Attach 02A Price Cost Schedule.docx
DOCX document 23 KB Posted
- Attached to
- 6525--Medrad Stellant Flex OCS CT Injection System (Delivery for VA Pittsburgh) Brand Name Only
- Solicitation number
- 36C24422Q0489
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| File | Type | Posted |
|---|---|---|
| Attach 01 SON.docx | DOCX document | |
| 36C24422Q0489.pdf | ||
| Attach 04 52.225-18 PLACE OF MANUFACTURE.docx | DOCX document | |
| Attach 02B Price Cost Schedule--.xlsx | XLSX spreadsheet | |
| Justification for Single Source Awards_Redacted.pdf | ||
| Attach 03 52.225-2 BUY AMERICAN CERTIFICATE.docx | DOCX document | |
| 36C24422Q0489_2.docx | DOCX document |
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Text version
B.2 PRICE/COST SCHEDULE
ITEM INFORMATION
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 1.00 |
| EA |
| __________________ |
| __________________ |
Medrad Stellant Flex OCS CT Injection System EIL 360 CSN: 6525-439422 NXR-PLAN-IMAGING-INJECTOR PRINCIPAL NAICS CODE: 334517 - Irradiation Apparatus Manufacturing PRODUCT/SERVICE CODE: 6525 - Imaging Equipment and Supplies: Medical, Dental, Veterinary MANUFACTURER PART NUMBER (MPN): Stellant Flex OCS LOCAL STOCK NUMBER: Stellant Flex OCS
| 1.00 |
| EA |
| __________________ |
| __________________ |
Installation - Medrad Stellant FLEX CT Injection System - Overhead Counterpoise System
PRODUCT/SERVICE CODE: 6525 - Imaging Equipment and Supplies: Medical, Dental, Veterinary
MANUFACTURER PART NUMBER (MPN): INS SCT FLEX CS
LOCAL STOCK NUMBER: INS SCT FLEX CS
| 1.00 |
| EA |
| __________________ |
| __________________ |
2-200 ml FLEX syringes, 60" patient Tubing with T-connector, 1 large saline spike & 1 small contrast spike / 20 per box
PRODUCT/SERVICE CODE: 6525 - Imaging Equipment and Supplies: Medical, Dental, Veterinary
MANUFACTURER PART NUMBER (MPN): FLEXD-200-SCS
LOCAL STOCK NUMBER: FLEXD-200-SCS
| 1.00 |
| EA |
| __________________ |
| __________________ |
Medrad Stellant Flex CT Injection System with OCS EIL 360 CSN: 6525-439422 NXR-PLAN-IMAGING-INJECTOR
PRODUCT/SERVICE CODE: 6525 - Imaging Equipment and Supplies: Medical, Dental, Veterinary
MANUFACTURER PART NUMBER (MPN): FLEX OCS
LOCAL STOCK NUMBER: FLEX OCS
| 1.00 |
| EA |
| __________________ |
| __________________ |
Contrast Dose Management Certegra CT Point of Care software
PRODUCT/SERVICE CODE: 6525 - Imaging Equipment and Supplies: Medical, Dental, Veterinary MANUFACTURER PART NUMBER (MPN): CDM-POC-FLEX-Package LOCAL STOCK NUMBER: CDM-POC-FLEX-Package
| 1.00 |
| EA |
| __________________ |
| __________________ |
Installation - Medrad Stellant FLEX CT Injection System with Informatics - OCS Mount
PRODUCT/SERVICE CODE: 6525 - Imaging Equipment and Supplies: Medical, Dental, Veterinary
MANUFACTURER PART NUMBER (MPN): INS SCT FLEX CS IN
LOCAL STOCK NUMBER: INS SCT FLEX CS IN
| 1.00 |
| EA |
| __________________ |
| __________________ |
Contrast Dose Management Certegra Point of Care software implementation fee
PRODUCT/SERVICE CODE: 6525 - Imaging Equipment and Supplies: Medical, Dental, Veterinary MANUFACTURER PART NUMBER (MPN): MIS SVS INT-Package LOCAL STOCK NUMBER: MIS SVS INT-Package
| 1.00 |
| EA |
| __________________ |
| __________________ |
Contrast Dose Management Outbound PACS interface
PRODUCT/SERVICE CODE: 6525 - Imaging Equipment and Supplies: Medical, Dental, Veterinary MANUFACTURER PART NUMBER (MPN): CDM-PACS-2-Package LOCAL STOCK NUMBER: CDM-PACS-2-Package
| 1.00 |
