Attach 002B Price Cost--Informational.docx

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Attached to
6515--VOSB Set Aside WEST NORRITON CBOC AUDIOMETRIC SOUND BOOTH
Solicitation number
36C24423Q1147
Issued by

About this file

This document provides a price cost schedule for audiometric sound booth installation services. The schedule includes six line items for supplies and services required to install an audiometric room and sound booth at the Department of Veterans Affairs West Norriton Community Based Outpatient Clinic in Coatesville, Pennsylvania. Item one is for an Eckel or equivalent audiometric room with standard carpet. Items two through six cover additional utilities, outlets, sound booth installation, sprinkler access, and empty sprinkler ports. Pricing and an estimated delivery schedule within eight weeks are required for each line item. The solicitation number is 36C24423Q1147 for medical equipment and supplies under NAICS code 334510 with a Veterans Service-Disabled Owned Small Business set aside for the Veterans Health Administration Network 4.

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Informational: Awarded Purchase Order will include Data provided by EXCEL Price Cost Schedule

NOT REQUIRED FOR VENDOR RESPONSE/QUOTE

PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
1.00
EA
__________________
__________________

Audiometric Room, Brand Name Eckel OR Like, ADA C-14A LP, LINEAR WHITE STANDARD CARPET in accordance with the Statement of Need.

PRINCIPAL NAICS CODE: 334510 - Electromedical and Electrotherapeutic Apparatus Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

1.00
EA
__________________
__________________

Add on features: Utilities - HVAC Collars in accordance with the Statement of Need.

3.00
EA
__________________
__________________

Add On Utilities Additional Duplex Ooutlets in accordance with the Statement of Need.

1.00
EA
__________________
__________________

Sound Room Installation in accordance with the Statement of Need.

1.00
EA
__________________
__________________

Sprinkler Head Access in accordance with the Statement of Need.

2.00
EA
__________________
__________________

Sprinkler Port and empty rough ins in accordance with the Statement of Need.

GRAND TOTAL
__________________

DELIVERY SCHEDULE

ITEM NUMBER
QUANTITY
DELIVERY DATE
0001
SHIP TO:
Department of Veterans Affairs

West Norriton Community Based Outpatient Clinic 2495 General Armistead Avenue Coatesville, PA 19320 2096

USA

1.00
8 weeks ARO
MARK FOR:
Government Technical Point of Contact (GTPOC)

Phone To Be Published (TBP) Email TBP

INSTRUCTIONS:
Freight On Board: Destination
0002
SHIP TO:
Department of Veterans Affairs

West Norriton Community Based Outpatient Clinic 2495 General Armistead Avenue Coatesville, PA 19320 1932

USA

1.00
8 weeks ARO
MARK FOR:
Government Technical Point of Contact (GTPOC)
INSTRUCTIONS:
Freight On Board: Destination
0003
SHIP TO:
Department of Veterans Affairs

West Norriton Community Based Outpatient Clinic 2495 General Armistead Avenue Coatesville, PA 19320 1932

USA

3.00
8 weeks ARO
MARK FOR:
Government Technical Point of Contact (GTPOC)
INSTRUCTIONS:
Freight On Board: Destination
0004
SHIP TO:
Department of Veterans Affairs

West Norriton Community Based Outpatient Clinic 2495 General Armistead Avenue Coatesville, PA 19320 1932

USA

1.00
8 weeks ARO
MARK FOR:
Government Technical Point of Contact (GTPOC)
INSTRUCTIONS:
Freight On Board: Destination
0005
SHIP TO:
Department of Veterans Affairs

West Norriton Community Based Outpatient Clinic 2495 General Armistead Avenue Coatesville, PA 19320 1932

USA

1.00
8 weeks ARO
MARK FOR:
Government Technical Point of Contact (GTPOC)
INSTRUCTIONS:
Freight On Board: Destination
0006
SHIP TO:
Department of Veterans Affairs

West Norriton Community Based Outpatient Clinic 2495 General Armistead Avenue Coatesville, PA 19320 1932

USA

2.00
8 weeks ARO
MARK FOR:
Government Technical Point of Contact (GTPOC)
INSTRUCTIONS:
Freight On Board: Destination

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