Attach 02B Price Cost Schedule--.xlsx
XLSX spreadsheet 53 KB Posted
- Attached to
- 6530--Draeger Fabius Tiro Anesthesia Workstation (Delivery for VA Philadelphia) This is Brand Name Only.
- Solicitation number
- 36C24423Q0233
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 1 Single Source Justification MPT to SAT_Redacted.pdf | ||
| 36C24423Q0233.docx | DOCX document |
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Text version
VISN4 IDIQ CLINS
| # | CLIN Description | UNIT | QTY | UNIT PRICE | Amount | Manufacturer Part Number | LI Item Part Number | OEM Country of Origin | LI OEM UEI Number | LI OEM Name |
| 0001 | Fabius Tiro | EA | 2 | $ - 0 | $ - 0 | 8606000 | ||||
| 0002 | Main configuration- trolley mount version USA. Includes 3 gas version, 3 gas inlet, ventilator and trolley. | EA | 2 | $ - 0 | $ - 0 | OPC5386 | ||||
| 0003 | Vaporizer plug-in sys., single | EA | 2 | $ - 0 | $ - 0 | OPC5199 | ||||
| 0004 | Pin Index cylinder sup. O2-AIR | EA | 2 | $ - 0 | $ - 0 | OPC5418 | ||||
| 0005 | 2nd RS232 port- COM2 | EA | 2 | $ - 0 | $ - 0 | OPC5236 | ||||
| 0006 | Ventilator and display. Software options: Pressure control ventilation (PCV) + Pressure Support (PS) + SIMV/PS | EA | 2 | $ - 0 | $ - 0 | OPC5328 | ||||
| 0007 | Color screen | EA | 2 | $ - 0 | $ - 0 | OPC 5448 | ||||
| 0008 | COSY 2.6 with heating | EA | 2 | $ - 0 | $ - 0 | OPC5359 | ||||
| 0009 | COSY arm, length 200 mm, left | EA | 2 | $ - 0 | $ - 0 | OPC5377 | ||||
| 0010 | Moisture reduction kit, left | EA | 2 | $ - 0 | $ - 0 | OPC5220 | ||||
| 0011 | Flexible breathing bag arm | EA | 2 | $ - 0 | $ - 0 | 8605088 | ||||
| 0012 | Mech. airway pressure gauge | EA | 2 | $ - 0 | $ - 0 | OPC5560 | ||||
| 0013 | Kit pressure port guards | EA | 2 | $ - 0 | $ - 0 | 8608016 | ||||
| 0014 | cLIC absorber adapter | EA | 2 | $ - 0 | $ - 0 | MX50090 | ||||
| 0015 | Anesthetic gas recieving system (AGSS) | EA | 2 | $ - 0 | $ - 0 | M33300 | ||||
| 0016 | AGS transfer hose, 1m | EA | 2 | $ - 0 | $ - 0 | M33295 | ||||
| 0017 | AGS rail clamp for GCX | EA | 2 | $ - 0 | $ - 0 | 4117515 | ||||
| 0018 | Endotracheal suction- Kit vacuum suction | EA | 2 | $ - 0 | $ - 0 | 4118454 | ||||
| 0019 | Auxiliary O2 flowmeter, US | EA | 2 | $ - 0 | $ - 0 | OPC5020 | ||||
| 0020 | Park holder Drager, 2 vap. | EA | 2 | $ - 0 | $ - 0 | 4115837 | ||||
| 0021 | Sample gas return line | EA | 2 | $ - 0 | $ - 0 | M32692 | ||||
| 0022 | Kit power outlet strip | EA | 2 | $ - 0 | $ - 0 | 8607840 | ||||
| 0023 | With conversion kit- GCX rail | EA | 2 | $ - 0 | $ - 0 | 8606259 | ||||
| 0024 | Power strip JP/USA/CAN | EA | 2 | $ - 0 | $ - 0 | G92558 | ||||
| 0025 | Hose ASM-02 DISS Hand 10L | EA | 2 | $ - 0 | $ - 0 | 4199592 | ||||
| 0026 | Hose ASM-N2O DISS Hand 10L | EA | 2 | $ - 0 | $ - 0 | 4199596 | ||||
| 0027 | Hose ASM-AIR DISS Hand 10L | EA | 2 | $ - 0 | $ - 0 | 4199594 | ||||
| 0028 | Hose ASM-VAC DISS Hand 10L | EA | 2 | $ - 0 | $ - 0 | 4199590 | ||||
| 0029 | Hose ASM-WAGD Hand DISS N 10 L | EA | 2 | $ - 0 | $ - 0 | MP20029 | ||||
| 0030 | Vapor 2000 | EA | 2 | $ - 0 | $ - 0 | M35054 | ||||
| 0031 | Sevoflurane | EA | 2 | $ - 0 | $ - 0 | OPC0096 | ||||
| 0032 | Plug-in ad. Auto Exclusion | EA | 2 | $ - 0 | $ - 0 | OPC5417 | ||||
| 0033 | Filling adap. Drager Fill Sev | EA | 2 | $ - 0 | $ - 0 | M36120 | ||||
| 0034 | CLIC absorber 800+ | EA | 6 | $ - 0 | $ - 0 | MX00004 | ||||
| 0035 | Fabius Tiro PrevCare 1Yr POS | EA | 2 | $ - 0 | $ - 0 | 1901075 | ||||
| Total: | $ - 0 |
Data Dictionary
| eCMS Data Element Name | Line Item Template Name | Selection/Input | MSTR Attribute Name |
| LIN: | Item Number | This is the Line Item Number for this LIN and will be autogenerated | LIN |
| Description: | Description | Enter a meaningful description of the item or service being procured. The description should directly relate to the PSC or NAICS code and also provide detailed characteristics. Start with the commodity or service being provided i.e., Mask and a more detailed description or Window Washing and a more detailed description, etc. | LI Description |
| Comment: | Comment | LI Comment | |
| Contract Period: | Contract Period | Select either 'Base' of the applicable 'Option Year' from the dropdown | LI Contract Period |
| POP Begin: | Pop Begin | Enter dd-mm-yyyy or dd/mm/yyyy date format for each LIN | LI POP Begin Date |
| POP End: | Pop End | Enter dd-mm-yyyy or dd/mm/yyyy date format for each LIN | LI POP End Date |
