Attach 02A Price Cost Schedule.docx
DOCX document 24 KB Posted
- Attached to
- 6515--Zeiss Tivato 700 ENT Comfort Package (Delivery for VA Philadelphia) Brand Name Only
- Solicitation number
- 36C24422Q0706
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Other files
| File | Type | Posted |
|---|---|---|
| Single Source Revised_Redacted.pdf | ||
| Attach 04 52.225-18 PLACE OF MANUFACTURE.docx | DOCX document | |
| Attach 01-SOW.docx | DOCX document | |
| 36C24422Q0706.pdf | ||
| Attach 03 52.225-2 BUY AMERICAN CERTIFICATE.docx | DOCX document | |
| 36C24422Q0706_2.docx | DOCX document | |
| Attach 02B Price Cost Schedule--.xlsx | XLSX spreadsheet |
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B.2 PRICE/COST SCHEDULE
ITEM INFORMATION
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 1.00 |
| EA |
| __________________ |
| __________________ |
Zeiss Tivato 700 ENT Comfort Package PRINCIPAL NAICS CODE: 339112 - Surgical and Medical Instrument Manufacturing PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): 000000-2235-392-01ENTCO
LOCAL STOCK NUMBER: 000000-2235-392-01ENTCO
| 1.00 |
| EA |
| __________________ |
| __________________ |
Eyepiece 10X for all tubes
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): 000000-2235-392-90EYEP10
LOCAL STOCK NUMBER: 000000-2235-392-90EYEP10
| 1.00 |
| EA |
| __________________ |
| __________________ |
Foldable Tube with 2X Eyepieces
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): 000000-2235-392-10TUBMFO
LOCAL STOCK NUMBER: 000000-2235-392-10TUBMFO
| 1.00 |
| EA |
| __________________ |
| __________________ |
Xenon 300 W
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): 000000-2235-392-10LIGHXE
LOCAL STOCK NUMBER: 000000-2235-392-10LIGHXE
| 1.00 |
| EA |
| __________________ |
| __________________ |
Coobservation Left/Right with Stereo-Coobserver, tiltable tube 180 Degree And 2X Eyepieces. Supports assistance in ENT/Cranial Surgery.
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): 000000-2235-392-20COLRTI
LOCAL STOCK NUMBER: 000000-2235-392-20COLRTI
| 1.00 |
| EA |
| __________________ |
| __________________ |
Infrared 800 preparation prepares Tivato 700 for ICG based vascular fluorescence visualization. Includes one Fluorescence Target Infrared 800.
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): 000000-2235-392-30IR800H
LOCAL STOCK NUMBER: 000000-2235-392-30IR800H
| 1.00 |
| EA |
| __________________ |
| __________________ |
Premium HD Video Package. Fully integrated 3-chip HD camera, 1080p. Includes ODU-HDMI cable (5m) and HD-SDI cable (10m).
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): 000000-2235-392-40HD2DPA
LOCAL STOCK NUMBER: 000000-2235-392-40HD2DPA
| 1.00 |
| EA |
| __________________ |
| __________________ |
Video Recording. Enhanced video recording with additional storage saving recording with higher compression and video streaming.
