)

Cost

EXTERIOR:

Disc Brakes

25 – 30-gallon gas tank

External Outlets

Shore Power

Running Boards

Suspension Spring Upgrade

AC Climate Control

Wi-Fi Mount

INTERIOR: Included –

Description

10Kw Power System

Hydronic Hot Water System

Airtronic Air Heater or equal

Electrical Outlets (USB/USB-C) for exam table, Vital SAT outlet, portable medical scale.

LTE WIFI Hot Spot

Medical Grade Fridge and Freezer

MEDICAL ACCESSORIES: Included -

Description

• Garbage bin

• Sharps Container

• Biohazard bin

• Wall mounted paper towel holder

• Wall mounted soap dispenser

• Wall mounted Hand Sanitizer

• Welch Allyn Medical

Instrument Cluster

Single and Double Step

Cabinets Floor to Ceiling cabinetry

(locking)

Insulation

Sound Dampening

Swivel Seats

Sliding Door Window

Exam bed (Electric)

Microbial Countertop

Mounted Printer Shelf

Wall mounted EKG Table (flip down)

Folding Bench

Privacy Curtain

Window Covers

Finishes: Included -

Description

(Yes) (No)

Cost

Vinyl Flooring (medical grade)

Vinyl Walls (medical grade)

Ceiling Light or Recessed lighting

SUBTOTAL

OPTION EXTRAS

Description Included -

Description

(Yes) (No)

Cost

Tire upgrade

Electric Awning

Satellite WIFE (StarLink)

Headliner Shelf

Air Purifier

Full Vinyl Wrap

SUBTOTAL

CUSTOM OPTIONS:

Description Included –

Description

(Yes) (No)

Cost

Magnetic Logos

Canon Pixma TR150 Printer or equal

Accucold SPRFT26T Medical Cooler

Wheel Chair Lift for ADA Access

SUBTOTAL

Total - Van Cost

Contractor Representative:

Print Name Signature & Date

SAM UEI # ________________________ Expiration Date __________________________

File details come from the government source that posted it. Updated .