| Unit of Measure: | Unit of Measure | Select the applicable 'Unit of Measure' from the dropdown. The 'Unit of Measure' EA should always have a 'Packaging Multiple' of 1 | Item Unit Description |
| Packaging Multiple | Packaging Multiple | Enter the total quantity that comes in each 'Unit of Measure' i.e., How many come in each CS, CT, PG, etc. The 'Unit of Measure' EA should always have a 'Packaging Multiple' of 1 | Items Per UOI |
| LIN is: | Line Item Is | Select 'Priced', 'NSP' (Not Separately Priced), or 'N/C' (No Charge) from the dropdown | LI Price Type |
| Unit Price ($): | Unit Price | Enter the price for each 'Unit of Measure' i.e., What is the cost of each CS, CT, PG, etc. | Item Unit Price |
| PRINCIPAL NAICS CODE | PRINCIPAL NAICS CODE | Select the applicable North American Industry Classification System code | LI NAICS |
| PRODUCT/SERVICE CODE | PRODUCT/SERVICE CODE | Select the applicable Product Service Code | LI Prod Svc Code |
| MANUFACTURER PART NUMBER (MPN): | MANUFACTURER PART NUMBER (MPN) | The MPN identifies the manufacturer from which an item originated. Its purpose is to identify the company that made the part, as opposed to a SKU number that is used for inventory record keeping by the Vendor. Each MPN is unique and can be composed of letters, numbers, or both. | Manufacturer Part Number |
| ITEM PART NUMBER | ITEM PART NUMBER | Enter the distributor/vendor part number if different than the mfg. part number. | LI Item Part Number |
| ITEM TYPE: | ITEM TYPE | Select 'DENTAL', 'EMS', 'LAB', 'MEDICAL', 'OTHER', or 'SURGICAL' from the dropdown | LI Item Type |
| OEM COUNTRY OF ORIGIN: | OEM COUNTRY OF ORIGIN | Enter the original equipment manufacturers (OEM) physical location of origin | LI OEM Country of Origin |
| OEM DUNS NUMBER: | OEM DUNS NUMBER | Enter the OEM DUNS Number. Do not enter the Distributor/Vendor DUNS Number unless the Distributor/Vendor is the Manufacturer. | LI OEM DUNS Number |
| OEM NAME: | OEM NAME | Enter the Name of the OEM. Do not enter the Distributor/Vendor Name unless the Distributor/Vendor is the Manufacturer. | LI OEM Name |
| The SCMC will also pull the Contractor Name, Contract Number, NAICS, PSC, Contracor POC Name, Contractor POC Phone, Contractor POC Email, and Socio-economic data from the Base contract information | |||
| eCMS Data Element Name | Line Item Template Name | Selection/Input | MSTR Attribute Name |
| LIN: | Item Number | This is the Line Item Number for this LIN and will be autogenerated | LIN |
| Description: | Description | Enter a meaningful description of the item or service being procured. The description should directly relate to the PSC or NAICS code and also provide detailed characteristics. Start with the commodity or service being provided i.e., Mask and a more detailed description or Window Washing and a more detailed description, etc. | LI Description |
| Comment: | Comment | LI Comment | |
| PRINCIPAL NAICS CODE | PRINCIPAL NAICS CODE | Select the applicable North American Industry Classification System code | LI NAICS |
| PRODUCT/SERVICE CODE | PRODUCT/SERVICE CODE | Select the applicable Product Service Code | LI Prod Svc Code |
| MANUFACTURER PART NUMBER (MPN): | MANUFACTURER PART NUMBER (MPN) | The MPN identifies the manufacturer from which an item originated. Its purpose is to identify the company that made the part, as opposed to a SKU number that is used for inventory record keeping by the Vendor. Each MPN is unique and can be composed of letters, numbers, or both. | Manufacturer Part Number |
| ITEM PART NUMBER | ITEM PART NUMBER | Enter the distributor/vendor part number if different than the mfg. part number. | LI Item Part Number |
| OEM COUNTRY OF ORIGIN: | OEM COUNTRY OF ORIGIN | Enter the original equipment manufacturers (OEM) physical location of origin | LI OEM Country of Origin |
| OEM DUNS NUMBER: | OEM DUNS NUMBER | Enter the OEM DUNS Number. Do not enter the Distributor/Vendor DUNS Number unless the Distributor/Vendor is the Manufacturer. | LI OEM DUNS Number |
| OEM NAME: | OEM NAME | Enter the Name of the OEM. Do not enter the Distributor/Vendor Name unless the Distributor/Vendor is the Manufacturer. | LI OEM Name |
| The SCMC will also pull the Contractor Name, Contract Number, NAICS, PSC, Contracor POC Name, Contractor POC Phone, Contractor POC Email, and Socio-economic data from the Base contract information |
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