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): 000000-2235-392-40HDRECO
LOCAL STOCK NUMBER: 000000-2235-392-40HDRECO
| 1.00 |
| EA |
| __________________ |
| __________________ |
Integrated Hard Disk Drive 1TB Tivator 700 System
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): 000000-2235-392-40HDD1TB
LOCAL STOCK NUMBER: 000000-2235-392-40HDD1TB
| 1.00 |
| EA |
| __________________ |
| __________________ |
Speedfokus
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): 000000-2235-392-40SPEEDF
LOCAL STOCK NUMBER: 000000-2235-392-40SPEEDF
| 1.00 |
| EA |
| __________________ |
| __________________ |
HD-SDI-Video Cable 75 OHM 2XBNC PIN 10M
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): 000000-2235-392-40CSDI10
LOCAL STOCK NUMBER: 000000-2235-392-40CSDI10
| 1.00 |
| EA |
| __________________ |
| __________________ |
Shared Network Package
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): 000000-2235-392-50NETWPA
LOCAL STOCK NUMBER: 000000-2235-392-50NETWPA
| 1.00 |
| EA |
| __________________ |
| __________________ |
Wireless Network Package enables WLAN and Wifi Hot Spot functionality for wireless shared network data exchange and Wifi connection to mobile devices. Allow for network access to data via Web Browser
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): 000000-2235-392-50WLANPA
LOCAL STOCK NUMBER: 000000-2235-392-50WLANPA
| 1.00 |
| BX |
| __________________ |
| __________________ |
Smartdrape (Box of 5)
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): 000000-2235-392-60SDRAPE
LOCAL STOCK NUMBER: 000000-2235-392-60SDRAPE
| 1.00 |
| EA |
| __________________ |
| __________________ |
Shipping Crate (No Solid Wood)
PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies
MANUFACTURER PART NUMBER (MPN): 000000-2235-392-60TRSBOX
LOCAL STOCK NUMBER: 000000-2235-392-60TRSBOX
| GRAND TOTAL |
| __________________ |
B.3 DELIVERY SCHEDULE
| ITEM NUMBER |
| QUANTITY |
| DELIVERY DATE |
| 0001 |
| SHIP TO: |
| Philadelphia VAMC (642) |
Attn: RCV, PO # 3900 Woodland Ave.
Philadelphia, PA 19104 4551
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
| 0002 |
| SHIP TO: |
| Philadelphia VAMC (642) |
Attn: RCV, PO # 3900 Woodland Ave.
Philadelphia, PA 19104 4551
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
| 0003 |
| SHIP TO: |
| Philadelphia VAMC (642) |
Attn: RCV, PO # 3900 Woodland Ave.
Philadelphia, PA 19104 4551
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
| 0004 |
| SHIP TO: |
| Philadelphia VAMC (642) |
Attn: RCV, PO # 3900 Woodland Ave.
Philadelphia, PA 19104 4551
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
| 0005 |
| SHIP TO: |
| Philadelphia VAMC (642) |
Attn: RCV, PO # 3900 Woodland Ave.
Philadelphia, PA 19104 4551
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
| 0006 |
| SHIP TO: |
| Philadelphia VAMC (642) |
Attn: RCV, PO # 3900 Woodland Ave.
Philadelphia, PA 19104 4551
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
| 0007 |
| SHIP TO: |
| Philadelphia VAMC (642) |
Attn: RCV, PO # 3900 Woodland Ave.
Philadelphia, PA 19104 4551
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
| 0008 |
| SHIP TO: |
| Philadelphia VAMC (642) |
Attn: RCV, PO # 3900 Woodland Ave.
Philadelphia, PA 19104 4551
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
| 0009 |
| SHIP TO: |
| Philadelphia VAMC (642) |
Attn: RCV, PO # 3900 Woodland Ave.
Philadelphia, PA 19104 4551
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
| 0010 |
| SHIP TO: |
| Philadelphia VAMC (642) |
Attn: RCV, PO # 3900 Woodland Ave.
Philadelphia, PA 19104 4551
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
| 0011 |
| SHIP TO: |
| Philadelphia VAMC (642) |
Attn: RCV, PO # 3900 Woodland Ave.
Philadelphia, PA 19104 4551
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
| 0012 |
| SHIP TO: |
| Philadelphia VAMC (642) |
Attn: RCV, PO # 3900 Woodland Ave.
Philadelphia, PA 19104 4551
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
| 0013 |
| SHIP TO: |
| Philadelphia VAMC (642) |
Attn: RCV, PO # 3900 Woodland Ave.
Philadelphia, PA 19104 4551
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
| 0014 |
| SHIP TO: |
| Philadelphia VAMC (642) |
Attn: RCV, PO # 3900 Woodland Ave.
Philadelphia, PA 19104 4551
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
| 0015 |
| SHIP TO: |
| Philadelphia VAMC (642) |
Attn: RCV, PO # 3900 Woodland Ave.
Philadelphia, PA 19104 4551
USA
| 1.00 |
| __________________ |
| MARK FOR: |
| Government Contact |
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