| EA |
| __________________ |
| __________________ |
Certegra Patient Weight Dosing Software - Abdomen Application
PRODUCT/SERVICE CODE: 6525 - Imaging Equipment and Supplies: Medical, Dental, Veterinary MANUFACTURER PART NUMBER (MPN): MISP3TA-Package LOCAL STOCK NUMBER: MISP3TA-Package
| 1.00 |
| EA |
| __________________ |
| __________________ |
Certegra Patient Weight Dosing Software - Pulmonary Angiography Application
PRODUCT/SERVICE CODE: 6525 - Imaging Equipment and Supplies: Medical, Dental, Veterinary MANUFACTURER PART NUMBER (MPN): MISP3TPA-Package LOCAL STOCK NUMBER: MISP3TPA-Package
| 1.00 |
| EA |
| __________________ |
| __________________ |
Contrast Dose Management interface implementation fee
PRODUCT/SERVICE CODE: 6525 - Imaging Equipment and Supplies: Medical, Dental, Veterinary
MANUFACTURER PART NUMBER (MPN): MIS SVS INT-1D
LOCAL STOCK NUMBER: MIS SVS INT-1D
| 1.00 |
| EA |
| __________________ |
| __________________ |
2-200 ml FLEX syringes, 60" patient Tubing with T-connector, 2 sterile spikes / 20 per box
PRODUCT/SERVICE CODE: 6525 - Imaging Equipment and Supplies: Medical, Dental, Veterinary
MANUFACTURER PART NUMBER (MPN): FLEXD-200-SPK
LOCAL STOCK NUMBER: FLEXD-200-SPK
| GRAND TOTAL |
| __________________ |
B.3 DELIVERY SCHEDULE
| ITEM NUMBER |
| QUANTITY |
| DELIVERY DATE |
| 0001 |
| SHIP TO: |
| Pittsburgh VAMC-University Drive (646) |
Attn: RCV, PO# University Dr C Pittsburgh, PA 15240 1003
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
| 0002 |
| SHIP TO: |
| Pittsburgh VAMC-University Drive (646) |
Attn: RCV, PO# University Dr C Pittsburgh, PA 15240 1003
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
| 0003 |
| SHIP TO: |
| Pittsburgh VAMC-University Drive (646) |
Attn: RCV, PO# University Dr C Pittsburgh, PA 15240 1003
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
| 0004 |
| SHIP TO: |
| Pittsburgh VAMC-University Drive (646) |
Attn: RCV, PO# University Dr C Pittsburgh, PA 15240 1003
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
| 0005 |
| SHIP TO: |
| Pittsburgh VAMC-University Drive (646) |
Attn: RCV, PO# University Dr C Pittsburgh, PA 15240 1003
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
| 0006 |
| SHIP TO: |
| Pittsburgh VAMC-University Drive (646) |
Attn: RCV, PO# University Dr C Pittsburgh, PA 15240 1003
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
| 0007 |
| SHIP TO: |
| Pittsburgh VAMC-University Drive (646) |
Attn: RCV, PO# University Dr C Pittsburgh, PA 15240 1003
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
| 0008 |
| SHIP TO: |
| Pittsburgh VAMC-University Drive (646) |
Attn: RCV, PO# University Dr C Pittsburgh, PA 15240 1003
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
| 0009 |
| SHIP TO: |
| Pittsburgh VAMC-University Drive (646) |
Attn: RCV, PO# University Dr C Pittsburgh, PA 15240 1003
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
| 0010 |
| SHIP TO: |
| Pittsburgh VAMC-University Drive (646) |
Attn: RCV, PO# University Dr C Pittsburgh, PA 15240 1003
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
| 0011 |
| SHIP TO: |
| Pittsburgh VAMC-University Drive (646) |
Attn: RCV, PO# University Dr C Pittsburgh, PA 15240 1003
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
| 0012 |
| SHIP TO: |
| Pittsburgh VAMC-University Drive (646) |
Attn: RCV, PO# University Dr C Pittsburgh, PA 15240 1003
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
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